Year: 2021 Source: International Journal of Nursing Practice. (2021). e12930. Published online 8 April 2021. SIEC No: 20210355

Research shows that high percentages of bully‐victims report suicidal thinking or suicide attempts.
This was an international integrative review.
Data sources
Five databases including CINAHL, Scopus, PubMed, Google Scholar and Cuiden were searched between January 2010 and December 2020.
Review methods
Review methods included problem identification; search, evaluation and analysis of literature; and presentation of results.
Eighteen studies were included. We grouped the selected articles into seven thematic categories. The most significant risk factors were being male, having a previous personal and/or family suicide attempt, mental health problems, substance abuse, previous physical and/or sexual abuse, low socio‐economic level, belonging to a single‐parent family, underachievement, family dysfunction and violent environment. The most common protective factors for both suicide and bullying were being female, having good mental health, belonging to a two‐parent family, safe school environment, good family relationships and having an involved teacher.
Suicide resulting from bullying is a social and public health problem, so nurse practitioners and paediatric primary care nurses have a responsibility to educate teachers and parents in order to promote early detection and the development of more effective prevention and action plans.