The effects of bullying

Bullying is a major problem for children. There are well-defined risk factors for bullying that are individual and social. Beyond the immediate trauma of experiencing bullying, victims are at high risk of later physical and emotional disorders. Bullies are the generators of this trauma but also suffer poor long-term effects as a result of their participation. Bystanders are also not immune from bullying's toxic effects nor innocent from its occurrence. While most often occurring at schools, paediatric clinicians can identify and support children suffering from bullying. They also have the unique opportunity to engage the schools and wider society on anti-bullying initiatives. This article will outline the risk, signs and symptoms of bullying to help clinicians identify and address these children in need.