• Erin V Kelly, Nicola C Newton, Lexine A Stapinski, Tim Slade, Emma L Barrett, Patricia J Conrod, and Maree Teesson.
• NHMRC Centre for Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW 2052, Australia. Electronic address: e.kelly@unsw.edu.au.
• Prev Med. 2015 Apr 1; 73: 100-5.

ObjectiveThe aim of this study is to compare suicidality, internalizing problems and externalizing problems among adolescent victims, bullies and bully-victims.MethodThis study examined bullying involvement among a subset of the baseline sample of the Climate and Preventure study, a trial of a comprehensive substance use prevention intervention for adolescents in 2012. The sample included 1588 Year 7-9 students in New South Wales and Victoria, Australia.ResultsVictims, bullies and bully-victims had more problems than uninvolved students. Students with internalizing problems were more likely to be a victim than a bully. Some externalizing problems (alcohol and tobacco use) were associated with increased odds of being a bully, but not others (cannabis use and conduct/hyperactivity symptoms). Suicidal ideation, internalizing problems and some externalizing problems increased the odds of being a bully-victim compared to being a bully or a victim.ConclusionEarly intervention for adolescents frequently involved in bullying may reduce the onset of substance use and other mental disorders. It would be advisable for bullying interventions to include a focus on substance use and mental health problems. A reduction in these chronic and detrimental problems among adolescents could potentially lead to a concomitant reduction in bullying involvement.Copyright © 2015 Elsevier Inc. All rights reserved.

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