Bullying among today's youth: The important role of the primary care physician

Bullying is a prevalent public health problem that often involves physical, verbal, and psychological forms of aggression. Approximately, 33% of students experienced bullying during the 2007-2008 school year and 25% of school administrators reported bullying as a daily occurrence. Bullying among youth is associated with short-term and long-term psychosocial sequelae. These include psychological, behavioral, and substance abuse problems as well as academic difficulties, and safety issues that can persist into adulthood. Primary care physicians can play a critical role in assisting youth and their families overcome the psychological and physical effect of bullying. Research has shown that youth who receive primary care-based interventions (screenings and education) have better outcomes in relation to bullying behaviors. This article discusses the importance of a multidisciplinary approach to the primary care management of bullying. Screening youth in the office setting for bullying behaviors, educating parents and youth about potential sequelae of bullying, providing appropriate referrals, being aware of school resources to address the issue, and being knowledgeable about bullying legislation are important steps that primary care physicians can take to help patients and families cope with this important issue.