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2014 ; 30
(11
): 793-7
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Perspectives on bullying among children who present to the emergency department
with behavioral misconduct: a qualitative study
#MMPMID25343737
Waseem M
; Boutin-Foster C
; Robbins L
; Gonzalez R
; Vargas S
; Peterson JC
Pediatr Emerg Care
2014[Nov]; 30
(11
): 793-7
PMID25343737
show ga
The problem of bullying is an increasing public health threat encountered by
emergency physicians especially in inner city emergency departments (EDs).
Bullying may result in emotional disturbances and psychological trauma in
children. Many children sent to the ED because of behavioral misconduct require
immediate stabilization and treatment. The emergency physician performs an
initial assessment and stabilization. Emergency departments are increasingly on
the frontline of the bullying problem. OBJECTIVES: Our objective was to explore
children's perspective of bullying and their views of potential solutions.
METHODS: A qualitative study was conducted in a cohort of 50 children (age, 8-17
years), who were referred to the ED from school because of their behavioral
misconduct. An interview survey tool about bullying was administered. It focused
on what bullying meant to them and what advice they have for a child who is
bullied. They were also asked what advice they would have for adults who try to
help. We used grounded theory to analyze the data. Similar concepts were grouped,
and the categories with similar properties and dimensions were defined. Common
themes were then identified. RESULTS: We interviewed 50 children, of whom 27 were
boys and 23 were girls. Their mean (SD) age was 12.5 (2.12) years (range, 8-17
years). Bullying was identified by children as including physical, verbal, and
emotional actions. Several themes emerged. First, a power imbalance between a
bully and victim may render an individual vulnerable to bullying. Being different
and weak also increases the risk of being bullied. Second, bullying is wrong, and
the bully should be punished. Third, children should learn how to handle bullying
situations and develop resilience against bullying. Finally, adults need to be
more proactive to prevent or stop bullying. CONCLUSIONS: Our results provide
insights into the perceptions of children regarding bullying. We have garnered a
better understanding of what these children feel adults should do to prevent
bullying.