There can be no doubt that severe and persistent oppression through bullying can do considerable damage to the victim's mental and physical health and, at an extreme, can be a key factor in suicidal behaviour.
There is a tendency towards stereotyping in descriptions of the "typical bully" - "mad dogs, sharks and sociopaths" (Rigby, 2002) and the "typical victim" - wimps, weirdos and "mummies boys" and thereby to oversimplify a complex problem. This in turn can lead to the notion that bullying is always so blatant and wrong that if the "good" shout "No!" (or "Get thee from me, Satan!") at the top of their lungs both bully and bullying will shrink away in shame!
For the most part we have to live in a world of confusing shades of grey, where the "bully" is caught being charming and helpful, and is actually a lot brighter than we thought him to be, but is often terminally bored, or affects to be (cue John Travolta, "The Fonz", etc.). The "victim" may be less than saintly at times, and quite willing to oppress others when given the opportunity to dominate in his own particular style.
We also need to recognise that mostly things and people modify over time: in fact, as adults, we need to be cautious that our interventions do not "set things in stone".
There are, of course, lists of common characteristics, or perhaps more accurately, "tendencies" for both "bullies" and "victims", and for their families, and much of this is outlined and discussed during the training. There are, however, significant gaps in the research, notably the impact of the father's role as apparent, and bullying amongst siblings in the home.
For now, limited space might best be devoted to deriving from research suggestions as to what can be done, particularly in schools, to make a positive difference. The fact that broadly similar schools can vary by a factor of four in the number of bullying incidents they experience suggests that the school's ethos, and the practices derived from this, are of great importance.
Here are some suggestions.
There are still problems about using the term "mental health" within earshot of an adolescent: the likely riposte is "Are you calling me "mental"?!" Despite this, there is a need to recognise that severe emotional and in some cases psychiatric disorders affect a significant number of pupils in secondary schools. Again, these issues are more fully addressed in the course.
It is important to pierce the dual myths that adolescence is "one great laugh" or alternatively that it is a time of unrelenting angst. Certainly many teenagers do experience times of acute anxiety or even panic; many have bouts of depression at differing levels of severity; some contemplate suicide.
Even for the well-supported and socially adjusted student , things may "go bump" in their lives through the death of a parent, sibling or friend, parental conflict, divorce or remarriage, or some other crisis. If other influences, including "bullying" in its various forms, conspire to convince the student that a) life is not worth living; and b) that nothing is going to change (the sense that there is "no way out of this", then that young person is in real jeopardy. The first signs may be behavioural changes, e.g. the eager student who starts "not appearing" for lessons, the able student whose work deteriorates markedly. Again the importance of a well-designed and -supported helping system in school cannot be overemphasized. Subject teachers as well as Year Heads need to have awareness of mental health issues, since they may be the first to see such signs. Equally it is crucial that appropriate school staff (not just the Special Needs Co-ordinator or Child Protection Officer) know how and when to refer to local Child and Adolescent Mental Health Services. Bear in mind too that those offering support and/or counselling need information and support too, including awareness of when they might be getting out of their depth or when a situation is deteriorating and perhaps becoming dangerous. There is further information for professionals, young people and parents here. Ideally some face-to-face links should be forged, perhaps through attending groups, talks or seminars.