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Self-objectification is associated with a number of negative mental and behavioral outcomes. Though previous research has established associations between self-objectification and risky sex, no study to date has examined whether self-objectification affects propensity to engage in risky sex. The current research employed an experimental design to examine the effect of heightened self-objectification on a laboratory analog of risky sex (n = 181). We observed that when college-attending women experienced a heightened state of self-objectification, they were more likely to engage in sex without a condom and less likely to wait to use a condom with a highly desirable partner. Given the frequency of intended and unintended objectifying messages that young women face, this increase in willingness to engage in risky sex behavior represents a consequential health concern. [ABSTRACT FROM AUTHOR]

Adolescent bullying continues to be a major focus of scholarship across the globe. This article reviews research from 2010 to 2021 with a particular focus on longitudinal studies of the bully–sexual violence pathway (BSVP), where bullying serves as a precursor for sexual violence (SV) (e.g., sexual harassment, sexual coercion, and sexual assault) and teen dating violence via individual and socio-contextual mediators. Articles reviewed consisted of a total of 505, which included 17 meta-analyses and systematic reviews. Databases used for the search were Academic Search Complete, Education Full Text (H. W. Wilson), ERIC, National Criminal Justice Reference Service Abstracts, PsycINFO, PubMed (Medline), and Social Sciences Abstracts (H. W. Wilson). In total, 107 peer-reviewed articles were included in this review. Potential mechanisms underlying the BSVP include social dominance orientation, exposure to sexual education, and alcohol use. Several school-based intervention approaches have evidenced marginal success in reducing rates of bullying and SV by targeting factors undergirding both behaviors. The efficacy of international prevention approaches is summarized. Gaps in the literature are identified and future research is proposed. [ABSTRACT FROM AUTHOR]

Sexual violence (SV) among adolescents continues to be a major public health concern with numerous consequences. Research, predominantly with male collegiate samples, has suggested an association between sports participation and SV perpetration, and has included other important risk factors such as substance use and attitudes. However, more research is needed in this area among adolescents. The current study uses latent class analysis (LCA) to examine data- driven classes of high school student athletes (N = 665) engaged in three risk factor areas for SV: sport contact level, likelihood of substance use, and attitudes dismissive of SV. Once classes were enumerated and fit separately for male and female samples, pairwise comparisons were conducted on scores on two forms of SV (perpetration of sexual harassment and unwanted sexual contact) as a function of class membership. A 5-class solution was retained for both males and females. In the female sample, regarding SV—harassment, those most likely to perpetrate sexual harassment were those characterized by high likelihood of use of cigarettes, marijuana, alcohol, vape products, and those who played any type of sport. Too few females endorsed perpetration of unwanted sexual contact for pairwise comparisons to be conducted. For males, the classes most likely to perpetrate both forms of SV were those who were likely to endorse high likelihood to use of cigarettes, marijuana, alcohol, vape products, endorse attitudes dismissive of SV, and play any type of sport but especially high contact sports. These findings implicate high school athletic spaces as important venues for sexual violence prevention efforts. [ABSTRACT FROM AUTHOR]

There are consistently high rates of sexual victimization and substance misuse among youth in the United States. Although there is a known relation between sexual victimization and substance use, there is a gap in the research regarding the magnitude and temporality of these associations. This study examined whether latent classes of sexual victimization and help-seeking attitudes longitudinally predict intentions of future substance misuse 7–10 months later. Students from nine Colorado high schools (N = 533; M = age 16 years) completed surveys across two consecutive school semesters. Latent class analysis was used to identify classes of students who experienced at least one form of sexual victimization (e.g., sexual harassment, unwanted sexual contact) according to 13 sexual victimization items, and level of positive attitudes regarding help-seeking for sexual victimization. Classes were compared on demographic characteristics and for distal outcomes of likelihood of future substance misuse (cigarettes, alcohol, cannabis, prescription drugs, and electronic vaping products) using latent class regression, controlling for previous intentions to use. At Time 1, four classes of sexual victimization were identified with two main classes for comparison: low odds of experiencing sexual victimization (60.1% of sample) and high odds of endorsing all forms of sexual victimization (7.7% of sample). The high sexual victimization class had higher proportions of male and transgender students, compared to other classes. At Time 2 (7–10 months later), students in the high sexual victimization class reported a significantly greater likelihood of future cigarette (p =.017) and prescription drug misuse (p =.007) when compared to the low sexual victimization class. There was no evidence that having higher positive attitudes towards help-seeking resulted in lower intentions to use substances in the future. These findings highlight that addressing sexual violence in prevention programming may have crossover effects of reducing substance misuse and other forms of violence among youth. [ABSTRACT FROM AUTHOR]

The extant literature on suicide-related thoughts and behaviors (STB) has highlighted increased patterns of risk among specific minoritized populations, including lesbian, gay, bisexual, transgender, questioning, intersex, two spirit, and queer (LGBTQ+) youth. Compared to their heterosexual and cisgender peers, LGBTQ+ youth are at increased risk for having STB. Identity-specific stressors such as homonegativity and anti-queerness are among the unique factors posited to contribute to this risk and inhibit factors that protect against suicide. The school setting has been a focal point for suicide prevention and intervention and may also play a key role in linking students to care; however, schools also hold the potential to provide supports and experiences that may buffer against risk factors for STB in LGBTQ+ students. This systematic literature review presents findings from 44 studies examining school-related correlates of STB in LGBTQ+ students, informing an ecological approach to suicide prevention for school settings. Findings underscore the importance of school context for preventing STB in LGBTQ+ youth. Approaches that prioritize safety and acceptance of LGBTQ+ youth should span multiple layers of a student's ecology, including district and state level policies and school programs and interventions, such as Gender and Sexuality Alliances and universal bullying prevention programs. Beyond their role as a primary access point for behavioral health services, schools offer a unique opportunity to support suicide prevention by combating minority stressors through promoting positive social relationships and a safe community for LGBTQ+ students. [ABSTRACT FROM AUTHOR]

Purpose/Objective: College students with physical disabilities are often at a higher risk for mental health problems. In addition, some universities have created disability community spaces, but it is not known whether these spaces are associated with social support or increased mental health and well-being among students who use them. This study investigated differences in feelings of perceived social support, depressive symptomatology, and well-being between students with physical disabilities who live in general student housing and students with physical disabilities who live in a disability community. Research Methods/Design: A mixed-methods online survey was used to collect data from students with physical disabilities who lived in a disability community and from those who did not. Of the participants, 27 college students self-identified as having a physical disability (n = 27), 11 participants lived in the disability community (n = 11), and 16 did not (n = 16). Results: The quantitative results indicated statistically significant differences between the two groups on all three measures. The open-ended responses revealed that those who lived in the disability community setting felt more connected to other students with physical disabilities. However, the results also showed that many students with physical disabilities felt socially disconnected for a myriad of reasons. Conclusions/Implications: These findings suggest that living in a disability community may be associated with feeling socially supported and improved mental health outcomes among college students with physical disabilities. Universities and other stakeholders should consider implementing programs to foster disability community among students with physical disabilities. [ABSTRACT FROM AUTHOR]

There is a paucity of research on developmental trajectories of bias-based aggression. We examined homophobic bullying victimization trajectories among high school students (N = 3,064; M age = 13.67; Girls = 50.2%) and how these developmental pathways vary as a function of factors like homophobic bullying perpetration, sex assigned at birth, and sexuality. Using data from a 3-wave longitudinal investigation over a 2-year period, we utilized latent growth mixture modeling to explore the aforementioned trajectories. Findings suggested that there were three distinct classes characterized by high initial rates and declines over time, low initial rates, and increases over time, and low, stable, rate across time. Furthermore, results indicated that homophobic bullying perpetration, sex assigned at birth, and sexuality all predicted class membership. [ABSTRACT FROM AUTHOR]

This study examined heterogeneity in parental and community violence exposure during middle school and its association with bullying perpetration and victimization in high school. Youth (N = 1,611) in four Midwestern middle schools participated. Parallel process growth mixture latent transition analysis was used to understand how trajectory profiles of middle school violence exposure was associated with high school bullying profiles. Impulsivity, depression, school belonging, and delinquency were assessed as moderators of the transition probabilities. A three class solution was found for violence exposure: decreasing parental violence/increasing community violence (n = 103; 6.4%), stable high parental violence and low community violence (n = 1,027; 63.7%), and increasing parental violence and stable high community violence (n = 481; 29.8%). Similarly, a three class solution was found for high school bullying: High Bullying Perpetration and High Victimization class (n = 259; 16%), Victimization only (n = 1145; 71%), and low all class (n = 207; 13%). The largest proportion of youth transitioning into the high bullying and high victimization class were from the decreasing parental violence/increasing community violence. Depression, impulsivity, school belonging, and delinquency all had various moderating effects on transition probabilities. Our findings make it apparent that early forms of parental and community violence are associated with aggressive behaviors and experiences with victimization during high school. Prevention and intervention efforts should target individuals who display early and chronic patterns of exposure to violence as these individuals have the greatest risk of later aggressive and victimization in high school. [ABSTRACT FROM AUTHOR]

Bystander intervention (i.e., a third party decides to defend a victim when witnessing a conflict) has been identified as an effective strategy to resolve bullying incidents (O'Connell, Pepler, & Craig, 1999). Researchers suggest that student willingness to intervene (WTI) is a robust predictor of bystander intervention (Nickerson, Aloe, Livingston, & Feeley, 2014). Toxic masculinity has been defined as "the constellation of socially regressive [masculine] traits that serve to foster domination, the devaluation of women, homophobia, and wanton violence" (Kupers, 2005, p. 71). Though some aspects of toxic masculinity (e.g., low empathy) have received some empirical attention regarding their role in determining prosocial behavior, many aspects of toxic masculinity have not. Little research has examined how constructs such as attitudes surrounding bullying and sexual harassment, social dominance orientation, and homophobic bullying are related to longitudinal changes in WTI across adolescence. The present study uses growth mixture modeling (GMM) to examine the heterogeneity of WTI among middle school boys in the Midwest (N = 805). Students were classified into three profiles of WTI over time: a "stable high" class (70.9%), a "decreasing" class (22%), and a "stable low" class (7.1%). When compared with the "stable high" class, students with higher levels of dominance and pro-bullying attitudes were associated with an 11% (AOR = 1.11, 95% CI [1.01–1.21] and a 55% (AOR = 1.55, 95% CI [1.05–2.31] increase in the odds of being in the "decreasing" class, respectively. Youth who reported higher rates of homophobic name calling perpetration had a 16% (AOR = 1.16, 95% CI [1.02–1.34] increase in the odds of being in the stable low class compared to the stable high class. Additionally, both homophobic name calling victimization and empathy were associated with a 17% (AOR = 0.83, 95% CI [0.70–0.98] and 18% (AOR = 0.82, 95% CI [0.69–0.98] lower odds of being in the stable low class. The findings support the theoretical framework which posits that features of toxic masculinity are associated with less WTI and thus carry implications for intervention design (Carlson, 2008; Leone et al., 2016). [ABSTRACT FROM AUTHOR]

Objectives: Suicide is a leading causes of death for adolescents, and is a developmental period with the highest rates of suicide attempts. Lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth are a high-risk population for suicidal ideations and behaviors when compared with their non-LGBTQ counterparts. However, a dearth of research exists on the protective factors for suicidal ideation and attempts specifically within the LGBTQ population. The current study proposes a model in which peer victimization, drug use, depressive symptoms, and help-seeking beliefs predict suicidal ideation and attempts among a statewide sample of LGBTQ adolescents. Methods: Among 4867 high school students in 20 schools, 713 self-identified as LGBTQ and had higher rates of attempts and ideation than their non-LBGTQ peers. Two logistic regression analyses were used to predict suicidal ideation and attempts among the 713 LGBTQ students (M = age 15 years). Results: Results indicated that intentions to use drugs, peer victimization, and elevated depressive symptoms predicted both suicidal ideation and attempts. Additionally, help-seeking beliefs predicted suicidal attempts but not ideation, while the interaction of help-seeking beliefs and depressive symptoms significantly predicted suicidal ideation. Conclusions: These findings underscore the importance of increasing access to effective treatment services for depression and promoting safe and accepting school and community cultures for LGBTQ youth in particular. [ABSTRACT FROM AUTHOR]

Introduction: Bullying is a widely prevalent public health and safety issue that can have serious long-term consequences for youth. Given the limited efficacy of traditional bullying prevention programs, a need exists for novel, theoretically informed, prevention programming. Construal Level Theory provides a useful framework.Methods: This study evaluated a pseudo-randomized pilot trial of a virtual reality enhanced bullying prevention program among middle school students (N = 118) in the Midwest United States. Two models were proposed. The first predicts reductions in bullying behavior (traditional bullying, cyberbullying, relational aggression) at post-test, mediated by changes in empathy in the virtual reality condition compared to the control condition. The second predicts increases in school belonging and willingness to intervene as an active bystander at post-test, mediated by changes in empathy in the virtual reality condition compared to the control condition.Results: The virtual reality condition yielded increased empathy from pre-to post-intervention compared to the control condition. Through the mediating role of empathy, changes in the desirable directions were also observed for traditional bullying, sense of school belonging, and willingness to intervene as an active bystander, but not for cyberbullying or relational aggression.Conclusions: The scope and practical limitations of the virtual reality trial prevented a larger scale and more rigorous evaluation; however, results justify an expanded examination of virtual reality as a youth violence prevention tool. [ABSTRACT FROM AUTHOR]

Using family systems theory, this longitudinal study of middle school youth examined the effects of abuse, family conflict, and sibling aggression on sexual harassment perpetration (N = 1563; Mage 11.2, 51% boys; 39% Hispanic, 29% Black, and 19% White). Boys reported more sexual harassment than girls; perpetration increased for both. The association between a hostile home environment and sexual harassment perpetration was moderated by school experiences. School belonging buffered effects of hostile home environment on baseline sexual harassment perpetration for boys who experienced abuse and White adolescents with high sibling aggression. Academic grades moderated change in perpetration over time, but effects differed by sex and race. It is important to understand how early violence exposures relate to sexual violence perpetration during early adolescence. [ABSTRACT FROM AUTHOR]

The remember-know procedure is widely used to investigate recollection and familiarity in recognition memory, but almost all of the results obtained with that procedure can be readily accommodated by a unidimensional model based on signal-detection theory. The unidimensional model holds that remember judgments reflect strong memories (associated with high confidence, high accuracy, and fast reaction times), whereas know judgments reflect weaker memories (associated with lower confidence, lower accuracy, and slower reaction times). Although this is invariably true on average, a new 2-dimensional account (the continuous dual-process model) suggests that remember judgments made with low confi- dence should be associated with lower old-new accuracy but higher source accuracy than know judgments made with high confidence. We tested this prediction-and found evidence to support it-using a modified remember-know procedure in which participants were first asked to indicate a degree of recollection-based or familiarity-based confidence for each word presented on a recognition test and were then asked to recollect the color (red or blue) and screen location (top or bottom) associated with the word at study. For familiarity-based decisions, old-new accuracy increased with old-new confidence, but source accuracy did not (suggesting that stronger old-new memory was supported by higher degrees of familiarity). For recollection-based decisions, both old-new accuracy and source accuracy increased with old-new confidence (suggesting that stronger old-new memory was supported by higher degrees of recollection). These findings suggest that recollection and familiarity are continuous processes and that participants can indicate which process mainly contributed to their recognition decisions. [ABSTRACT FROM AUTHOR]

Students with disabilities (SWDs) are disproportionately at-risk for bullying victimization and perpetration, yet there is a lack of educator-focused professional development targeting prevention for these students. This project sought to address gaps in training through the creation of four online professional development modules: (1) understanding bullying among SWDs, (2) examining risk characteristics, (3) establishing school and classroom prevention strategies, and (4) individual prevention. These modules were iteratively developed with feedback from teachers and staff, incorporating the Multi-Tiered System of Supports (MTSS) framework to focus on interventions rooted in social emotional learning (SEL), and emphasizing the importance of prevention for SWDs. [ABSTRACT FROM AUTHOR]

A number of studies have examined the association between male involvement in sports and sexual violence (SV) perpetration, especially among college-age males. Less is known about the association between sports involvement and SV perpetration for adolescent males and females. To address this gap, the current study examined sports involvement in middle school (no sports, no/low contact, and high contact) among 1,561 students, who were then followed into high school and asked about the frequency of SV perpetration. Results from logistic regression models indicated that, even after controlling for mother's education, race/ethnicity, SV perpetration in middle school, and traditional beliefs about masculinity and substance use, middle school sports participation was significantly associated with risk of SV perpetration in high school. Compared with youth who reported no sports involvement in middle school, youth categorized as no/low contact sports involvement had greater odds of SV perpetration in high school. Sex differences emerged, revealing that no/low contact sports involvement was associated with SV perpetration for females and high contact sports involvement was associated with SV perpetration for males, compared with no sports involvement. These findings suggest potential opportunities to intervene in middle school to improve coaching practices, enhance respectful relationships, and modify athletes' norms, attitudes, and behaviors to reduce risk for SV perpetration in high school. [ABSTRACT FROM AUTHOR]

The current study tested differences in social network characteristics of high school students who report perpetrating sexual violence (SV) versus those who do not. N = 4554 students (49% male, 49% female, 2% another gender identity; 45% Hispanic, 43% white, 12% another racial identity) from 20 high schools reported how often they had perpetrated 13 sexually violent behaviors. Using their responses, students were classified as follows: non-perpetrators, sexual harassment perpetrators, low contact perpetrators, or high contact perpetrators. Students named up to 7 close friends and up to 7 trusted adults at their school and answered questions about other behaviors and attitudes. This information was used to assess (1) students' connections with peers, (2) students' connections with trusted adults, and (3) friends' characteristics. Multilevel models indicated that compared to their peers, high contact perpetrators were less involved in the peer networks, less connected to trusted adults, and more likely to have friends who were involved in risky behaviors (e.g., sexual violence, homophobic name-calling, substance use). Low contact perpetrators were as connected to peers and trusted adults as non-perpetrators but were more likely to have friends engaged in sexual violence and homophobic naming-calling perpetration. By contrast, sexual harassment perpetrators were more involved and held higher status in the peer network (e.g., received more friendship nominations) but otherwise had similar friendship characteristics and similar connections to trusted adults as non-perpetrators. Building on these results, social network-informed SV prevention should use opinion leaders to change SV norms throughout the network and encourage new relationships between low- and high-risk students so as to disseminate norms that do not tolerate SV. Promoting connections to trusted adults also may be a useful avenue, especially for isolated adolescents. Trial Registration This study is registered at www.clinicaltrials.gov NCT01672541. Syntax code is available from the authors upon request. [ABSTRACT FROM AUTHOR]

Decades of research have categorized risk and protective factors for youth gang involvement in social contexts that include individual, family, peer, school, and community factors. However, most studies are cross-sectional and only examine 1 or 2 social-ecological contexts. This study, which used a time-to-event model with time-variant and time-invariant predictors, adds to this literature by using longitudinal social-ecological factors to examine increases in the hazard of gang entry among serious juvenile offenders followed for 7 years during the transition from adolescence to young adulthood. Lower socioeconomic status (SES), higher rates of exposure to violence, self-reported offending, and time spent in jail were associated with higher hazards rates of gang entry. Temperance (suppression of aggression and impulse control) was associated with decreases in the hazard of gang entry. Among family characteristics, higher parental hostility and having a father who had been arrested were associated with increases in the hazard of gang entry. Resistance to peer influence was a protective factor for gang entry. In addition, individuals who reported associating with delinquent peers or who had a higher proportion of friends who had been arrested had significant increases in the hazard for gang entry. School orientation was a significant protective factor, and neighborhood disorganization was associated with increases in the hazard for gang entry. Strategies for early intervention and prevention efforts are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved). [ABSTRACT FROM AUTHOR]

Background: Delay discounting, or the tendency to devalue rewards as a function of their delayed receipt, is associated with myriad negative health behaviors. Individuals from medically underserved areas are disproportionately at risk for chronic health problems. The higher rates of delay discounting and consequent adverse outcomes evidenced among low-resource and unstable environments suggest this may be an important pathway to explain health disparities among this population.Purpose: The current study examined the effectiveness of a computerized working memory training program to decrease rates of delay discounting among residents of a traditionally underserved region.Methods: Participants (N = 123) were recruited from a community center serving low income and homeless individuals. Subjects completed measures of delay discounting and working memory and then took part in either an active or control working memory training.Results: Analyses indicated that participants in the active condition demonstrated significant improvement in working memory and that this improvement mediated the relation between treatment condition and reductions in delay discounting.Conclusions: Results suggest that a computerized intervention targeting working memory may be effective in decreasing rates of delay discounting in adults from medically underserved areas (ClinicalTrials.gov number NCT03501706). [ABSTRACT FROM AUTHOR]

Objectives: The relationship between bully victimization and depression has been examined extensively with prior research showing long-term cascade of problems stemming from both exposure to victimization and depressive symptomology. However, prior research has failed to consider how protective factors may mitigate these long-term problems. Three theoretical models were tested: the interpersonal risk model, symptom driven model, and transactional model. Methods: The present study employs a novel statistical technique to explore longitudinal reciprocal associations among bullying, depression, and school belonging in a sample of 2177 middle school students (ages 11 to 15) in a Midwestern state. We used a model building process to explore the overall association between bully victimization, depression, and school belonging as well as a multi-group model in which models were estimated for boys and girls, separately. Results: In our overall model, results indicated support for both symptom driven and interpersonal risk models. However, we did not find any significant buffering effect of school belonging. In our multi-group model, we found support for a buffering effect of school belonging for girls, but not boys. School belonging buffered long term problems associated with experiences of bully victimization via reductions in depression. Conclusions: Our findings point to the broader concept of school structure being differentially supportive and protective for various demographic groups and the need to consider the entire social ecology of a school when planning and implementing prevention interventions. [ABSTRACT FROM AUTHOR]

Black boys have been dying by suicide at an increasing rate. Although the reasons for this increase are unknown, suicide in Black boys is likely influenced by multiple, intersecting risk factors, including historical and ongoing trauma. Schools can serve as an important mechanism of support for Black boys; however, without intentional antiracist frameworks that acknowledge how intersecting identities can exacerbate risk for suicide, schools can overlook opportunities for care and perpetuate a cycle of racism that compromises the mental health of Black youth. By recognizing their own implicit biases, modeling antiracist practices, listening to and recognizing the strengths and diversity of Black youth, and fostering school-family-community partnerships, school psychologists can help transform the school environment to be a safe and culturally affirming place for Black youth. This paper outlines how school psychologists can apply a trauma- and Justice, Equity, Diversity, and Inclusion (JEDI)-informed approach to suicide prevention in order to more holistically support Black boys, disrupt patterns of aggressive disciplinary procedures, and improve school-based suicide prevention programs. By applying this lens across a multitiered systems of support (MTSS) framework, school psychologists can help to prevent the deaths of Black boys and begin to prioritize the lives of Black boys. Impact Statement This article calls on school psychologists to take a trauma- and Justice, Equity, Diversity, and Inclusion (JEDI)-informed approach for school-based suicide prevention and interventions. The sociopolitical context of suicide risk and protective factors in Black boys, as well as the influence of intersecting identities on these factors, underscores the importance of antiracist approaches towards building school-community-family partnerships. A trauma and JEDI-informed approach to suicide prevention necessitates a culturally responsive collective impact team and culturally grounded approaches to prevention and intervention across a multitiered systems of support for prioritizing Black boys' lives. [ABSTRACT FROM AUTHOR]

Cyberbullying among youth is an emerging public health concern that has a wide array of deleterious outcomes. The current meta-analytic review synthesized school-based cyberbullying prevention programs' impact on promoting cyber-bystander intervention among K–12 students. As a result of exhaustive searches and a thorough screening procedure, a total of 9 studies were identified as eligible. Meta-analytic synthesis of the 9 studies involving 35 effect sizes demonstrated that overall, the treatment effect was not statistically significant (g = 0.29, SE = 0.14, p =.07, 95% CI [-0.03, 0.61]). Findings of the moderator analyses suggest that incorporating an empathy activation component in the prevention program was associated with better program effectiveness in promoting cyber-bystander intervention. Further, older age was found to be associated with better program outcomes. Findings of the current meta-analysis provide important insight for developing cyberbullying prevention programs that promote cyber-bystander intervention. [ABSTRACT FROM AUTHOR]

Adolescent sexual violence (SV), which includes non-contact verbal sexual harassment (SH) and forced sexual contact (FSC), is a significant public health problem with long-term impacts on health and well-being. Understanding how sports participation is linked to SV can inform prevention efforts; however, the current literature is unclear about the nature of this association. Using data from 20 high schools, we investigate whether athletes in certain sports are at higher risk of SH and FSC perpetration than either other athletes or sports non-participants, and whether the risk is moderated by gender, dismissiveness of SV, or substance use intentions. We also utilize social network data to explore the role of relationships with peers and trusted adults to attenuate SH and FSC perpetration. Second, we incorporate characteristics of friends to further examine the role and composition of peer groups in the association between sports participation and perpetration of SH and FSC. Findings revealed a bivariate association between sport contact level and SH perpetration, but not FSC, and the association disappeared after adjusting for other covariates. Most prominently, dismissiveness of SV, intentions to use substances, and prior perpetration had the strongest association with perpetration regardless of sport contact level. Results also provided some support for the influence of peers and trusted adults in the sports context. Notably, the percentage of friends who perpetrated FSC and the percentage of friends who play a low-contact sport were positively associated with FSC perpetration, and the percentage of friends who play a high-contact sport was positively associated with SH perpetration. The paper concludes with a discussion of the sports context as an important venue for comprehensive prevention efforts, including a focus on changing norms around adolescent SV and substance use. [ABSTRACT FROM AUTHOR]

Bias-based aggression at school in the form of homophobic name-calling is quite prevalent among early adolescents. Homophobic name-calling is associated with low academic performance, higher risky sexual behaviors, and substance abuse, among other adverse outcomes. This longitudinal study examined risk and protective factors across multiple domains of the social ecology (individual, peer, family, school and community) and levels of analysis (within- and between-person) associated with homophobic name-calling perpetration and victimization. Students from four middle schools in the U.S. Midwest (N = 1,655; X ¯ age = 12.75; range = 10–16 years) were surveyed four times (Spring/Fall 2008, Spring/Fall 2009). For homophobic name-calling perpetration, significant risk factors included impulsivity, social dominance, traditional masculinity, family violence, and neighborhood violence; while empathy, peer support, school belonging, and adult support were significant protective factors. For homophobic name-calling victimization, significant risk factors included empathy (between-person), impulsivity, traditional masculinity, family violence, and neighborhood violence, while empathy (within-person), parental monitoring, peer support, school belonging, and adult support were significant protective factors. [ABSTRACT FROM AUTHOR]

Objective: Examine pre-existing learning disorders (LD) and attention deficit/hyperactivity disorders (ADHD) as risk factors for prolonged recovery and increased symptomology following pediatric mild traumatic brain injury (mTBI). Methods: We conducted a retrospective cohort study of children/adolescents (5-17 years) with mTBI who presented to a Children's Minnesota Concussion Clinic between April 2018 and March 2019. Differences across strata of pre-existing conditions (present vs. absent) in time to recovery measures were estimated via Kaplan–Meier and Cox proportional hazards analyses and differences in symptom trajectories were examined via linear mixed-effects regression models. Regression models were adjusted for age, sex and other confounders. Results: In our cohort of 680 mTBI patients, those with LD (n = 70) or ADHD (n = 107) experienced significantly longer median durations of symptoms (58 and 68 days, respectively) than those without (43 days). Accordingly, LD was significantly associated with delayed symptom recovery (adjusted hazard ratio (aHR) = 1.63, 95% CI: 1.16–2.29), return to school (1.47, 1.08–2.00), and return to physical activity (1.50, 1.10–2.04). Likewise, ADHD was associated with delayed recovery (1.69, 1.28–2.23), return to school (1.52, 1.17–1.97) and physical activity (1.55, 1.19–2.01). Further, patients with LD or ADHD reported, on average, significantly more concussion symptoms and higher vision symptom scores throughout recovery versus those without. There was no evidence that concussion or vision symptom recovery trajectories varied over time between those with/without LD or ADHD (joint P-interactions > 0.05). Conclusion: Pre-existing LD and ADHD are risk factors for prolonged and more symptomatic mTBI recovery in youth. These results can inform clinical concussion management and recovery expectations. [ABSTRACT FROM AUTHOR]

School resource officers (SROs) and school security professionals (SSPs) have increased presence in schools, yet little is known about how they view the importance of their relationships with students and the broader school climate. This article is part of a larger study of an online professional development module on trauma-informed care and is focused on the qualitative reflection responses from 95 participants from three large school districts in the southeast United States. Informed by the levels of ecological systems theory, three salient themes were identified by the researchers: how SSPs and SROs describe school climate, how they respond to students with traumatic experiences, and how their perspectives may be affected by their differing roles. Findings indicate that SROs and SSPs benefited from this training on trauma-informed care because they expressed learning new strategies and feeling better equipped to serve and support students with known or unknown adverse childhood experiences. Impact Statement Qualitative responses from this group of engaged school security professionals and school resource officers show the importance of intentional training on how to effectively create schools that are physically and psychologically safe spaces for all students. We learned that trauma-informed approaches are often not explicitly taught to school security professionals, despite their close work with students in schools. School security professionals believe that being empowered with this knowledge has the potential to influence how they will work with students in the future. It is ethically important to train school staff to work with students in an equitable and informed manner. Supplemental data for this article can be accessed online at http://dx.doi.org/10.1080/2372966X.2020.1832863. [ABSTRACT FROM AUTHOR]

The daily challenges resulting from all types of school violence—such as physical aggression, bullying, peer victimization, and general threats—have the potential to affect, longitudinally, students' mental health, school performance, and involvement in criminal or delinquent acts. Across primary and secondary studies, however, variation in how and how much school violence relates to these outcomes, has persisted. The purpose of this systematic review and meta-analysis, therefore, was to clarify this uncertainty by synthesizing the longitudinal relations. We conducted exhaustive searching procedures, implemented rigorous screening and coding processes, and estimated an underused effect size, the partial correlation from multiple regression models, before estimating a random-effects meta-analysis using robust variance estimation. We meta-analyzed 114 independent studies, totaling 765 effect sizes across 95,618 individual participants. The results of the overall analyses found a statistically significant longitudinal relation between school violence, in any role, and the aggregated outcome variables (rp =.06). Given that this effect size inherently controls for multiple potential confounding covariates, we consider the relation's magnitude clinically meaningful. We end by discussing ways practitioners and researchers may use these analyses when implementing prevention programming and how the field of meta-analysis should more frequently utilize the partial correlation. Public Significance Statement: This systematic review and meta-analysis finds that perpetration of school violence is strongly associated with numerous mental health outcomes, academic performance indicators, and involvement in criminal or delinquent behaviors, whereas victimization was largely associated with only mental health outcomes. Any experience of school violence should be addressed as a marker of potential compromised mental health. In addition, students who target others may benefit from a general needs assessment to avoid future delinquency and academic disengagement. [ABSTRACT FROM AUTHOR]

Background Children with high-grade CNS cancers frequently experience malnutrition during treatment. We assessed the effects of proactive enteral tube (ET) placement/enteral tube feedings (ETF) on weight in infants/children with high-grade CNS tumors treated with aggressive chemotherapy. Methods We conducted a retrospective study of patients age 0 to 19 years treated for new high-grade CNS tumors between 2002 and 2017 at a tertiary pediatric hospital system. Patients underwent placement of proactive ET (≤ 31 days postdiagnosis; n = 45), rescue ET (> 31 days, due to weight loss; n = 9), or no ET (n = 18). Most received surgically placed ET (98%), with percutaneous endoscopic gastrojejunostomy or gastrojejunostomy tubes favored to allow jejunal feeding. The majority of patients with ET used ETF (91%). Using mixed-effects regression models, we examined differences in mean weights between ET/ETF groups across the first year of treatment. We also evaluated observed weight changes. Results All infants (n = 22, median age, 1.5 years) had proactive ET placed and 21 of 22 used proactive ETF. Infants showed an initial increase in mean percentage weight change that eventually leveled off, for an estimated increase of 10.4% over the year. For the pediatric cohort (n = 50, median, 8.1 years), those receiving proactive ETF experienced weight increases (+9.9%), those with rescue ETF experienced an initial decline and eventually rebounded for no net change (0.0%), and those with no ETF demonstrated an initial decline that persisted (–11.9%; P interaction <.001). Analysis of observed weights revealed nearly identical patterns. Conclusions Proactive ETF was effective at maintaining weight and/or facilitating weight gain over the first year of treatment and was acceptable to patients/families. [ABSTRACT FROM AUTHOR]

Meta-analysts rely on the availability of data from previously conducted studies. That is, they rely on primary study authors to register their outcome data, either in a study's text or on publicly available websites, and report the results of their work, either again in a study's text or on publicly accessible data repositories. If a primary study author does not register data collection and similarly does not report the data collection results, the meta-analyst is at risk of failing to include the collected data. The purpose of this study is to attempt to locate one type of meta-analytic data: findings from studies that neither registered nor reported the collected outcome data. To do so, we conducted a large-scale search for potential studies and emailed an author query request to more than 600 primary study authors to ask if they had collected eligible outcome data. We received responses from 75 authors (12.3%), three of whom sent eligible findings. The results of our search confirmed our proof of concept (i.e., that authors collect data but fail to register or report it publicly), and the meta-analytic results indicated that excluding the identified studies would change some of our substantive conclusions. Cost analyses indicated, however, a high price to finding the missing studies. We end by reaffirming our calls for greater adoption of primary study pre-registration as well as data archiving in publicly available repositories. [ABSTRACT FROM AUTHOR]

Abstract Research has consistently linked homophobic bullying (e.g., teasing, name-calling, use of slurs) with an array of negative outcomes for children and adolescents. While most of the extant research covers risk factors related to homophobic bullying perpetration and victimization, there is a budding literature surrounding protective factors of these behaviors and their associated consequences. This article reviews 32 studies that focused on protective factors associated with homophobic bullying perpetration and victimization among children and adolescents. The review examines homophobic bullying as it applies to lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth and their heterosexual and cisgender peers. Using the social-ecological framework, this paper highlights protections at the individual level (e.g., sexual identity, self-esteem), the family level (e.g., social support at home), the peer level (e.g., positive friendships) and the school level (e.g., school policies against homophobic bullying, positive school climate). With the aim of contributing to the development of the field, directions for future research are also discussed. Highlights • Homophobic bullying is common among youth and has negative consequences for the targets. • Most of the literature on homophobic bullying has focused on risk factors. • Thirty-two articles were reviewed here that focused on protective factors associated with homophobic bullying among youth. • Youth who experience homophobic bullying have fewer negative outcomes if they have supportive friends and family. • Strong, positive, school climates can deter this homophobic bullying and/or ameliorate harmful consequences to targets. [ABSTRACT FROM AUTHOR]