Abstract

Background With the high prevalence of bullying in schools and rise in cyberbullying in the UK, it is vital that the health impacts of bullying victimisation, including on risk-taking and delinquent behaviour, are understood. These behaviours have important public health implications for non-communicable diseases and violent crime. Neurobiological and social changes can make adolescent victims of bullying more susceptible to subsequent impulsive behaviour. This is the first study in England to use a longitudinal design to investigate the relationship between bullying/cyberbullying victimisation and risk-taking behaviour. Aim To test whether bullying/cyberbullying victimisation is associated with subsequent health risk-taking and delinquent behaviour in adolescence. Risk-taking behaviour includes electronic cigarette and cigarette smoking, alcohol consumption, illicit drug use and early sexual debut. Delinquent behaviour includes weapon carrying, damaging property and setting fire. Methods A secondary quantitative analysis of 2297 secondary school students in the control arm of the INCLUSIVE trial, which were treated as a longitudinal cohort, was performed. Generic bullying victimisation was measured at baseline (Year 7) using the Gatehouse Bullying Scale and a separate validated question assessed for cyberbullying victimisation. Logistic regression modelling was used to test for an association between bullying/cyberbullying victimisation at baseline and risk-taking/delinquent behaviour at 36 months, adjusting for baseline risky/delinquent behaviour and other potential confounders. Robust standard errors controlled for school clusters. Results There was statistical evidence (p Conclusions It may be plausible that bullying/cyberbullying victimisation can cause subsequent risk-taking/delinquent behaviour in adolescence. Policy options should focus on anti-bullying school interventions and preventing the upstream contextual factors that predispose adolescents to bullying victimisation and perpetration. Clinicians should ask about bullying/cyberbullying victimisation when seeing adolescents who present with health risk-taking behaviour.

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