“…Generally, adolescents who are perceived as different, quiet, weak, or less popular by their peers are vulnerable to violence victimization of all types/domains 6,9‐12 . Adolescents with mental health problems, often perceived as different, experience “othering” as a component of mental illness stigma, 13 and therefore, are particularly vulnerable to participation in school violence as a victim and/or perpetrator versus not experiencing violence at all 9,10,14‐19 . While those with mental health problems are more likely to be victims than perpetrators, when they do use violence, they are commonly acting as “bully/victims”—those who simultaneously are victims and perpetrators of violence among their peers 9,10,14,15 .…”