{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T04:30:59Z","timestamp":1790483459781,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T00:00:00Z","timestamp":1617840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to analyse risk and protective factors for teen suicide and bullying.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Research shows that high percentages of bully\u2010victims report suicidal thinking or suicide attempts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was an international integrative review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>Five databases including CINAHL, Scopus, PubMed, Google Scholar and Cuiden were searched between January 2010 and December 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review methods<\/jats:title>\n                    <jats:p>Review methods included problem identification; search, evaluation and analysis of literature; and presentation of results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u2010economic level, belonging to a single\u2010parent 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\u2010parent family, safe school environment, good family relationships and having an involved teacher.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijn.12930","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T08:25:30Z","timestamp":1617870330000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Risk factors for teen suicide and bullying: An international integrative review"],"prefix":"10.1111","volume":"27","author":[{"given":"Inka","family":"Cuesta","sequence":"first","affiliation":[{"name":"Complex\/semi\u2010critical care unit Verge de la Cinta Hospital  Tortosa Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0833-2152","authenticated-orcid":false,"given":"Pilar","family":"Montes\u00f3\u2010Curto","sequence":"additional","affiliation":[{"name":"Department and Faculty of Nursing University of Rovira i Virgili  Tortosa Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Metzler Sawin","sequence":"additional","affiliation":[{"name":"School of Nursing James Madison University  Harrisonburg Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Jim\u00e9nez\u2010Herrera","sequence":"additional","affiliation":[{"name":"Department and Faculty of Nursing University of Rovira i Virgili  Tarragona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Montserrat","family":"Puig\u2010Llobet","sequence":"additional","affiliation":[{"name":"Department of Nursing University of Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo","family":"Seabra","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem de Lisboa  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loren","family":"Toussaint","sequence":"additional","affiliation":[{"name":"Department of Psychology Luther College  Decorah Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,8]]},"reference":[{"issue":"1","key":"e_1_2_8_2_1","first-page":"116","article-title":"Vulnerability and risk factors associated with bullying","volume":"5","author":"Arroyave P.","year":"2012","journal-title":"CES Psychology Magazine"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2017.02.002"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12205"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2009.03.003"},{"key":"e_1_2_8_6_1","volume-title":"Symbolic interactionism: Perspective and method","author":"Blumer H.","year":"1986"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2012.10.280"},{"key":"e_1_2_8_8_1","unstructured":"Centers for Disease Control and Prevention. 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