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Korean J Pediatr 2013 January;56(1) :1-7.
Published online 2012 November 28.        doi:
The role of the pediatrician in youth violence prevention
Soon Ki Kim (Kim SK)1, Nam Su Kim (Kim NS)2
1Department of Pediatrics, Inha University Hospital, Inha University School of Medicine, Incheon
2Department of Pediatrics, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea
Corresponding Author: Soon Ki Kim ,Tel: +82-32-890-2843, Fax: +82-32-890-2844, Email:
Copyright © 2013 by The Korean Pediatric Society
School bullying has become a major social problem in Korea after the emergence of media reports on children who committed suicide after being victimized by bullies. In this article, we review the characteristics of bullying, and investigate the role of the pediatrician in the prevention of and intervention against bullying and school violence. Bullying can take on many forms such as physical threat, verbal humiliation, malicious rumors, and social ostracism. The prevalence of bullying in various countries is approximately 10% to 20%. In Korea, the prevalence of school violence is similar but seems to be more intense because of the highly competitive environment. From our review of literature, we found that children who were bullied had a significantly higher risk of developing psychosomatic and psychosocial problems such as headache, abdominal pain, anxiety, and depression than those who were not bullied. Hence, it is important for health practitioners to detect these signs in a child who was bullied by questioning and examining the child, and to determine whether bullying plays a contributing role when a child exhibits such signs. Pediatricians can play an important role in the prevention of or intervention against school violence along with school authorities, parents, and community leaders. Moreover, guidelines to prevent school violence, such as the Olweus Bullying Prevention Program, KiVa of the Finish Ministry of Education, and Connected Kids: Safe, Strong, Secure of the American Academy Pediatrics, should be implemented.
Keywords: Bullying | Violence | Pediatrician | Child | Adolescent | Korea
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1. The role of the pediatrician in youth violence prevention in clinical practice and at the community level. American Academy of Pediatrics Task Force on Violence. Pediatrics 1999;103:173–18
2. Arseneault L, Walsh E, Trzesniewski K, Newcombe R, Caspi A, Moffitt TE. Bullying victimization uniquely contributes to adjustment problems in young children: a nationally representative cohort study. Pediatrics 2006;118:130–138.
3. Hawker DS, Boulton MJ. Twenty years' research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies. J Child Psychol Psychiatry 2000;41:441–455.
4. Nansel TR, Overpeck MD, Haynie DL, Ruan WJ, Scheidt PC. Relationships between bullying and violence among US youth. Arch Pediatr Adolesc Med 2003;157:348–353.
5. Kim YS, Koh YJ, Leventhal B. School bullying and suicidal risk in Korean middle school students. Pediatrics 2005;115:357–363.
6. Sourander A, Jensen P, Ronning JA, Niemela S, Helenius H, Sillanmaki L, et al. What is the early adulthood outcome of boys who bully or are bullied in childhood? The Finnish "From a Boy to a Man" study. Pediatrics 2007;120:397–404.
7. Olweus D. Bullying at school: basic facts and effects of a school based intervention program. J Child Psychol Psychiatry 1994;35:1171–1190.
8. Glew GM, Frey KS, Walker WO. Bullying update: are we making any progress?. Pediatr Rev 2010;31:e68–e74.
9. Olweus Bullying Prevention Program [Internet]. Center city: Hazelden Foundation; c2012 [cited 2012 Aug 15].
10. Ministry of Education, Science and TechnologySurvey of school violence and successive manual coping with school violence [Internet]. Seoul: Ministry of Education, Science and Technology; c1998-2008 [cited 2012 Aug 15].
11. Glew G, Rivara F, Feudtner C. Bullying: children hurting children. Pediatr Rev 2000;21:183–189.
12. Nansel TR, Overpeck M, Pilla RS, Ruan WJ, Simons-Morton B, Scheidt P. Bullying behaviors among US youth: prevalence and association with psychosocial adjustment. JAMA 2001;285:2094–2100.
13. Nansel TR, Craig W, Overpeck MD, Saluja G, Ruan WJ. Health Behaviour in School-aged Children Bullying Analyses Working Group. Cross-national consistency in the relationship between bullying behaviors and psychosocial adjustment. Arch Pediatr Adolesc Med 2004;158:730–736.
14. Foundation for Preventing Youth ViolenceSurvey of school violence 2011 [Internet]. Seoul: Foundation for Preventing Youth Violence; [copyright year unknown] [cited 2012 Aug 15].
15. von Grunigen R, Perren S, Nagele C, Alsaker FD. Immigrant children's peer acceptance and victimization in kindergarten: the role of local language competence. Br J Dev Psychol 2010;28(Pt 3):679–697.
16. Sentenac M, Gavin A, Arnaud C, Molcho M, Godeau E, Nic Gabhainn S. Victims of bullying among students with a disability or chronic illness and their peers: a cross-national study between Ireland and France. J Adolesc Health 2011;48:461–466.
17. Perren S, Alsaker FD. Social behavior and peer relationships of victims, bully-victims, and bullies in kindergarten. J Child Psychol Psychiatry 2006;47:45–57.
18. Bond L, Carlin JB, Thomas L, Rubin K, Patton G. Does bullying cause emotional problems? A prospective study of young teenagers. BMJ 2001;323:480–484.
19. Fekkes M, Pijpers FI, Verloove-Vanhorick SP. Bullying behavior and associations with psychosomatic complaints and depression in victims. J Pediatr 2004;144:17–22.
20. Gini G, Pozzoli T. Association between bullying and psychosomatic problems: a meta-analysis. Pediatrics 2009;123:1059–1065.
21. Kochenderfer BJ, Ladd GW. Peer victimization: cause or consequence of school maladjustment?. Child Dev 1996;67:1305–1317.
22. Ladd GW, Kochenderfer-Ladd B. Identifying victims of peer aggression from early to middle childhood: analysis of cross-informant data for concordance, estimation of relational adjustment, prevalence of victimization, and characteristics of identified victims. Psychol Assess 2002;14:74–96.
23. Williams K, Chambers M, Logan S, Robinson D. Association of common health symptoms with bullying in primary school children. BMJ 1996;313:17–19.
24. Rigby K. Peer victimisation at school and the health of secondary school students. Br J Educ Psychol 1999;69(Pt 1):95–104.
25. Kim YS, Leventhal B. Bullying and suicide: a review. Int J Adolesc Med Health 2008;20:133–154.
26. KiVa KouluThere is no bullying in KiVa school [Internet]. Turku: University of Turku; [copyright year unknown] [cited 2012 Aug 15].
27. Hahn R, Fuqua-Whitley D, Wethington H, Lowy J, Liberman A, Crosby A, et al. The effectiveness of universal school-based programs for the prevention of violent and aggressive behavior: a report on recommendations of the Task Force on Community Preventive Services. MMWR Recomm Rep 2007;56(RR-7):1–12.
28. Committee on Injury, Violence, and Poison Prevention. Policy statement: Role of the pediatrician in youth violence prevention. Pediatrics 2009;124:393–402.
29. Karna A, Voeten M, Little TD, Poskiparta E, Kaljonen A, Salmivalli C. A large-scale evaluation of the KiVa antibullying program: grades 4-6. Child Dev 2011;82:311–330.
30. Fekkes M, Pijpers FI, Fredriks AM, Vogels T, Verloove-Vanhorick SP. Do bullied children get ill, or do ill children get bullied? A prospective cohort study on the relationship between bullying and health-related symptoms. Pediatrics 2006;117:1568–1574.
31. Cheng TL, Schwarz D, Brenner RA, Wright JL, Fields CB, O'Donnell R, et al. Adolescent assault injury: risk and protective factors and locations of contact for intervention. Pediatrics 2003;112:931–938.
32. Barkin S, Ryan G, Gelberg L. What pediatricians can do to further youth violence prevention: a qualitative study. Inj Prev 1999;5:53–58.
33. Borowsky IW, Mozayeny S, Stuenkel K, Ireland M. Effects of a primary care-based intervention on violent behavior and injury in children. Pediatrics 2004;114:e392–e399.
34. Sege RD, Flanigan E, Levin-Goodman R, Licenziato VG, De Vos E, Spivak H, et al. American Academy of Pediatrics' Connected Kids program: case study. Am J Prev Med 2005;29 5 Suppl 2:215–219.
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