Abstract

This paper provides a comprehensive review of workplace bullying, a significant psychosocial hazard with profound and multifaceted impacts on mental health. It defines workplace bullying by its core characteristics—repeated, intentional, and power-imbalanced behaviors—and distinguishes it from general workplace conflict or harassment. The report details the extensive psychological and physiological consequences experienced by targets, including increased mental distress, anxiety, depression, post-traumatic stress disorder (PTSD) symptoms, reduced self-esteem, burnout, and various somatic complaints, extending to long-term career and personal life disruptions. It explores mediating and moderating factors, such as individual coping strategies and the buffering effect of social support, while also examining the critical influence of organizational culture, toxic leadership, and the substantial economic costs associated with bullying. The analysis underscores the complex, often bi-directional nature of the relationship between bullying and mental health. Finally, the report outlines evidence-based prevention and intervention strategies, emphasizing the urgent need for integrated, multi-level approaches that address systemic organizational issues rather than solely focusing on individual responses, thereby fostering healthier and more productive work environments.

1. Introduction

Workplace bullying stands as a pervasive and detrimental feature of contemporary work environments, recognized increasingly as a significant psychosocial hazard.¹ Its presence carries substantial negative implications for both individual employees and the broader organizational fabric.¹ Unlike isolated incidents of aggression or typical workplace disagreements, bullying is characterized by a pattern of repeated, systematic, and often intentional abusive behaviors designed to intimidate, degrade, or humiliate an individual, thereby undermining their dignity and creating a substantial risk to their health and safety.⁴ This consistent hostile action, often involving an abuse or misuse of power, distinguishes bullying as a critical concern in public health, affecting a notable portion of the global working population.³

The psychological toll exacted by workplace bullying is severe, contributing to diminished productivity and extending its adverse effects into various aspects of an individual’s life, including their family and social spheres.³ Recognizing and thoroughly understanding these profound impacts on mental health is not merely an academic exercise; it is an imperative for developing and implementing effective prevention and intervention strategies. Such strategies are essential not only for safeguarding employee well-being but also for preserving the overall health and functionality of organizations.⁸ The pervasive nature of this issue necessitates a comprehensive examination of its definitions, manifestations, consequences, and the contextual factors that perpetuate or mitigate its effects.

2. Defining Workplace Bullying and Its Manifestations

Workplace bullying is a complex phenomenon, consistently defined by several core characteristics that differentiate it from other forms of negative workplace interactions. At its heart, it involves repeated, unreasonable actions directed towards an employee or group, with the explicit intent to intimidate and create a risk to their health and safety.⁴ These actions are typically characterized by a power imbalance, where the perpetrator holds influence or control over the target, or where a group collectively targets an individual.¹ The motivation behind such behavior is often self-serving, driven by a desire to dominate those perceived as weak or susceptible, rather than a legitimate aim for organizational performance.⁴

Distinction from General Workplace Conflict or Harassment

It is crucial to distinguish workplace bullying from general workplace conflict or harassment. While aggression might manifest as a single, isolated act, bullying is defined by its repetitive nature, forming an ongoing pattern of behavior.⁴ This persistence is a key differentiator. Furthermore, bullying is often not linked to protected characteristics (such as race, sex, or disability) that define unlawful harassment under anti-discrimination laws.¹¹ Consequently, in some jurisdictions, bullying may lack the specific legal remedies available for harassment.¹³ A particularly subtle but critical distinction lies between “tough management” and genuine bullying. Demanding bosses who set high expectations for performance are not inherently bullies; their primary motivation is to achieve optimal organizational results.⁴ However, when the underlying agenda shifts from promoting superior performance to tormenting and harming an employee, tough management devolves into bullying.¹⁴ This distinction highlights that the

intent behind the actions is a pivotal factor in identifying abusive conduct, suggesting that organizational training for leaders should not only focus on what behaviors are unacceptable but also on understanding the why—the motivation and potential impact—of their actions.

A significant barrier to addressing workplace bullying effectively is its normalization within some organizational cultures. It is often implicitly or explicitly considered a “normal, inevitable or even a necessary business practice”.⁵ This perception is sometimes reinforced by management policies that appear to condone or even reward bullying behaviors, with reports indicating that managers engaged in bullying have been rewarded with promotions.¹ Such a systemic acceptance creates an environment where abusive conduct is not only tolerated but can thrive, making it exceedingly difficult for affected individuals to report incidents or for interventions to be truly effective. This cultural dynamic means that the problem extends beyond individual perpetrators to the very fabric of the organization, necessitating a fundamental shift in values and practices to foster a genuinely respectful and safe work environment.

Common Forms and Examples of Bullying Behaviors

Workplace bullying manifests in a diverse array of behaviors, which can be broadly categorized to aid in their identification:

• Verbal Abuse: This includes unwarranted or invalid criticism, blaming without factual justification, being sworn at, shouting, public humiliation, and constant nitpicking over minor issues.⁴
• Psychological Abuse: Manifestations in this category involve being treated differently from others, exclusion or social isolation, being the target of practical jokes, excessive monitoring of work, spreading malicious rumors, consistently putting someone down in meetings, withholding necessary information, and sabotaging projects.⁴
• Work-Related Bullying: This form directly impacts an individual’s professional responsibilities and career progression. Examples include assigning heavy workloads, refusing legitimate leave requests, allocating menial tasks below one’s skill level, constantly shifting opinions or overruling decisions, and blocking opportunities for promotion or development.¹ This can also involve setting impossible deadlines or removing responsibility without justification.¹⁰

Bullying can also be categorized by the direction of the abusive behavior:

• Downward Mobbing: This is the most prevalent form, occurring when a supervisor or manager bullies a subordinate.¹⁴
• Upward Mobbing: Involves employees harassing, creating obstacles for, or undermining the efforts of a supervisor.¹¹
• Horizontal Mobbing: Occurs between colleagues of equal rank, though it still involves a power imbalance between the two individuals.¹⁴

These behaviors, whether overt or subtle, consistently aim to intimidate, degrade, and control the target, creating a hostile and unhealthy work environment.⁴ To further clarify the various manifestations of workplace bullying, Table 1 provides a comprehensive typology with specific examples.

Table 1: Typology of Workplace Bullying Behaviors and Examples

Category of Bullying	Specific Behaviors	Examples	Typical Direction
Verbal Abuse	Unwarranted/invalid criticism, blame without factual justification, being sworn at, shouting, public humiliation, constant nitpicking.	“Your work is always substandard,” “You’re useless, why can’t you get this right?” Publicly yelling at an employee for a minor error.	Downward, Horizontal, Upward
Psychological Abuse	Being treated differently, exclusion/social isolation, practical jokes, excessive monitoring, spreading malicious rumors, constantly putting someone down, withholding information, sabotaging projects, feigning ignorance, changing the subject, canceling meetings to divert attention.	Deliberately excluding a colleague from team meetings or social events. Spreading false rumors about a colleague’s performance or personal life. Micro-managing every aspect of a subordinate’s work.	Downward, Horizontal, Upward
Work-Related Bullying	Heavy workloads, refusal of leaves, allocation of menial tasks, shifting opinions, overruling decisions, blocking promotions, setting impossible deadlines, removal of responsibility, setting up to fail.	Assigning an employee tasks far below their skill level or with unrealistic deadlines. Consistently denying a target’s requests for training or promotion. Removing key responsibilities from an employee’s role without explanation.	Downward, Horizontal
Physical Intimidation	Threats of violence, aggressive body language, physical abuse (less common in workplace bullying than other forms, but can occur).	Standing over someone in an intimidating manner, throwing objects in anger.	Downward, Horizontal, Upward

This structured framework is invaluable for identifying specific bullying behaviors, moving beyond abstract definitions to concrete examples. It serves as a practical tool for both individuals to recognize their experiences and for organizations to develop precise anti-bullying policies and targeted training programs.

3. Psychological and Physiological Consequences of Workplace Bullying

The impact of workplace bullying extends far beyond mere discomfort, manifesting in a wide array of severe psychological, physiological, and long-term socioeconomic consequences for the targeted individual. These effects often create a profound and lasting detriment to an individual’s overall well-being.

3.1. Emotional and Psychological Effects

Victims of workplace bullying commonly experience intense feelings of psychological distress, depressive symptoms, and anxiety.⁶ Research consistently identifies workplace bullying as a significant predictor of depression, anxiety, and various stress-related psychological complaints.²⁰ Longitudinal studies further confirm a consistent and often bi-directional association between exposure to workplace bullying and a reduction in mental health over time.²³ This means that while bullying clearly causes mental health issues, there is also evidence suggesting that pre-existing mental health problems, such as anxiety and stress (though not necessarily depression), can increase an individual’s susceptibility to becoming a target of bullying.²⁰ This creates a detrimental cycle where vulnerabilities can be exploited, and the subsequent bullying then exacerbates existing mental health conditions, underscoring the complex, reinforcing nature of this dynamic.

Beyond general distress, bullying and harassment can precipitate adult symptoms of Post-Traumatic Stress Disorder (PTSD).⁸ Studies reveal a significant relationship between exposure to workplace bullying and the later emergence of PTSD symptoms, including anger, recurrent re-experiencing of the traumatic event through nightmares or flashbacks, distressing and intrusive thoughts, and a state of hypervigilance.²⁵ In some instances, experiencing bullying has been identified as a stronger predictor of PTSD symptoms than even physical abuse or neglect.²⁶

A profound and frequently reported consequence is a significant reduction in self-esteem and self-confidence among victims.⁴ Bullying can fundamentally alter an individual’s self-perception and self-efficacy, directly contributing to feelings of anxiety and depression.²⁸ Interestingly, low self-esteem is also negatively correlated with the likelihood of an individual reporting themselves as a target of workplace bullying, and some research suggests it may even predict an individual’s vulnerability to being bullied.²⁹ This highlights a complex interplay where diminished self-worth can both be a consequence and a potential precursor to victimization.

Workplace bullying is also strongly associated with burnout and emotional exhaustion.²⁰ The link between bullying and burnout is particularly robust, often surpassing its correlation with other mental disorders.²⁰ This extended stress can accelerate emotional exhaustion, a primary symptom of various mental illnesses and a significant contributor to organizational problems.²⁰

In the most severe cases, workplace bullying has been significantly associated with suicidal ideation and, tragically, even suicidal attempts.⁶ Feelings of defeat and entrapment are identified as critical mediating factors, establishing clear pathways that link bullying experiences to work-related suicidal ideation.⁷ This underscores the extreme psychological distress that can result from prolonged exposure to abusive work environments.

3.2. Physiological and Somatic Manifestations

The chronic stress induced by workplace bullying extends beyond psychological distress, manifesting in a range of physiological and somatic complaints. Victims frequently report insomnia and other sleep disturbances, including difficulty falling asleep, repeated waking, and waking up feeling tired.⁶ Research indicates that workplace bullying is a direct predictor of fatigue, with studies showing a higher prevalence of fatigue among those subjected to bullying.³⁴ Poor quality sleep, in turn, can further impair cognitive performance, dexterity, executive functioning, memory, and emotional regulation, creating a vicious cycle of declining well-being and productivity.³³

Common physical health complaints include headaches, muscle tension, musculoskeletal pain, and gastrointestinal issues such as stomach problems and irritable bowel syndrome.⁶ Furthermore, cardiovascular symptoms, notably high blood pressure, have been reported as medical consequences of prolonged exposure to workplace bullying.⁶ These physical ailments are often direct physiological responses to chronic stress and psychological distress.

3.3. Long-Term Impacts on Career and Personal Life

The adverse effects of workplace bullying are not confined to an individual’s immediate health; they permeate their career trajectory and personal life, leading to significant long-term consequences. Bullying directly erodes employee performance and job satisfaction, resulting in disengagement, reduced productivity, and increased absenteeism.¹ The scale of this impact is substantial, with nearly 18 million work days reportedly lost each year to workplace bullying.⁸

Beyond daily performance, bullying can severely impede career advancement, leading to increased turnover rates as employees are often compelled to leave their jobs.³ Studies show that victims of bullying are more likely to resign, and for women, specifically, the rate of sickness absence can double, and the use of antidepressant prescriptions can increase in the years following bullying exposure.¹⁸ This highlights that the “cost” of bullying is often disproportionately borne by the victims themselves. While organizations incur significant financial burdens through lost productivity, increased healthcare costs, and turnover ⁸, the individual victim endures the direct health consequences, career disruption, and emotional distress.⁹ This imbalance points to a systemic injustice where the personal and financial burden of an organizational failure to prevent bullying falls heavily on the individual, underscoring the ethical and economic imperative for robust preventative policies that aim to redistribute this burden or provide more comprehensive support.

The repercussions also extend into personal relationships, contributing to feelings of isolation and disconnection outside of work.³ The constant stress and emotional depletion from bullying can strain relationships with family and friends, further exacerbating the victim’s sense of loneliness and undermining their overall quality of life.

Table 2 provides a summary of the diverse mental and physical health impacts associated with workplace bullying, along with relevant prevalence data where available.

Table 2: Summary of Mental and Physical Health Impacts of Workplace Bullying

Category of Impact	Specific Symptoms/Outcomes	Prevalence/Correlation Data
Emotional & Psychological	Increased mental distress, anxiety, depression, Post-Traumatic Stress Disorder (PTSD) symptoms (re-experiencing, intrusive thoughts, hypervigilance), reduced self-esteem/self-confidence, burnout, emotional exhaustion, suicidal ideation, suicidal attempts.	Affects ~11% of workers globally.6	~27% of adult Americans report direct experience.14	Bullying is a significant predictor of depression, anxiety, stress.20	Strong link to burnout.20	Significant association with suicidal ideation/attempts.7	Low self-esteem negatively relates to reporting bullying.29
Physiological & Somatic	Insomnia, sleep disturbances, chronic fatigue, headaches, neck pain, musculoskeletal complaints, acute pain, fibromyalgia, gastrointestinal issues, high blood pressure, cardiovascular symptoms.	Bullying is a predictor of fatigue (Odds Ratio 2.74).34	Poor sleep impairs cognitive function and productivity.33
Career & Socioeconomic	Job dissatisfaction, reduced productivity, absenteeism, difficulties in career advancement, increased turnover, forced resignations, strain on personal relationships, social isolation, increased mental healthcare spending.	~18 million work days lost annually due to bullying.8	Costs businesses ~$14,000 per employee in lost performance.8	Companies lose >$250 million annually due to bullying-related issues.8	Victims spend up to twice as much on mental healthcare.9	Women’s sickness absence doubles, antidepressant use increases post-bullying.36

This table clearly illustrates the breadth and severity of the consequences of workplace bullying, reinforcing its significance as a critical public health and organizational issue.

4. Mediating and Moderating Factors in the Bullying-Mental Health Relationship

The relationship between workplace bullying and its mental health consequences is not a simple direct cause-and-effect; it is mediated and moderated by a complex interplay of individual-level factors and external social support systems. Understanding these dynamics is crucial for developing targeted and effective interventions.

4.1. Individual-Level Factors

An individual’s internal resources and coping mechanisms play a significant role in how they experience and respond to workplace bullying. Low self-esteem, for instance, can exacerbate the detrimental effects of bullying and may even increase an individual’s vulnerability to becoming a target.²⁸ Conversely, resilience, defined as the capacity to recover from or adjust easily to misfortune or change, is negatively correlated with psychological distress, suggesting its protective capacity against negative outcomes associated with bullying.³ The Conservation of Resources (COR) theory posits that individuals strive to acquire, retain, and protect their resources, including personal resources like self-efficacy and self-esteem. This theoretical framework highlights that the availability and management of such resources are critical in determining how employees navigate and respond to stressful situations like bullying.³⁷

Employees employ a variety of coping strategies when faced with bullying. These can range from passive approaches like denial, avoidance, and psychological detachment from the work situation, to more active behavioral and mental disengagement.²⁴ More constructive strategies can be problem-focused, aiming to alter the negative acts of the bully, or emotion-focused, designed to reduce the associated stress.³⁸ A proactive personality, characterized by a tendency to take initiative and effect change, has been shown to buffer the impact of bullying on physical strain and can influence an individual’s choice of coping mechanisms.²⁴ However, it is important to note that not all coping strategies are equally effective; passive approaches, for example, can paradoxically increase the strain experienced by the individual.²⁴ This highlights that individual responses are not uniform and can either mitigate or amplify the effects of bullying. This complex variability suggests that interventions need to be highly personalized, potentially addressing underlying vulnerabilities and fostering adaptive coping skills rather than relying on generic advice.

4.2. Social Support

Social support serves as a vital external resource that can buffer the negative impact of demands and stressful events, including workplace bullying.² Perceived social support from peers, supervisors, or non-work sources has been found to reduce stress and burnout, particularly when bullying exposure is at low to moderate levels.³⁰ Specifically, instrumental peer support and non-work support have demonstrated a capacity to mitigate the negative impact of bullying on depression, while support from the company itself can help alleviate exhaustion.³⁹ This protective effect is theorized to function by providing coping resources that help individuals navigate stressful situations and by restoring their basic cognitive schemas about the world and themselves, which may be shattered by traumatic experiences like bullying.³⁹

However, the protective benefits of social support are not without their limitations. Research indicates that the effectiveness of social support appears to diminish or even fade when the intensity of bullying increases.³⁰ Some studies have even suggested that in cases of very high-intensity mistreatment, social support might, paradoxically, exacerbate negative effects rather than alleviate them.³⁹ This observation suggests that while social support is undeniably important for mitigating the effects of bullying, it is not a panacea for severe or chronic abuse. At higher intensities, individual support mechanisms become insufficient to counteract the pervasive harm, necessitating direct organizational intervention to eliminate the source of the bullying rather than solely relying on the affected individuals’ support networks. This understanding refines the role of social support, highlighting its boundaries and emphasizing the critical need for multi-pronged approaches that combine individual and organizational-level strategies.

5. Organizational Context and Its Influence

The prevalence and impact of workplace bullying are deeply intertwined with the prevailing organizational context, including its culture, leadership, and structural characteristics. These elements can either foster or mitigate abusive behaviors, significantly influencing employee well-being and overall organizational health.

5.1. Organizational Culture and Climate

Certain work environments are demonstrably more susceptible to fostering bullying. These often include settings characterized by high stress, demanding workloads, and significant job insecurity or boredom.⁸ Furthermore, periods of organizational change, unresolved role conflict, and a pervasive sense of job insecurity can actively fuel the incidence of workplace bullying.¹⁴

A critical factor in the perpetuation of bullying is the presence of toxic leadership and entrenched hierarchical structures. Toxic leadership, defined by narcissistic, malevolent, and manipulative behaviors, is a common practice that profoundly harms both employees and the organization as a whole.³⁸ Such leaders may prioritize their personal agendas over the organization’s long-term success and tend to cultivate teams composed of passive and obedient employees, thereby creating an unhealthy and controlled environment.³⁸ Within organizations, rigid hierarchical structures can inadvertently allow bullying behaviors to persist unchecked, as power dynamics may discourage reporting or intervention.⁹

The consequences for organizational health are severe and far-reaching. Workplace bullying fundamentally undermines employee well-being and productivity, leading to a culture of fear, decreased employee engagement, and increased turnover.¹⁷ It erodes trust and morale, stifles creativity, hinders collaboration, and disrupts team dynamics, ultimately leading to increased internal conflicts and a reduction in overall organizational effectiveness.⁴ This dynamic reveals a profound organizational “mirror effect,” where the internal culture not only reflects but actively perpetuates bullying. The organizational conditions, such as high stress, excessive workload, and the presence of toxic leadership, are not merely external stressors; they often originate from or are sustained by the very culture of the organization itself, including how leadership operates and how internal conflicts are managed.⁹ An organizational culture that normalizes aggression, dismisses concerns, or fails to address issues proactively creates a fertile ground for bullying, which in turn further degrades the culture, establishing a self-reinforcing negative cycle. This suggests that bullying is not merely an interpersonal issue but a symptom of deeper, systemic problems within the organization’s foundational values and practices.

5.2. Prevalence and Economic Costs

The impact of workplace bullying is not confined to individual suffering; it carries substantial economic costs for organizations. Globally, approximately 11% of workers have reported experiencing workplace bullying at some point in their careers.⁶ In the United States, about 27% of adult Americans have reported direct experience with bullying or abusive behaviors at work, affecting an estimated 37 million people.¹⁴ When including individuals who have witnessed bullying, this figure rises significantly to 65.6 million.¹⁴ While prevalence rates can vary across different countries and occupational settings, these statistics underscore the widespread nature of the problem.³⁰

The financial implications for organizations are considerable, though often underestimated. Workplace bullying leads to annual losses exceeding $250 million for companies, stemming from lost productivity, increased employee turnover, higher healthcare insurance claims, workers’ compensation disputes, and the costs associated with employee recruitment and retraining, as well as potential litigation.⁸ It is estimated that bullying costs businesses approximately $14,000 per employee in lost job performance.⁸ Furthermore, workers exposed to bullying incur significantly higher mental health care expenses, spending as much as twice the amount compared to their unexposed counterparts.⁹ This highlights a critical disconnect: despite the clear and quantifiable economic impacts, many employers tend to rationalize, deny, or discount the existence and severity of bullying within their organizations.¹⁷ This reluctance to acknowledge and address the issue represents a strategic failure in resource allocation, where the short-term avoidance of confronting bullying ultimately leads to greater long-term financial detriment and a diminished return on human capital.

Table 3 provides a statistical overview of global prevalence rates of workplace bullying, drawn from various studies, illustrating the widespread nature of this problem.

Table 3: Global Prevalence Rates of Workplace Bullying

First Author/Year	Country	Sample Size and Type	Prevalence Rate (%)	Timeframe (if specified)
Voss (2001)	Sweden	3,470 employees of the Swedish Post	3.3	Not specified
Varhama (2004)	Finland	1,961 municipal employees	16.0	Not specified
Niedhammer (2007)	France	7,694 various workers	10.2	12 months
Matthiesen (2007)	Norway	2,215 various workers	8.3	Not specified
Ortega (2009)	Denmark	3,429 various workers	8.3	Past year
Giorgi (2011)	Italy	3,112 various workers	15.2	Not specified
Glaso (2011)	Norway	1,023 bus drivers	11	Past 6 months
Lallukka (2011)	Finland	7,332 various city workers	5	Current workplace
Notelaers (2011)	Belgium	8,985 various workers	8.3	Not specified
Perbellini (2012)	Italy	449 workers	30.1	Not specified
Keuskamp (2012)	Australia	1,145 various workers	15.2	Not specified
Niedhammer (2012)	France	29,680 various workers	6.4	Not specified
Total (Average)	Various	70,495	~11.4	Across studies

Note: Data primarily from European countries, with one exception (Australia). Timeframes for prevalence rates vary across studies, making direct comparisons challenging.⁶

This table provides empirical evidence of the widespread nature of workplace bullying across different geographies, highlighting that it is a global phenomenon with significant implications.

6. Prevention and Intervention Strategies

Addressing the pervasive impact of workplace bullying on mental health necessitates a multi-faceted and integrated approach that spans individual, interpersonal, and organizational levels. Effective prevention and intervention strategies require strong leadership commitment, clear policies, and a proactive stance on fostering a psychologically safe work environment.

6.1. Leadership and Management Roles

Leaders bear a fundamental responsibility for cultivating a healthy workplace that is free from bullying.⁴² This involves actively promoting a positive and supportive work culture where employees feel secure and empowered to voice concerns and report incidents without fear of reprisal.⁸ The commitment to a respectful environment must originate from the highest levels of management, with leaders consistently modeling positive behaviors and ensuring that these standards cascade throughout the entire organization.¹⁵ This includes holding individuals accountable for their actions, thereby reinforcing the organizational stance against bullying.¹⁵

A crucial component of prevention is providing comprehensive training programs for both managers and employees on workplace aggression.⁸ These programs should cover essential topics such as maintaining a civil and pleasant work environment, resolving conflicts constructively and respectfully, effectively identifying and responding to bullying behaviors (whether perpetrated by a coworker or a supervisor), and understanding the proper channels for reporting incidents.⁸ Specifically, manager training can equip leaders with the skills to recognize and respond to emotional distress in their supervisees, build stronger interpersonal communication skills (like open communication and active listening), and develop a deeper understanding of how job stressors can affect mental health and be managed proactively.⁴¹

This emphasis on leadership and management represents a significant shift from traditional approaches that often place the burden of the problem on the individual “bully” or “victim”.⁹ Instead, current understanding advocates for a paradigm where addressing the organizational culture as a whole is far more effective than merely sanctioning individual perpetrators or attempting to treat mental health problems after they have manifested.⁹ This implies a fundamental change in focus: leaders must strive to “change the work, not the worker” by systematically identifying and mitigating psychosocial risks at the organizational level.⁹ This proactive, systemic approach aims to prevent bullying from taking root by creating an inherently healthier environment for everyone.

6.2. Policy Development and Implementation

Robust organizational policies are foundational to preventing and addressing workplace bullying. Organizations should develop clear guidelines that explicitly define acceptable standards of conduct and outline the consequences for bullying behaviors, ideally incorporating a “zero-tolerance” policy.⁸ These policies must be meticulously written, easily accessible, and widely disseminated to all employees to ensure universal understanding.⁸

Beyond mere existence, the effectiveness of these policies hinges on the implementation of effective reporting mechanisms and thorough investigation procedures. Policies must include clear, confidential procedures for employees to report bullying incidents.⁸ All complaints must be taken seriously, investigated promptly, and handled with the utmost confidentiality to build trust and encourage reporting.⁸ The necessity of a robust, accessible, and trusted reporting and support infrastructure cannot be overstated. Simply having policies in place is insufficient if employees are afraid or embarrassed to report bullying due to a lack of trust in the organizational response or fear of retaliation.⁸ The effectiveness of these mechanisms fundamentally depends on employees’ perception of their fairness, confidentiality, and the organization’s genuine willingness to act without reprisal. This requires actively cultivating organizational trust and ensuring that reporting channels are not just theoretical constructs but practically effective and genuinely supportive.

Additionally, organizations should consider implementing mediation teams for resolving incidents, particularly those involving a clear power imbalance between parties.⁸ Employee Assistance Programs (EAPs) also play a vital role by providing confidential counseling, support, and stress management solutions to individuals affected by bullying.⁸ Furthermore, developing clear social media policies can help protect employees from cyberbullying and outline consequences for violations.⁸

6.3. Addressing Root Causes

Ultimately, sustainable prevention of workplace bullying requires addressing its underlying root causes within the organizational environment. This involves implementing comprehensive organizational interventions that directly target working conditions and mitigate psychosocial risks.⁹ Such interventions might include establishing flexible working arrangements, ensuring reasonable workloads, fostering clear job roles, and implementing robust frameworks to deal with violence and harassment proactively.⁴¹

The pervasive nature of workplace bullying and its complex, multi-layered impacts on mental health necessitate integrated, multi-level interventions. These interventions must simultaneously address individual vulnerabilities, interpersonal dynamics, and systemic organizational factors.⁹ This includes broader efforts to address the social determinants of mental health within the workplace, actively reducing stigma associated with mental health conditions, and increasing access to evidence-based care through occupational health services.⁴¹ By focusing on these fundamental systemic issues, organizations can create environments that are inherently less conducive to bullying, promoting long-term well-being and productivity.

7. Conclusion

Workplace bullying represents a significant and widespread psychosocial hazard with profound and multifaceted impacts on mental health. Its insidious nature, characterized by repeated, intentional, and power-imbalanced behaviors, extends its detrimental effects far beyond immediate psychological distress. The consequences for targeted individuals encompass a wide spectrum of mental health conditions, including increased anxiety, depression, and severe manifestations such as Post-Traumatic Stress Disorder (PTSD) and suicidal ideation. These psychological burdens are often accompanied by a range of physiological and somatic complaints, including chronic fatigue, sleep disturbances, headaches, musculoskeletal pain, and even cardiovascular issues, underscoring the holistic erosion of well-being. Furthermore, the impact permeates long-term career trajectories, leading to job dissatisfaction, reduced productivity, increased absenteeism, and forced turnover, while also straining personal relationships and fostering social isolation.

The problem is exacerbated by organizational cultures that implicitly or explicitly tolerate such behaviors, often camouflaging them as “tough management” or “competitiveness.” This normalization, coupled with the presence of toxic leadership and entrenched hierarchical structures, creates a vicious cycle where vulnerable individuals may become more susceptible targets, and the bullying, in turn, further degrades the organizational climate. The economic costs associated with workplace bullying—stemming from lost productivity, increased healthcare expenses, and high turnover rates—are substantial, yet frequently underestimated or dismissed by employers.

Effective mitigation of workplace bullying demands a comprehensive, multi-level approach that transcends individual-level coping strategies. It necessitates a fundamental shift towards systemic organizational changes, beginning with strong leadership commitment that actively models positive behavior and holds individuals accountable. This must be supported by the development and rigorous implementation of clear anti-bullying policies, coupled with robust, accessible, and trusted reporting mechanisms and investigation procedures. Proactive interventions that address root causes within the organizational culture, such as managing psychosocial risks and fostering a supportive climate, are paramount. The substantial human suffering and economic burden of inaction underscore the urgent imperative for organizations to prioritize creating respectful, supportive, and psychologically safe work environments.

8. Future Research Directions

Despite the growing body of literature on workplace bullying, several avenues warrant further rigorous investigation to deepen understanding and enhance intervention efficacy:

• Longitudinal and Experimental Studies: While cross-sectional studies have identified strong correlations, more longitudinal and, where ethically feasible, experimental designs are needed to establish more accurate causal relationships between specific bullying behaviors and the long-term development of mental health outcomes, particularly PTSD and suicidal behavior.²³ This would provide clearer insights into the progression of harm.
• Nuances of Mediating and Moderating Factors: Further research should explore the intricate dynamics of mediating and moderating factors. This includes a more granular examination of how different forms of social support (e.g., emotional, instrumental, peer, supervisory) interact with varying intensities and types of bullying, and under what conditions their buffering effects diminish or become counterproductive.³⁹
• Effectiveness of Organizational Interventions: There is a critical need for robust studies evaluating the effectiveness of specific organizational-level interventions in mitigating bullying and improving mental health outcomes. Research should focus on the “change the work, not the worker” paradigm, assessing how structural and cultural changes, rather than individual-focused strategies, impact the incidence of bullying and employee well-being.⁹
• Economic Benefits of Proactive Strategies: Detailed quantitative analyses are required to demonstrate the long-term economic benefits of proactive anti-bullying strategies for organizations. This would move beyond immediate cost savings from reduced turnover and absenteeism to encompass broader gains in creativity, innovation, and organizational resilience, thereby strengthening the business case for investment in prevention.
• Cross-Cultural Studies: Given the varying prevalence rates across countries, more extensive cross-cultural research is essential to understand how different cultural contexts, legal frameworks, and societal norms influence the manifestation, perception, and impact of workplace bullying, as well as the adaptability and effectiveness of various intervention models.

References

American Psychiatric Association. (2020). Publication manual of the American Psychological Association (7th ed.).

Acas. (n.d.). Bullying at work. Retrieved from https://www.acas.org.uk/bullying-at-work ¹¹

American Addiction Centers. (n.d.). Effects of being bullied & harassed. Retrieved from https://americanaddictioncenters.org/co-occurring-disorders/trauma-stressor-related-disorders/effects-being-bullied-harassed ²⁶

Askew, E., & Campbell, M. A. (n.d.). Workplace bullying: A tale of adverse consequences. PMC. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC4382139/ ⁶

Beyond Blue. (n.d.). Workplace bullying harassment and mental health. Retrieved from https://www.beyondblue.org.au/mental-health/work/bullying-harassment ²¹

Chirilă, M. A., & Constantin, T. (2015). Proactive personality and workplace bullying: A stressor and strain model. Procedia-Social and Behavioral Sciences, 187, 280-285. https://doi.org/10.1016/j.sbspro.2015.03.053 ²⁴

Crowell-Williamson, G. A., Fruhbauerova, M., DeCou, C. R., & Comtois, K. A. (2019). Perceived burdensomeness, bullying, and suicidal ideation in suicidal military personnel. Journal of Clinical Psychology, 75(12), 2147-2159. https://doi.org/10.1002/jclp.22836 ³²

Einarsen, S., Hoel, H., Zapf, D., & Cooper, C. L. (2011). The concept of bullying and harassment at work: The European tradition. In S. Einarsen, H. Hoel, D. Zapf & C. L. Cooper (Eds.), Bullying and harassment in the workplace: Developments in theory, research and practice (pp. 3-40). CRC Press. ³

HR Vision Event. (n.d.). Revealing the impact of workplace bullying. Retrieved from https://www.hrvisionevent.com/content-hub/revealing-the-impact-of-workplace-bullying/ ¹⁸

Iglesias, E. L., Losa, E. L., & Iglesias, M. L. (2012). Self-esteem in Spanish nurses who suffer from bullying behaviors. International Journal of Psychological Research, 5(2), 12-17. ²⁸

Keio University. (n.d.). Victimization and witnessing of workplace bullying and physician-diagnosed mental disorders. Retrieved from https://keio.elsevierpure.com/en/publications/victimization-and-witnessing-of-workplace-bullying-and-physician- ³⁵

Lallukka, T., Lahelma, E., & Rahkonen, O. (2011). Workplace bullying and mental health: A meta-analysis on cross-sectional and longitudinal data. PLoS ONE, 10(8), e0135225. https://doi.org/10.1371/journal.pone.0135225 ²³

Li, Y., Li, J., & Li, Y. (2020). The relationship between workplace bullying and turnover intention: The moderating role of self-esteem. Open Journal of Social Sciences, 8(1), 1-13. https://doi.org/10.4236/jss.2020.81001 ²⁹

López-López, A., Verkuil, B., & Molendijk, M. L. (2019). Occupational exposure to violence and sleep problems: A systematic review and meta-analysis. Frontiers in Psychology, 10, 2390. https://doi.org/10.3389/fpsyg.2019.02390 ³³

Military Suicide Research Consortium. (n.d.). Perceived burdensomeness mediates the association between workplace bullying and suicidal ideation. Retrieved from https://msrc.fsu.edu/blog/perceived-burdensomeness-mediates-association-between-workplace-bullying-and-suicidal-ideation/ ³²

Namie, G., & Namie, R. (2009). The bully at work: What you can do to stop the hurt and reclaim your dignity on the job. Sourcebooks. ¹⁴

Nielsen, M. B., & Einarsen, S. (2018). What goes around comes around? The relationship between workplace bullying and psychological distress: A longitudinal multilevel analysis among Japanese employees. Journal of Occupational Health, 60(4), 273-283. https://doi.org/10.1002/1348-9585.12002 ²²

Nielsen, M. B., & Einarsen, S. (2020). Social support as a buffer against the negative impact of workplace bullying on mental health: A systematic review and meta-analysis. Work & Stress, 34(3), 209-228. https://doi.org/10.1080/02678373.2019.1685970 ³⁹

Pollack Peacebuilding. (n.d.). Study details negative effects of toxic leadership and workplace bullying. Retrieved from https://pollackpeacebuilding.com/blog/study-details-negative-effects-of-toxic-leadership-and-workplace-bullying/ ³⁸

Purdue University. (n.d.). Workplace bullying. Retrieved from https://louisville.edu/ombuds/selfhelp/reading/Workplace%20Bullying.pdf ⁴

Quality Safety Edge. (n.d.). Workplace bullying: A failure of leadership. Retrieved from https://www.qualitysafetyedge.com/workplace-bullying-a-failure-of-leadership ¹⁵

ResearchGate. (n.d.). Effects of workplace bullying on suicide behavior using the Integrated Motivational-Volitional Model of Suicide Behavior. Retrieved from https://www.researchgate.net/publication/391908224_Effects_of_Workplace_Bullying_on_Suicide_Behavior_Using_the_Integrated_Motivational-Volitional_Model_of_Suicide_Behavior ⁷

ResearchGate. (n.d.). Workplace bullying and psychological distress: A longitudinal multilevel analysis among Japanese employees. Retrieved from https://www.researchgate.net/publication/327115201_Workplace_Bullying_and_Psychological_Distress_A_Longitudinal_Multilevel_Analysis_Among_Japanese_Employees ²²

ResearchGate. (n.d.). Workplace bullying: Not a manager’s right. Retrieved from https://www.researchgate.net/publication/293190994_Workplace_Bullying_Not_a_Managers_Right ¹

Rovira-Millán, R., & Hernández, L. (2015). Relationship between workplace bullying and post-traumatic stress disorders. International Journal of Psychological Research, 8(1), 1-10. https://doi.org/10.21500/20112084.5961 ²⁵

San Jose Mental Health. (n.d.). Mental health impact of workplace harassment. Retrieved from https://sanjosementalhealth.org/mental-health/mental-health-impact-of-workplace-harassment/ ¹⁹

Sabbath, E. L. (n.d.). It’s not just personal: The economic value of preventing bullying in the workplace. Harvard T.H. Chan School of Public Health. Retrieved from https://hsph.harvard.edu/exec-ed/news/its-not-just-personal-the-economic-value-of-preventing-bullying-in-the-workplace/ ⁹

ScienceforWork. (n.d.). It’s all fun and games until someone loses the will to live: How workplace bullying impacts mental health. Retrieved from https://scienceforwork.com/blog/its-all-fun-and-games-until-someone-looses-the-will-to-live-how-workplace-bullying-impacts-mental-health/ ²⁰

StopBullying.gov. (n.d.). Get help now. Retrieved from https://www.stopbullying.gov/resources/get-help-now ⁴³

Tepper, R. J., & White, C. G. (2010). Workplace harassment in the academic environment. Saint Louis University Law Journal, 55(1), 127-158. ¹³

The University of Nebraska–Lincoln. (n.d.). Preventing workplace bullying. Retrieved from https://executivevc.unl.edu/tipsheets/preventing-workplace-bullying/ ⁴²

Ulliance. (n.d.). Ending workplace bullying. Retrieved from https://blog.ulliance.com/ending-workplace-bullying ¹⁷

University of Eastern Finland. (n.d.). Consequences of workplace bullying with respect to well-being of its targets and the observers of bullying. Retrieved from https://www.researchgate.net/publication/12067148_Consequences_of_workplace_bullying_with_respect_to_well-being_of_its_targets_and_the_observers_of_bullying ²⁷

University of South Florida. (n.d.). Workplace bullying education. Retrieved from http://sites.tamuc.edu/bullyingjournal/article/workplace-bullying-education/ ¹⁴

University of South Florida. (n.d.). Workplace bullying and psychological distress: A longitudinal multilevel analysis among Japanese employees. Retrieved from https://digitalcommons.fiu.edu/cgi/viewcontent.cgi?referer=&httpsredir=1&article=1379&context=sferc ¹⁰

Villa, L., Losa Iglesias, M. E., & Losa Iglesias, M. (2020). Workplace bullying and fatigue in school-level educators: A cross-sectional study. International Journal of Environmental Research and Public Health, 17(23), 8963. https://doi.org/10.3390/ijerph17238963 ³⁴

World Health Organization. (n.d.). Mental health at work. Retrieved from https://www.who.int/news-room/fact-sheets/detail/mental-health-at-work ⁴¹

Workplace Bullying Institute. (n.d.). WBI definition. Retrieved from https://workplacebullying.org/ ⁵

Workplace Mental Health. (n.d.). Bullying. Retrieved from https://workplacementalhealth.org/mental-health-topics/bullying ⁸

Yildirim, D. (2009). The impact of toxic leadership on organizational learning and performance. Journal of Management and Organization, 15(2), 159-173. ⁴⁰

Zapf, D., & Einarsen, S. (2011). The psychological toll of workplace bullying. Nordic Journal of Psychiatry, 65(3), 157-164. ³

Works cited

1. Workplace Bullying: Not a Managers Right? – ResearchGate, accessed July 26, 2025, https://www.researchgate.net/publication/293190994_Workplace_Bullying_Not_a_Managers_Right
2. Workplace Bullying and Job Satisfaction: The Buffering Effect of Social Support, accessed July 26, 2025, https://www.hrpub.org/download/20140105/UJP5-19401744.pdf
3. WORKPLACE BULLYING AND PSYCHOLOGICAL DISTRESS: – DiVA portal, accessed July 26, 2025, https://www.diva-portal.org/smash/get/diva2:1598717/FULLTEXT01.pdf
4. Workplace Bullying, accessed July 26, 2025, https://louisville.edu/ombuds/selfhelp/reading/Workplace%20Bullying.pdf
5. Workplace Bullying Institute – All Things Workplace Bullying, accessed July 26, 2025, https://workplacebullying.org/
6. Workplace Bullying: A Tale of Adverse Consequences – PMC, accessed July 26, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC4382139/
7. Effects of Workplace Bullying on Suicide Behavior Using the Integrated Motivational-Volitional Model of Suicide Behavior – ResearchGate, accessed July 26, 2025, https://www.researchgate.net/publication/391908224_Effects_of_Workplace_Bullying_on_Suicide_Behavior_Using_the_Integrated_Motivational-Volitional_Model_of_Suicide_Behavior
8. Bullying – Workplace Mental Health, accessed July 26, 2025, https://workplacementalhealth.org/mental-health-topics/bullying
9. It’s Not Just Personal: The Economic Value of Preventing Bullying in the Workplace, accessed July 26, 2025, https://hsph.harvard.edu/exec-ed/news/its-not-just-personal-the-economic-value-of-preventing-bullying-in-the-workplace/
10. How Transformational Theory can be used to understand the Personal Experience if being Bullied in the Workplace – FIU Digital Commons, accessed July 26, 2025, https://digitalcommons.fiu.edu/cgi/viewcontent.cgi?referer=&httpsredir=1&article=1379&context=sferc
11. What bullying is – Bullying at work – Acas, accessed July 26, 2025, https://www.acas.org.uk/bullying-at-work
12. Harassment | U.S. Equal Employment Opportunity Commission, accessed July 26, 2025, https://www.eeoc.gov/harassment
13. Workplace Harassment in the Academic Environment – Scholarship Commons, accessed July 26, 2025, https://scholarship.law.slu.edu/cgi/viewcontent.cgi?article=1384&context=lj
14. Workplace Bullying in Education – Journal of Bullying & Social Aggression – TAMUC Sites, accessed July 26, 2025, http://sites.tamuc.edu/bullyingjournal/article/workplace-bullying-education/
15. Workplace Bullying – A Failure of Leadership – Quality Safety Edge, accessed July 26, 2025, https://www.qualitysafetyedge.com/workplace-bullying-a-failure-of-leadership
16. Signs and Effects of Workplace Bullying – Verywell Mind, accessed July 26, 2025, https://www.verywellmind.com/what-are-the-effects-of-workplace-bullying-460628
17. Ending Workplace Bullying – the Ulliance Blog!, accessed July 26, 2025, https://blog.ulliance.com/ending-workplace-bullying
18. Revealing the Impact of Workplace Bullying – HR Vision Event, accessed July 26, 2025, https://www.hrvisionevent.com/content-hub/revealing-the-impact-of-workplace-bullying/
19. Emotional Distress – Workplace Bullying’s Impact – San Jose Mental Health, accessed July 26, 2025, https://sanjosementalhealth.org/mental-health/mental-health-impact-of-workplace-harassment/
20. It’s All Fun and Games Until You’ve Created a Hostile Work Environment: How Workplace Bullying is Linked to Mental Health – ScienceForWork •, accessed July 26, 2025, https://scienceforwork.com/blog/its-all-fun-and-games-until-someone-looses-the-will-to-live-how-workplace-bullying-impacts-mental-health/
21. Workplace bullying harassment and mental health – Beyond Blue, accessed July 26, 2025, https://www.beyondblue.org.au/mental-health/work/bullying-harassment
22. Workplace Bullying and Psychological Distress: A Longitudinal Multilevel Analysis Among Japanese Employees – ResearchGate, accessed July 26, 2025, https://www.researchgate.net/publication/327115201_Workplace_Bullying_and_Psychological_Distress_A_Longitudinal_Multilevel_Analysis_Among_Japanese_Employees
23. Workplace Bullying and Mental Health: A Meta-Analysis on Cross-Sectional and Longitudinal Data | PLOS One – Research journals, accessed July 26, 2025, https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0135225
24. Proactive Personality and Workplace Bullying: A Stressor and Strain Model – ResearchGate, accessed July 26, 2025, https://www.researchgate.net/publication/256005977_Proactive_Personality_and_Workplace_Bullying_A_Stressor_and_Strain_Model
25. (PDF) Relationship between workplace bullying and post-traumatic stress disorders, accessed July 26, 2025, https://www.researchgate.net/publication/315833770_Relationship_between_workplace_bullying_and_post-traumatic_stress_disorders
26. Victim of Long-Term Bullying or Harassment and PTSD – American Addiction Centers, accessed July 26, 2025, https://americanaddictioncenters.org/co-occurring-disorders/trauma-stressor-related-disorders/effects-being-bullied-harassed
27. Consequences of workplace bullying with respect to well-being of its targets and the observers of bullying – ResearchGate, accessed July 26, 2025, https://www.researchgate.net/publication/12067148_Consequences_of_workplace_bullying_with_respect_to_well-being_of_its_targets_and_the_observers_of_bullying
28. Effect of workplace bullying on self-esteem with moderating role of defense styles: a study among pharmacists in Sanaa, Yemen, accessed July 26, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC11610798/
29. The Impact of Workplace Bullying on Employees’ Turnover Intention: The Role of Self-Esteem – Scientific Research Publishing, accessed July 26, 2025, https://www.scirp.org/journal/paperinformation?paperid=103317
30. Full article: Workplace bullying, stress, burnout, and the role of perceived social support: findings from a Swedish national prevalence study in higher education, accessed July 26, 2025, https://www.tandfonline.com/doi/full/10.1080/21568235.2023.2301588
31. pmc.ncbi.nlm.nih.gov, accessed July 26, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC4382139/#:~:text=However%2C%20there%20also%20appear%20to,and%20even%20work%2Drelated%20suicide.
32. Perceived Burdensomeness Mediates the Association Between Workplace Bullying and Suicidal Ideation, accessed July 26, 2025, https://msrc.fsu.edu/blog/perceived-burdensomeness-mediates-association-between-workplace-bullying-and-suicidal-ideation/
33. Sleep Problems and Workplace Violence: A Systematic Review and Meta-Analysis – PMC, accessed July 26, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC6779772/
34. The effect of workplace bullying on fatigue in school teachers: the moderating roles of gender and spirituality – PubMed Central, accessed July 26, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC10586066/
35. Victimization and witnessing of workplace bullying and physician-diagnosed physical and mental health and organizational outcomes: A cross-sectional study – Keio University, accessed July 26, 2025, https://keio.elsevierpure.com/en/publications/victimization-and-witnessing-of-workplace-bullying-and-physician-
36. Workplace Bullying May Be Linked to Long-Term Health Issues, accessed July 26, 2025, https://www.psychologicalscience.org/news/minds-business/workplace-bullying-may-be-linked-to-long-term-health-issues.html
37. The Commerce and Crossover of Resources: Resource Conservation in the Service of Resilience – PMC – PubMed Central, accessed July 26, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC4564014/
38. Study Details Negative Effects of Toxic Leadership and Workplace Bullying, accessed July 26, 2025, https://pollackpeacebuilding.com/blog/study-details-negative-effects-of-toxic-leadership-and-workplace-bullying/
39. Bullying behavior and employee well-being: how do different forms of social support buffer against depression, anxiety and exhaustion?, accessed July 26, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC8914449/
40. Impact of Toxic Leadership on Employee Performance – PMC, accessed July 26, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC9760724/
41. Mental health at work – World Health Organization (WHO), accessed July 26, 2025, https://www.who.int/news-room/fact-sheets/detail/mental-health-at-work
42. Preventing Workplace Bullying | Office of the Executive Vice Chancellor, accessed July 26, 2025, https://executivevc.unl.edu/tipsheets/preventing-workplace-bullying/
43. Get Help Now | StopBullying.gov, accessed July 26, 2025, https://www.stopbullying.gov/resources/get-help-now