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Cross-sectional study
Healthcare professionals should be mindful that victims and victim-bullies may have additional health needs associated with risk-taking behaviour
  1. Yvonne Wilkinson
  1. Faculty of Health Sciences, University of Hull, Hull, UK
  1. Correspondence to Yvonne Wilkinson, Faculty of Health Sciences, University of Hull, Hull HU6 7RX, UK; Y.M.Wilkinson{at}

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Commentary on: Kritsotakis G, Papanikolaou M, Androulakis E, et al. Associations of bullying and cyberbullying with substance use and sexual risk taking in young adults. J Nurs Scholarsh 2017;49:360–70.

Implications for practice and research

  • The effects of bullying and cyberbullying can be linked to a number of health risk behaviours. Education and healthcare professionals need to include prevention and intervention strategies within educational curricula, building on replacing maladaptive coping strategies with adaptive responses.

  • Future research should explore the adaptive and maladaptive coping mechanisms employed by victims and victim-bullies during the transition to adulthood and how this impacts on their relationships.


The effects of traditional bullying on children and adolescent health and well-being is widely recognised; these include low self-esteem, anxiety, depression, social isolation, self-harm and suicidal thoughts.1 More recently, research has explored cyberbullying and there is now a growing body of evidence that suggests traditional bullying and cyberbullying are predictive of …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.