| Bullying
		
			| Topic OverviewWhat is bullying?Bullying is acting in ways that
			 scare or harm another person. Kids who bully usually pick on someone who is
			 weaker or more alone, and they repeat the actions over and over. Bullying starts in elementary school
		and becomes most common in middle school. By high school, it is less common but
		still occurs. Bullying can take many forms, including:  Physical harm, such as hitting, shoving, or
				tripping.Emotional harm, such as making fun of the way a child
				acts, looks, or talks. Writing mean things about someone in emails or online
				journals (blogs) is also bullying.
 Girls who bully are more likely to do so in emotional
			 ways. Boys who bully often do so in both physical and emotional ways. For
			 example: A girl may form a group and exclude another
				girl or gossip about her.A boy may shove another boy and call him
				names. 
 Both boys and girls take part in "cyberbullying." This
			 means using high-tech devices to spread rumors or to send hurtful messages or
			 pictures. Emotional bullying doesn't leave bruises, but the damage is just as
			 real. If you think your child is being bullied-or is bullying
			 someone else-take action to stop the abuse. Why is it important to stop bullying?Bullying is
			 a serious problem for all children involved. Kids who are bullied are more
			 likely to feel bad about themselves and be depressed. They may fear or lose
			 interest in going to school. Sometimes they take extreme measures, which can lead to tragic results. They may carry weapons, use violence to get revenge, or try to harm themselves. Kids who bully others are more likely to drop out of
			 school, have drug and alcohol problems, and break the law. What are the traits of children who bully?Children who bully are often physically strong. They may bully because
			 they like the feeling of power. They may be kids who do things without thinking
			 first and may not follow rules. These boys and girls have not learned to think
			 about the feelings of other people.  Kids who physically bully
			 others sometimes come from homes where adults fight or hurt each other. They
			 may pick on other kids because they have been bullied themselves.  Children who bully need
			 counseling. It can help them understand why they act
			 as they do. And it can teach them how to interact with others in more positive
			 ways. Family counseling is especially helpful for these children. How do children who are bullied act?Children who
			 are bullied are often quiet and shy. They may have few friends and find it hard
			 to stand up for themselves. They may begin to think that they deserve the
			 abuse. What can children do if they are bullied?Children
			 are often scared and angry when they are bullied. They may not know what to do.
			 Teach them to:  Talk back. Say, "Leave me alone," or "You
				don't scare me." Have your child practice saying this in a calm, strong
				voice.Walk away. Don't run, even if you are afraid.
				Tell an adult. A parent or teacher can then take steps to stop the
				bullying.
 What can you do to stop bullying?Bullying can be
			 stopped if people pay attention and take action. Bullying most
			 often occurs in school, and it is most common in schools where students are not
			 well supervised. If bullying is happening at your child's school, talk to the
			 principal or vice principal. Urge the school to adopt a no-bullying policy. All
			 children should know that those who bully will be disciplined. Children who are
			 bullied should be supported and protected.  As a parent, you can
			 help your child get involved in new hobbies or groups, such as school clubs or
			 church youth groups. Being part of a group can help reduce bullying. Having
			 friends can help a child have a better self-image. Kids can help
			 keep other kids from being bullied. If you are a kid, don't let yourself be
			 part of the problem.  Speak up when you see someone else being
				picked on. It can help to say something like, "Cut it out. That's not funny."
				If this is too hard or scary to do, walk away and tell an adult. 
				If someone sends you a mean email about another person, don't forward it to
				others. Print it out and show it to an adult.
Frequently Asked Questions| Learning about bullying: |  |  | Getting help for bullying: |  | 
Characteristics of Children Who BullyChildren who
		  bully:footnote 1 May witness physical and verbal violence or
			 aggression at home. They have a positive view of this behavior, and they act
			 aggressively toward other people, including adults. May hit or
			 push other children.Are often physically strong. May
			 or may not be popular with other children around their same age.
			 Have trouble following rules.Show little concern for
			 the feelings of others.
 Many bullies think highly of themselves. They like being
		  looked up to. And they often expect everyone to behave according to their
		  wishes. Children who bully are often not taught to think about how their
		  actions make other people feel. Children who bully are at risk for failing in school, dropping out of school, and getting involved with crime and fights later in life.footnote 1, footnote 2 They also are more likely to use drugs more than children who
		  don't bully.footnote 3 Some children both bully
		  others and are bullied. They may have been bullied and then lash out at others.
		  Children who are both bullies and victims use alcohol and/or carry a weapon
		  more than children not affected by bullying.footnote 3 Bullying behavior is a "red flag" that a child has not learned to control
		  his or her aggression. A child who bullies needs
		  counseling to learn healthy ways to interact with
		  people. Professional counseling can guide a child through discovering why
		  bullying is hurtful. Through this process, a
		  counselor can encourage a child to develop empathy,
		  which means being sensitive to and understanding the feelings of others. In some
		  cases, follow-up counseling may involve the parent. Family counseling has been
		  shown to help reduce anger and improve interpersonal relationships in boys who bully.footnote 4Characteristics of Children Who Are BulliedChildren
		  who are
		  bullied tend to be:footnote 3, footnote 5 Sensitive.Socially withdrawn. They
			 may think poorly of themselves, or they may have a quiet
			 temperament.Anxious.Passive. They often let other
			 people be in control and do not stand up for themselves.More
			 likely to get
			 depressed.
 Children who are bullied are not to blame for attacks
		  against them. Make sure your child understands this. Boys are more
		  likely than girls to be bullied in both physical and psychological
		  ways.footnote 6 In some cases, a child who is
		  bullied sometimes ends up bullying others. These children often respond to
		  being bullied by feeling anxious and aggressive. Without knowing how to handle
		  these feelings, they target other children who they think will not fight
		  back. In extreme situations, children who are bullied may attempt
		  suicide or lash out violently against those who bullied them. Watch for
		  warning signs of suicide in your child, such as withdrawing from family and friends. Children who are embarrassed about being bullied may not want to tell
		  their parents or other adults about it. Look for
		  signs of bullying, such as poor sleep, unexplained bruises, frequent crying,
		  and making up excuses not to go to school. Elementary school children who are
		  bullied often say they have a sore throat or a cold, feel sick in the stomach,
		  and/or don't feel like eating. How Children Can Discourage Bullying Children can
		  help avoid
		  bullying if they: Try to stay away from those who seem to not
			 like them.Play or take breaks near adults while at
			 school.Walk to school with older brothers and sisters or
			 friends.Sit near the bus driver.
 Bullying is less likely to occur when children are in
		  groups and are in areas supervised by adults. But these strategies only work
		  when schools have firm policies in place against bullying. Staff must be
		  trained and supported in consistently enforcing these policies. Children who bully look for an easy target. Bullies are less likely to
		  pick on those who: Can quickly respond to threats in a
			 self-assured way. Help your child practice what to say if he or she is
			 bullied.Act confident and do not seem easily scared. Help your
			 child learn to use strong body language, such as standing up straight, looking
			 other children in the eye, and speaking firmly.
 Bullying is reinforced when it is ignored or quietly
		  accepted. Encourage children to stand up for each other. Help your child think
		  of ways to help someone who is being bullied. For example, you might suggest
		  that a child say, "Why are you picking on him? If you think it makes you look
		  good, you're wrong." Other simple ways include refusing to watch or participate
		  in bullying. Sometimes distracting a bully, such as by starting a conversation,
		  can prevent a confrontation. Defending another person may
		  sometimes be too much to ask. Help your child understand that, at the very
		  least, he or she should tell an adult.What Children Should Do if They Are BulliedIt's
		  normal for children to be frightened or angry when other children
		  bully them. But they can discourage attacks by showing
		  confidence and not overreacting. Children should not fight with a
		  bullying child or make verbal or written insults. This could lead to more aggression and
		  possibly serious injury. Have your child call out for help or find an adult or
		  peer right away if he or she feels unsafe. Face-to-face and cyberbullyingChildren who are
		  bullied online or in text messages should not reply. It is best for them to
		  show the message to an adult and block any more messages from the sender.
		  Remind them to only accept messages from people they know. Give your child these tips to handle face-to-face bullying: Talk to the bullying
				child if it feels safe. Look him or her in the eye and say strongly but calmly,
				"Leave me alone" or "You don't scare me."Walk away from
				the bullying child or children.  Children who are being bullied
				should not run (even though they may want to). It may strengthen a feeling of
				power in the bullying child.Tell an adult about the episode. It might help for children
				to identify an adult at school to tell if incidents occur. Children who see
				another child being harmed also should seek help from an adult right
				away.
  Children may worry about making other kids angry by
			 telling on them. But exposing the abuse is the only way to stop the problem. A
			 child can ask to remain anonymous when reporting an incident. If your child gets left outBullying happens
				when children shut out or exclude others. These actions can be subtle. But they
				can be very hurtful to the child who is abused. This type of bullying is called
				emotional or social bullying, and it is very isolating. It's also hard to
				manage because the pain it causes is not physical and can be hard to explain to
				an adult. Girls who bully tend to do so in social or emotional
				ways. And boys who bully tend to do so in both physical and emotional ways.
				Both boys and girls can be targets of emotional bullying. Gossiping and
				"backstabbing" are common techniques used by girls who bully in this
				way.  Although there is no easy or foolproof solution, it may help
				to try some of the following strategies. Recognize the behavior. Trying to
				  ignore it won't make it go away. Help your child accept that there is a problem
				  and know that you will help him or her through this difficult time. Help your
				  child understand that he or she is not to blame. Role-play. Practice, practice, practice ways to respond to
				  hurtful comments or actions until they come naturally. Help your child think up
				  different scenarios and different ways to respond in them. Have fun with
				  this-make up absurd or outrageous situations. Also, practice using humor as a
				  way to be assertive. Sometimes saying things like, "Oh, please! You've been
				  watching too much TV!" or simply, "I don't need that!" and walking away can
				  stop bullying. This creative thinking can help your child relieve tension and
				  gain some feeling of control.Encourage your child to pursue interests in a different environment. Assure your child that
				  he or she will meet friends who value him or her. Help your child look for
				  areas of life where he or she feels accepted, likable, and normal. And help
				  your child find opportunities to develop well-balanced
				  friendships.Talk to school leaders. If the
				  bullying occurs in certain social situations or school activities, sometimes it
				  is just best to remove your child from the situation. It is not always in a
				  child's best interest to "stick it out." Often, in fear of causing
				  disappointment, children do not want to tell their parents that this is the
				  solution they prefer. Ask your child if he or she really wants to continue to
				  be in the activity. If the bullying occurs in a general school setting, work
				  with teachers and counselors to help your child not be around those who
				  bully.Stay out of groups who bully others.
				  Sometimes a child who was shunned before will suddenly be "invited" into or
				  back into a group. Talk about the fickle nature of such friendships. Ask your
				  child how he or she would feel if pressured to exclude another person. Help
				  your child discover the qualities of long-lasting and true friendships.Let your child know you are always there for him or her. You may not be able to come up with the perfect answer for
				  the problem. But you can help by telling your child that you will always be
				  there to listen and to help him or her think about new ways to handle being
				  bullied.
How Adults Can Help Stop BullyingAs with many
		  issues related to growing up, openly talking about
		  bullying before it happens is most helpful for
		  children. Teach your child how to recognize and react to bullying, regardless
		  of who is the victim. Also, talk about and model empathy, which is being
		  sensitive to and understanding how other people feel. This can help prevent
		  your child from becoming involved in bullying others. Children on
		  both sides of bullying incidents need help. Adults must first recognize that
		  bullying should not be ignored. This includes the form of bullying that makes
		  others feel excluded and shunned. No bullying behaviors should be considered a
		  normal part of growing up. Bullying is abusive behavior. If you
		  witness bullying, get involved and speak up. Make it clear that you will not
		  tolerate it. Ideally, build an alliance with a bullying child's parents first.
		  If you confront the bully on behalf of your child without his or her parents
		  around, you risk putting the child on the defensive. Also, children who bully
		  often are skilled in turning their parents against you. Don't give them the
		  chance to come up with a different version of the real story. And remember that
		  parents may be the role models for a child's bullying behavior. If you think your child is bullying othersAggressive behavior often starts early in a child's life. Although it is
			 normal for young children to hit, fight, and argue with each other, most will
			 learn to control these impulses. You can help your child understand that his or
			 her words and actions affect other people. You play an important role in making
			 your child aware of others' feelings.  Your child may be bullying
			 another if he or she: Comes home from school with extra money or
				"new" toys, books, or clothes.Is cruel or mean when talking about
				other children.Excludes other children from activities.
 If you see any of this behavior, take action. Discuss the
			 situation with your child as soon as possible before the behavior becomes
			 routine. Ask questions to find out what is going on in your child's life. It
			 may be that your child is being bullied and is dealing with it by targeting
			 other children. Or your child may not yet know the importance of understanding
			 the feelings of others (empathy).  You can help your child by setting rules, supervising activities, and leading by example.
			 Control your anger, and show sensitivity and respect for others. If a child
			 bullies, do not punish him or her with physical force (corporal punishment), such as spanking. Physical punishment only strengthens the
			 belief that people can get what they want through aggression. The
			 American Academy of Child and Adolescent Psychiatry recommends that parents of
			 children who bully seek help from their child's teacher, principal, school
			 counselor,
			 pediatrician, or
			 family doctor. These professionals can help evaluate
			 your child's behavior and make a referral to a child and adolescent
			 psychiatrist, a
			 psychologist, or a
			 licensed counselor who can work with your
			 child. If you think your child is being bulliedMany
			 children are too embarrassed or are afraid to tell an adult about bullying.
			 They may think that involving an adult will only make the problem worse. Help
			 prepare children by teaching them socialization skills, modeling friendly
			 behavior, and telling them that you will always be there for them. Mention that
			 if something bothers them, they can also talk with a school counselor. Be familiar with
			 signs of bullying, such as frequent headaches, stomachaches, or not wanting to
			 go to school. Also, ask your child questions, such as whom he or she eats with
			 at lunch or plays with at recess. If you sense something is wrong, trust your
			 instincts. There are many ways you can help your child deal with
			 bullying.  Talk about the situation. Although often
				reluctant at first, many children who are bullied will open up if they are in
				the right environment. A good place to start these discussions is in the car or
				other place where you have little eye-to-eye contact. Listen calmly and
				thoughtfully. Don't promise that you won't tell anyone. Rather, admit that you
				may need to become involved but you will do your very best not to make problems
				worse. Practice role-playing at home. Encourage your child to
				react calmly and confidently to taunting. Help your child understand that
				responding with physical aggression or insults usually will make the problem
				worse. For example, have your child practice saying "Leave me alone" and then
				walking away.Teach your child behaviors that show confidence
				rather than shyness and vulnerability. Children can learn to look people in the
				eye and speak up when they talk. Assure your child that confident behavior can
				be learned. Help
				build your child's self-esteem by suggesting that he or she meet others
				through different activities. Having friends and interests can boost a child's
				confidence and make him or her less likely to be bullied.
				Encourage your child to think about the qualities that make a good
				friend.Suggest that your child join activities that are supervised
				by an adult. Bullying is less likely to occur near adults.
The Role of Schools in BullyingSchools play a
		  critical role in stopping
		  bullying, because most aggression happens on school
		  grounds during recess, in lunch rooms, or in bathrooms. Schools should have and
		  enforce zero-tolerance programs that make it clear that bullying won't be
		  tolerated. School-based programs can help reduce bullying when
		  they: Raise awareness of bullying through school
			 assemblies and classroom discussion of the problem. These conversations should
			 include teaching healthy ways to control anger. They should also teach the
			 value of cooperation, positive communication skills, and
			 friendship.Have peers help settle an incident and talk with all
			 students involved. Increase parents' and teachers'
			 involvement.Increase supervision of children on school grounds,
			 especially when they are out of the classroom. Form clear rules
			 about behavior that will not be tolerated.Provide support and
			 protection for children who are bullied.
 You can help your child's school develop bullying policies
		  by becoming involved in parent-teacher organizations (PTO or PTA) and by
		  volunteering to help teachers. In the classroom, teachers should
		  make it clear that bullying will not be tolerated. Teachers must be prepared to
		  follow through with consequences if bullying occurs. Doing so sends the message
		  that adults are serious about the problem. It also encourages children who are
		  not involved in bullying to report any incidents they see. Conferences can be held-separately or together-with the parents of both
		  children involved in bullying incidents. School-based programs are
		  one piece of a larger plan to help children understand the importance of
		  treating one another with kindness and respect.Other Places To Get HelpOrganizationsAmerican Psychological Association www.apa.org U.S. Department of Health and Human Services: StopBullying.org www.stopbullying.govReferencesCitationsLyznicki J, et al. (2004). Childhood bullying: Implications for physicians. American Family Physicians, 70(9): 1723-1728.Vanderbilt D (2011). Bullying. In M Augustyn et al., eds., The Zuckerman Parker Handbook of Developmental and Behavioral Pediatrics for Primary Care, 3rd ed., pp. 160-163. Philadelphia: Lippincott Williams and Wilkins.Vanderbilt D, Augustyn M (2011). Bullying and school violence. In RM Kliegman et al., eds., Nelson Textbook of Pediatrics, 19th ed., online chap. 36.1. Philadelphia: Saunders Elsevier. Available online: http://www.expertconsult.com.Nickel M, et al. (2005). Anger, interpersonal relationships, and health-related quality of life in bullying boys who are treated with outpatient family therapy: A randomized, prospective, controlled trial with 1-year follow-up. Pediatrics, 116(2): 247-254.Beaty LA, Alexeyev EB (2008). The problem of school bullies: What the research tells us. Adolescence, 43(169): 1-11.DeVoe JF, Kaffenberger S (2005). Student Reports of Bullying: Results From the 2001 School Crime Supplement to the National Crime Victimization Survey (NCES 2005-310). Washington, DC: U.S. Department of Education, National Center for Education Statistics. Also available online: http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2005310.
 Other Works ConsultedAmerican Academy of Pediatrics (2008). Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics.Bauer NS, et al. (2006). Childhood bullying involvement and exposure to intimate partner violence. Pediatrics, 118(2): 235-242.Dinkes R, et al. (2009). Indicator 11: Bullying at school and cyber-bullying anywhere. Indicators of School Crime and Safety: 2009 (NCES 2010-012/NCJ 228478). Washington, DC: U.S. Departments of Education and Justice. Also available online: http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2010012.Gini G, Pozzoli T (2009). Association between bullying and psychosomatic problems: A meta-analysis. Pediatrics, 123(3): 1059-1065.Jellinek M, et al. (2002). How to address bullying. In Bright Futures in Practice: Mental Health-Volume II. Tool Kit, pp. 115-116. Arlington, VA: National Center for Education in Maternal and Child Health. Leff S, et al. (2009). Aggression, violence, and delinquency. In WB Carey et al., eds., Developmental-Behavioral Pediatrics, 4th ed., pp. 389-396. Philadelphia: Saunders Elsevier.Vanderbilt D (2011). Bullying. In M Augustyn et al., eds., The Zuckerman Parker Handbook of Developmental and Behavioral Pediatrics for Primary Care, 3rd ed., pp. 160-163. Philadelphia: Lippincott Williams and Wilkins.
CreditsByHealthwise StaffPrimary Medical ReviewerSusan C. Kim, MD - Pediatrics
 Kathleen Romito, MD - Family Medicine
 Specialist Medical ReviewerLouis Pellegrino, MD - Developmental Pediatrics
Current as of:
                May 3, 2017Lyznicki J, et al. (2004). Childhood bullying: Implications for physicians. American Family Physicians, 70(9): 1723-1728. Vanderbilt D (2011). Bullying. In M Augustyn et al., eds., The Zuckerman Parker Handbook of Developmental and Behavioral Pediatrics for Primary Care, 3rd ed., pp. 160-163. Philadelphia: Lippincott Williams and Wilkins. Vanderbilt D, Augustyn M (2011). Bullying and school violence. In RM Kliegman et al., eds., Nelson Textbook of Pediatrics, 19th ed., online chap. 36.1. Philadelphia: Saunders Elsevier. Available online: http://www.expertconsult.com. Nickel M, et al. (2005). Anger, interpersonal relationships, and health-related quality of life in bullying boys who are treated with outpatient family therapy: A randomized, prospective, controlled trial with 1-year follow-up. Pediatrics, 116(2): 247-254. Beaty LA, Alexeyev EB (2008). The problem of school bullies: What the research tells us. Adolescence, 43(169): 1-11. DeVoe JF, Kaffenberger S (2005). Student Reports of Bullying: Results From the 2001 School Crime Supplement to the National Crime Victimization Survey (NCES 2005-310). Washington, DC: U.S. Department of Education, National Center for Education Statistics. Also available online: http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2005310. Last modified on: 8 September 2017  |  |