Dating violence, sexual assault, and suicide attempts among urban teenagers.
OBJECTIVE
To evaluate the relationship between dating violence, sexual assault, and suicide attempts among urban adolescents.


METHODS
Secondary analysis of the 2005 New York City Youth Risk Behavior Survey.


METHODS
Eighty-seven New York City public high schools.


METHODS
Representative population-based sample of 8080 students, 14 years and older.


METHODS
Dating violence in the past year and lifetime history of sexual assault.


METHODS
One or more suicide attempts in the past year.


RESULTS
Respondents were 50.0% female and primarily black (36.0%) or Hispanic (40.1%). In the past year, 11.7% of females and 7.2% of males reported 1 or more suicide attempts. Lifetime history of sexual assault was reported by 9.6% of females and 5.4% of males. Dating violence in the past year was reported by 10.6% of females and 9.5% of males. In multivariate models, controlling for persistent sadness, sexual orientation, and significant risk behaviors, recent dating violence (odds ratio, 1.61; 95% confidence interval, 1.05-2.47) was associated with suicide attempts in adolescent girls, while lifetime history of sexual assault (odds ratio, 3.86; 95% confidence interval, 2.11-7.06) was associated with suicide attempts in adolescent boys.


CONCLUSIONS
In this population of urban youth, recent dating violence among females and lifetime history of sexual assault among males were significantly associated with suicide attempts. Clinicians and educators should be trained to routinely screen adolescents for violence victimization and should have a low threshold for referring these at-risk teenagers for mental health services.
Olshen
Elyse
E
Division of General Pediatrics, Department of Pediatrics, Columbia University Medical Center, New York, NY, USA. eo85@columbia.edu
McVeigh
Katharine H
KH
Wunsch-Hitzig
Robin A
RA
Rickert
Vaughn I
VI
D000293:Adolescent; D044383:Black People; D003380:Courtship; D019548:Crime Victims / Q000523:psychology; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology; D000297:Psychology, Adolescent; D011902:Rape / Q000706:statistics & numerical data*; D013406:Suicide, Attempted; D014505:Urban Population; D001741:Black or African American