Systematic Review: Self-harm in Adolescent Bullying Victims
Abstract
Nowadays, bullying behavior is very common, especially among teenagers and young adults. Bullying is intentionally aggressive behavior, which aims to make other people feel uncomfortable, cornered or intimidated. Bullying has a very negative effect on the growth and development of teenagers. For example, increased depression and stress, low self-esteem, sleep disorders, and the emergence of self-harm behavior and suicide. Self-harm is a detrimental action in the form of self-harm. And if it continues, it will lead to more serious problems such as suicide. The aim of this systematic review is to describe the causes of self-harm in adolescents who experience bullying. The method used in this paper is to use a systematic literature method originating from the Google Scholar and Scopus databases. With a publication range from 2019 to 2023. These journals use English and Indonesian in full-text form. After a series of data sorting processes, 18 papers were obtained that met the inclusion criteria. With the results of three main factors that influence self-harm actions in adolescent victims of bullying. Among them are psychological, social and physical factors.
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References
Ahmad, K., Beatson, A., Campbell, M., Hashmi, R., Keating, B. W., Mulcahy, R., … Wang, S. (2023). The impact of gender and age on bullying role, self-harm and suicide: Evidence from a cohort study of Australian children. PLoS ONE, 18(1 January), 1–13. https://doi.org/10.1371/journal.pone.0278446
Ai, M., Wang, W., Chen, J.-M., He, J.-L., Zhang, Q., Hong, S., … Xu, X.-M. (2025). Multidimensional stress and self-harm in Chinese preadolescents: A cross-sectional study. Journal of Affective Disorders, 372, 370–376. Scopus. https://doi.org/10.1016/j.jad.2024.12.034
Al Ali, N., Qasem, I. O., & Aldwaikat, T. (2025). Examining the Impact of a School-Based Bullying Education Program on Students’ Knowledge of Bullying, Bullying Behavior, and Self-Esteem. International Journal of Adolescence and Youth, 30(1). Scopus. https://doi.org/10.1080/02673843.2025.2454997
Algarrada Vico, L., Martínez-Sánchez, L., Baena Olomí, I., Benito Caldés, C., Rodríguez Varela, A., López-Corominas, V., … Vázquez López, P. (2024). Multicenter study of adolescent suicide attempts by poisoning: Social, epidemiological, and clinical characteristics. Emergencias?: Revista de La Sociedad Espanola de Medicina de Emergencias, 36(6), 438–446. Scopus. https://doi.org/10.55633/s3me/061.2024
Alslman, E., Thultheen, I., Hamaideh, S. H., Nofal, B., Hamdan-Mansour, R., & Hamdan Mansour, A. (2024). The mediating effect of psychological distress and bullying victimization on the relationship between alexithymia and fibromyalgia among school adolescents. Mental Health and Social Inclusion, 28(5), 842–856. Scopus. https://doi.org/10.1108/MHSI-09-2023-0096
Amin, S. M., Mohamed, M. A. E.-S., Metwally El-Sayed, M., & El-Ashry, A. M. (2025). Nursing in the digital age: The role of nursing in addressing cyberbullying and adolescents mental health. Journal of Psychiatric and Mental Health Nursing, 32(1), 57–70. Scopus. https://doi.org/10.1111/jpm.13085
Aprilia, P., Tritjahjo Danny Soesilo, & Irawan, S. (2023). Hubungan Antara Kecerdasan Emosional Dengan Perilaku Bullying Peserta Didik. G-Couns: Jurnal Bimbingan dan Konseling, 7(03), 409–507. https://doi.org/10.31316/gcouns.v7i03.4725
Bao, Z., & Yu, M. (2025). Longitudinal associations between parental attachment and adolescents’ pro-bullying bystander behaviors: The mediating role of moral disengagement. Child Abuse and Neglect, 159. Scopus. https://doi.org/10.1016/j.chiabu.2024.107173
Blacam, C. D., Geoghegan, B., Nixon, E., & Nolan, A. (2025). Lives of Irish Adolescents Who Were Born With a Cleft (LIA-Cleft)1. Cleft Palate Craniofacial Journal. Scopus. https://doi.org/10.1177/10556656241311045
Brisson, R., Adayeva, A., & Abdrakhmanova, S. (2025). Gender differences in adolescents’ life satisfaction: A replication study in Kazakhstan. Journal of Adolescence, 97(1), 301–309. Scopus. https://doi.org/10.1002/jad.12404
Bryson, S. L., Brady, C. M., Childs, K. K., & Gryglewicz, K. (2021). A Longitudinal Assessment of the Relationship Between Bullying Victimization, Symptoms of Depression, Emotional Problems, and Thoughts of Self-Harm Among Middle and High School Students. International Journal of Bullying Prevention, 3(3), 182–195. https://doi.org/10.1007/s42380-020-00073-4
Campos, A. I., Verweij, K. J. H., Statham, D. J., Madden, P. A. F., Maciejewski, D. F., Katrina, A. S. D., … Rentería, M. E. (2020). Genetic aetiology of self-harm ideation and behaviour. Scientific Reports, (10), 1–11. https://doi.org/10.1038/s41598-020-66737-9
Caves, K. N., Chavan, P. P., & Harrell, P. T. (2025). Effects of racial teasing on adolescent marijuana use and nicotine vaping: An analysis of the Virginia Youth Risk Behavior Surveillance System. Addictive Behaviors, 160. Scopus. https://doi.org/10.1016/j.addbeh.2024.108186
Celik, I., & Cakar, B. (2025). Exploring Risk and Protective Factors for Suicidality and Physical Self-Harm: A Cross-Sectional Analysis in Nordic Adolescents. Issues in Mental Health Nursing. Scopus. https://doi.org/10.1080/01612840.2024.2441838
Chandrasekar, R., Karamanos, A., Learoyd, A., & Khanolkar, A. R. (2024). Sexual identity-related inequalities in associations between adverse childhood experiences and health in late adolescence–A national cohort study. PLoS ONE, 19(12). Scopus. https://doi.org/10.1371/journal.pone.0312161
Charalampous, K., Ioannou, M., Georgiou, S., & Stavrinides, P. (2019). The Integrative Model of Multiple Attachment Relationships in Adolescence: Linkages to Bullying and Victimization. International Journal of Developmental Sciences, 13(1–2), 3–17. https://doi.org/10.3233/DEV-180249
Che, Y., Lu, J., Fang, D., Ran, H., Wang, S., Liang, X., … Xiao, Y. (2022). Association between school bullying victimization and self-harm in a sample of Chinese children and adolescents: The mediating role of perceived social support. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.995546
Chen, J., Xiong, Y., Yang, L., Liang, Y., & Ren, P. (2025). Bullying victimization and self-harm in adolescents: The roles of emotion regulation and bullying peer norms. Child Abuse and Neglect, 160. Scopus. https://doi.org/10.1016/j.chiabu.2024.107199
Conway, P. M., Erlangsen, A., Grynderup, M. B., Clausen, T., Bjørner, J. B., Burr, H., … Rugulies, R. (2025). Self-reported workplace bullying and subsequent risk of diagnosed mental disorders and psychotropic drug prescriptions: A register-based prospective cohort study of 75,252 participants. Journal of Affective Disorders, 369, 1–7. Scopus. https://doi.org/10.1016/j.jad.2024.09.134
Denche-Zamorano, A., Mendoza-Muñoz, M., Barrios-Fernández, S., Galán-Arroyo, C., Adsuar, J. C., & y Rojo-Ramos, J. (2025). Research on cyberbullying and suicide: A bibliometric analysis. Psychology in the Schools, 62(1), 336–353. Scopus. https://doi.org/10.1002/pits.23327
Du Toit, S., Tomlinson, M., Laurenzi, C. A., Gordon, S., Hartmann, L., Abrahams, N., … Skeen, S. (2025). Psychosocial Interventions for Preventing Mental Health Conditions in Adolescents With Emotional Problems: A Meta-Analysis. Journal of Adolescent Health, 76(2), 187–209. Scopus. https://doi.org/10.1016/j.jadohealth.2024.09.030
Eyuboglu, M., Eyuboglu, D., Caliskan, S., Oktar, D., & Demirtas, Z. (2021). Traditional school bullying and cyberbullying: Prevalence , the effect on mental health problems and self-harm behavior. Psychiatry Research, 297(January), 113730. https://doi.org/10.1016/j.psychres.2021.113730
Fitzgerald, A., Mahon, C., Shevlin, M., Dooley, B., & Reilly, A. O. (2025). Exploring changing trends in depression and anxiety among adolescents from 2012 to 2019: Insights from My World repeated cross-sectional surveys. Early Intervention in Psychiatry, 19(1). Scopus. https://doi.org/10.1111/eip.13562
Genç, F. Z., Y?ld?z, S., & Bilgili, N. (2025). The Effect of Hope Level and Self-Concept on Peer Victimization Among Adolescents in Rural Areas of Turkey: A Path Analysis. Journal of Child and Adolescent Psychiatric Nursing, 38(1). Scopus. https://doi.org/10.1111/jcap.70010
Hernandez, B. E., McDaniel, H. L., & Bradshaw, C. P. (2025). Urban Black adolescents’ victimization experiences: The moderating role of family factors on internalizing and academic outcomes. Journal of Community Psychology, 53(1). Scopus. https://doi.org/10.1002/jcop.23151
Hetrick, S. E., Subasinghe, A., Anglin, K., Hart, L., Morgan, A., Robinson, J., … Surgenor, G. (2020). Understanding the Needs of Young People Who Engage in Self-Harm: A Qualitative Investigation. Frontiers in Psychology, 10(January), 1–10. https://doi.org/10.3389/fpsyg.2019.02916
?me, Y., & Çakir, E. N. (2024). THE LINK BETWEEN BULLYING VICTIMIZATION, LONELINESS, RESILIENCE, AND MENTAL WELL-BEING IN ADOLESCENTS. Ceskoslovenska Psychologie, 68(6), 490–500. Scopus. https://doi.org/10.51561/cspsych.68.6.490
Islam, Md Irteja, Khanam, R., & Kabir, E. (2020). Bullying victimization, mental disorders, suicidality and self-harm among Australian high schoolchildren: Evidence from nationwide data. Psychiatry Research, 292(August), 113364. https://doi.org/10.1016/j.psychres.2020.113364
Islam, Md Irteja, Yunus, F. M., Kabir, E., & Khanam, R. (2022). Evaluating Risk and Protective Factors for Suicidality and Self-Harm in Australian Adolescents With Traditional Bullying and Cyberbullying Victimizations. American Journal of Health Promotion, 36(1), 73–83. https://doi.org/10.1177/08901171211034105
Jadva, V., Guasp, A., Bradlow, J. H., Bower-Brown, S., & Foley, S. (2023). Predictors of self-harm and suicide in LGBT youth: The role of gender, socio-economic status, bullying and school experience. Journal of public health (Oxford, England), 45(1), 102–108. https://doi.org/10.1093/pubmed/fdab383
John, A., Lee, S. C., Puchades, A., Del Pozo-Baños, M., Morgan, K., Page, N., … Murphy, S. (2023). Self-harm, in-person bullying and cyberbullying in secondary school-aged children: A data linkage study in Wales. Journal of Adolescence, 95(1), 97–114. https://doi.org/10.1002/jad.12102
Kelner, W. C., Wolford-Clevenger, C., Garner, A. R., Elledge, L. C., & Stuart, G. L. (2025). Applying the interpersonal-psychological theory of suicide to inform the association between bullying victimization and suicidal ideation in college students. Journal of American College Health, 73(1), 281–289. Scopus. https://doi.org/10.1080/07448481.2023.2217721
Khadijah, K., Pohan, R. A., Astuti, R. D., Pohan, P. B. A., Ramadhani, E., & Amalia, R. (2025). Correspondence to Thorup et al. Body image and depressive symptoms in Danish adolescents: A cross-sectional national study. Journal of Affective Disorders, 370, 299–300. Scopus. https://doi.org/10.1016/j.jad.2024.11.020
Khuluq, I. K. (2023). Hubungan Persepsi Teman Sebaya Terhadap Peristiwa Bullying Pada Santri Di Pondok Pesantren Al-Hidayah. Ilmu keperawatan, 6, 729–739.
Liang, Z., Wen, W., Guan, L., Zhang, X., Zou, L., Gu, Q., … Huang, Y. (2025). Latent class analysis of loneliness and the influencing factors among school-age children: A cross-sectional survey. Journal of Affective Disorders, 371, 72–81. Scopus. https://doi.org/10.1016/j.jad.2024.11.048
Meldrum, R. C., Patchin, J. W., Young, J. T. N., & Hinduja, S. (2022). Bullying Victimization, Negative Emotions, and Digital Self-Harm: Testing a Theoretical Model of Indirect Effects. Deviant Behavior, 43(3), 303–321. https://doi.org/10.1080/01639625.2020.1833380
Meurillon, R., Stheneur, C., & Le Roux, E. (2025). Discrimination against adolescents with chronic diseases: A systematic review. European Journal of Pediatrics, 184(1). Scopus. https://doi.org/10.1007/s00431-024-05829-4
Miljkovitch, R., de Terrasson, D., Awad, S., Sirparanta, A. E., & Mallet, P. (2025). Moderating effect of attachment to parents on the association between bullying and self-esteem among early adolescents aged 10 to 12. British Journal of Developmental Psychology. Scopus. https://doi.org/10.1111/bjdp.12543
Miller, M., & Redley, M. (2021). A Qualitative Study of Understanding Reasons for Self-Harm in Adolescent Girls. International Journal of Environmental Research and Public Health, (18), 1–16. https://doi.org/10.3390/ijerph18073361
Moloney, F., Amini, J., Sinyor, M., Schaffer, A., Lanctôt, K., & Mitchell, R. H. B. (2025). Research Review: Sex differences in the clinical correlates of nonsuicidal self-injury in adolescents – a systematic review. Journal of Child Psychology and Psychiatry and Allied Disciplines. Scopus. https://doi.org/10.1111/jcpp.14114
Monteiro, A. P., Marques, F., Relva, I. C., Simões, M., Sani, A. I., & Correia, E. (2024). The Relation Between Bullying and Cyberbullying, Emotional Intelligence, and Empathy in Portuguese Adolescents. Adolescents, 4(4), 620–634. Scopus. https://doi.org/10.3390/adolescents4040043
Myklestad, I., & Straiton, M. (2021). The relationship between self-harm and bullying behaviour: Results from a population based study of adolescents. BMC Public Health, 21(1), 1–15. https://doi.org/10.1186/s12889-021-10555-9
Nagpal, M., Lin, T.-J., Park, H., Anderman, E., Bihari, T., Madrid, L., … Subramaniam, B. (2025). Technology-enhanced mindfulness-based collaborative social reasoning to improve adolescents’ social–emotional competencies. Journal of Research on Adolescence, 35(1). Scopus. https://doi.org/10.1111/jora.12971
Nguyen, H. T. L., Nakamura, K., Seino, K., & Vo, V. T. (2020). Relationships among cyberbullying, parental attitudes, self-harm and suicidal behavior among adolescents: Results from a school-based survey in Vietnam. BMC Public Health, 20(1), 1–9. https://doi.org/10.1186/s12889-020-08500-3
Ong, S. H., Tan, Y. R., & Elliott, J. M. (2020). Association of cyberbullying with psychosocial difficulties , self-harm and helping-seeking behaviors: A cross section study in Singapore adolescents. 1–21.
Paat, Y.-F., Srinivasan, S. M., & Lin, M.-L. (2024). A socio-ecological approach to understanding self-regulation among adolescents with developmental challenges and delays. International Journal of Adolescent Medicine and Health, 36(6), 541–550. Scopus. https://doi.org/10.1515/ijamh-2024-0050
Peng, Z., Klomek, A. B., Li, L., Su, X., Sillanmäki, L., Chudal, R., & Sourander, A. (2019). Associations between Chinese adolescents subjected to traditional and cyber bullying and suicidal ideation, self-harm and suicide attempts. BMC Psychiatry, 19(1), 1–8. https://doi.org/10.1186/s12888-019-2319-9
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