Journal of Youth and Adolescence

, Volume 43, Issue 4, pp 629–640

Longitudinal Association of Suicidal Ideation and Physical Dating Violence among High School Students

  • Lusine Nahapetyan
  • Pamela Orpinas
  • Xiao Song
  • Kristin Holland
Empirical Research


Two salient problems in adolescent development are dating violence and suicidal ideation. Theory and empirical research have supported their association in primarily cross-sectional studies. The purpose of this study is to examine the longitudinal association between physical dating violence and suicidal ideation (thoughts or plans) in a cohort of students evaluated annually from Grades 9 to 12. The sample consisted of 556 random-selected students (50.2 % males; 47.5 % White, 37.8 % Black, 11.2 % Latino) who reported dating at least once during the four assessments. Self-reported frequency of suicidal ideation, dating, and physical dating violence perpetration and victimization were assessed each spring from ninth to twelfth grade. We used generalized estimating equations modeling to predict the effects of sex, race, school grade, and physical dating perpetration and victimization on suicidal ideation. Cumulatively, one-fourth of the sample reported suicidal ideation at least once by the end of Grade 12, and approximately half reported physical dating violence. Female gender (OR = 1.7, p = 0.02), physical dating perpetration (OR = 1.54, p = 0.048), physical dating victimization (OR = 2.03, p < 0.001), and being in grades 9–11 versus 12 in high school (OR = 1.83, p = 0.004) were significant predictors of suicidal ideation. Race was not a significant predictor among adolescents in this sample. This longitudinal study highlights the detrimental emotional effect of physical dating violence perpetration and victimization among high school students. It is important that suicide prevention programs incorporate physical dating violence education and prevention strategies starting early in high school.


Suicidal ideation Physical dating violence perpetration and victimization Adolescence 


  1. Ackard, D. M., Eisenberg, M. E., & Neumark-Sztainer, D. (2007). Long-term impact of adolescent dating violence on the behavioral and psychological health of male and female youth. Journal of Pediatrics, 151(5), 476–481. doi:10.1016/j.jpeds.2007.04.034.CrossRefPubMedGoogle Scholar
  2. Ackard, D. M., & Neumark-Sztainer, D. (2002). Date violence and date rape among adolescents: Associations with disordered eating behaviors and psychological health. Child Abuse and Neglect, 26(5), 455–473.CrossRefPubMedGoogle Scholar
  3. Ackard, D. M., Neumark-Sztainer, D., & Hannan, P. (2003). Dating violence among a nationally representative sample of adolescent girls and boys: Associations with behavioral and mental health. Journal of Gender-Specific Medicine, 6(3), 39–48.PubMedGoogle Scholar
  4. Allison, S., Roeger, L., Martin, G., & Keeves, J. (2001). Gender differences in the relationship between depression and suicidal ideation in young adolescents [Comparative Study]. Australian and New Zealand Journal of Psychiatry, 35(4), 498–503.CrossRefPubMedGoogle Scholar
  5. Banyard, V. L., & Cross, C. (2008). Consequences of teen dating violence: Understanding intervening variables in ecological context. Violence Against Women, 14(9), 998–1013. doi:10.1177/1077801208322058.CrossRefPubMedGoogle Scholar
  6. Bennett, L., & Fineran, S. (1998). Sexual and severe physical violence among high school students: Power beliefs, gender, and relationship. American Journal of Orthopsychiatry, 68(4), 645–652.CrossRefPubMedGoogle Scholar
  7. Blum, R. W., Beuhring, T., Shew, M. L., Bearinger, L. H., Sieving, R. E., & Resnick, M. D. (2000). The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. American Journal of Public Health, 90(12), 1879–1884.CrossRefPubMedCentralPubMedGoogle Scholar
  8. Bossarte, R. M., Simon, T. R., & Swahn, M. H. (2008). Clustering of adolescent dating violence, peer violence, and suicidal behavior. J Interpers Violence, 23(6), 815–833. doi:10.1177/0886260507313950.CrossRefPubMedGoogle Scholar
  9. Brevard, A., Lester, D., & Yang, B. J. (1990). A comparison of suicide notes written by suicide completers and suicide attempters. Crisis, 11(1), 7–11.PubMedGoogle Scholar
  10. Brooks-Russell, A., Foshee, V. A., & Ennett, S. T. (2012). Predictors of latent trajectory classes of physical dating violence victimization. Journal of Youth and Adolescence,. doi:10.1007/s10964-012-9876-2.PubMedGoogle Scholar
  11. Capaldi, D. M., Kim, H. K., & Shortt, J. W. (2007). Observed initiation and reciprocity of physical aggression in young, at-risk couples. Journal of Family Violence, 22(2), 101–111. doi:10.1007/s10896-007-9067-1.CrossRefPubMedCentralPubMedGoogle Scholar
  12. Carlson, G. A., & Cantwell, D. P. (1982). Suicidal behavior and depression in children and adolescents. Journal of American Academy of Child Psychiatry, 21(4), 361–368.CrossRefGoogle Scholar
  13. Carver, K., Joyner, K., & Udry, J. R. (2003). National estimates of adolescent romantic relationships. In P. Florsheim (Ed.), Adolescent romantic relations and sexual behavior: Theory, research, and practical implications. Mahwah: Lawrence Erlbaum Associates.Google Scholar
  14. Centers for Disease Control and Prevention. (2012). Youth risk behavior surveillance—United States 2011. MMWR Surveillance Summaries, 61(SS-4), 9–12.Google Scholar
  15. Cercone, J. J., Beach, S. R., & Arias, I. (2005). Gender symmetry in dating intimate partner violence: Does similar behavior imply similar constructs? Violence and Victims, 20(2), 207–218.CrossRefPubMedGoogle Scholar
  16. Chase, K. A., Treboux, D., & O’Leary, K. D. (2002). Characteristics of high-risk adolescents’ dating violence. Journal of Interpersonal Violence, 17(1), 33–49.CrossRefGoogle Scholar
  17. Chatard, A., Selimbegovic, L., & Konan, P. N. (2009). Self-esteem and suicide rates in 55 Nations. European Journal of Personality, 23(1), 19–32. doi:10.1002/Per.701.CrossRefGoogle Scholar
  18. Chiodo, D., Crooks, C. V., Wolfe, D. A., McIsaac, C., Hughes, R., & Jaffe, P. G. (2012). Longitudinal prediction and concurrent functioning of adolescent girls demonstrating various profiles of dating violence and victimization. Prevention Science, 13(4), 350–359. doi:10.1007/s11121-011-0236-3.CrossRefPubMedGoogle Scholar
  19. Coker, A. L., McKeown, R. E., Sanderson, M., Davis, K. E., Valois, R. F., & Huebner, E. S. (2000). Severe dating violence and quality of life among south carolina high school students. American Journal of Preventive Medicine, 19(4), 220–227.CrossRefPubMedGoogle Scholar
  20. Conwell, Y. (1997). Management of suicidal behavior in the elderly. Psychiatric Clinics of North America, 20(3), 667–683.CrossRefPubMedGoogle Scholar
  21. Coyle, K., Basen-Engquist, K., Kirby, D., Parcel, G., Banspach, S., Collins, J., et al. (2001). Safer choices: Reducing teen pregnancy, HIV, and STDs. Public Health Reports, 116(Suppl 1), 82–93.CrossRefPubMedCentralPubMedGoogle Scholar
  22. Crosby, A. E., Han, B., Ortega, L. A., Parks, S. E., & Gfroerer, J. (2011). Suicidal thoughts and behaviors among adults aged >/=18 years–United States, 2008-2009. MMWR Surveillance Summaries, 60(13), 1–22.Google Scholar
  23. Dervic, K., Brent, D. A., & Oquendo, M. A. (2008). Completed suicide in childhood. Psychiatric Clinics of North America, 31(2), 271–291. doi:10.1016/j.psc.2008.01.006.CrossRefPubMedGoogle Scholar
  24. Else, I. R. N., Goebert, D. A., Bell, C. K., Carlton, B., & Fukuda, M. (2009). The relationship between violence and youth suicide indicators among Asian American and Pacific Islander youth. Aggression and Violent Behavior, 14(6), 470–477. doi:10.1016/j.avb.2009.07.009.CrossRefGoogle Scholar
  25. Ely, G. E., Nugent, W. R., Cerel, J., & Vimbba, M. (2011). The relationship between suicidal thinking and dating violence in a sample of adolescent abortion patients. Crisis, 32(5), 246–253. doi:10.1027/0227-5910/a000082.CrossRefPubMedGoogle Scholar
  26. Feiring, C., Deblinger, E., Hoch-Espada, A., & Haworth, T. (2002). Romantic relationship aggression and attitudes in high school students: The role of gender, grade, and attachment and emotional styles. Journal of Youth and Adolescence, 31(5), 373–385.CrossRefGoogle Scholar
  27. Follingstad, D. R., Bradley, R. G., Laughlin, J. E., & Burke, L. (1999). Risk factors and correlates of dating violence: The relevance of examining frequency and severity levels in a college sample. Violence and Victims, 14(4), 365–380.PubMedGoogle Scholar
  28. Foshee, V. A. (1996). Gender differences in adolescent dating abuse prevalence, types and injuries. Health Education Research, 11(3), 275–286.CrossRefGoogle Scholar
  29. Foster, T. (2003). Suicide note themes and suicide prevention. International Journal of Psychiatry in Medicine, 33(4), 323–331.CrossRefPubMedGoogle Scholar
  30. Halpern, C. T., Oslak, S. G., Young, M. L., Martin, S. L., & Kupper, L. L. (2001). Partner violence among adolescents in opposite-sex romantic relationships: Findings from the National Longitudinal Study of Adolescent Health. American Journal of Public Health, 91(10), 1679–1685.CrossRefPubMedCentralPubMedGoogle Scholar
  31. Howard, D. E., Wang, M. Q., & Yan, F. (2007). Psychosocial factors associated with reports of physical dating violence among US adolescent females. Adolescence, 42(166), 311–324.PubMedGoogle Scholar
  32. Howard, D. E., Wang, M. Q., & Yan, F. (2008). Psychosocial factors associated with reports of physical dating violence victimization among US adolescent males. Adolescence, 43(171), 449–460.PubMedGoogle Scholar
  33. Hoyert, D. L., & Xu, J. Q. (2012). Deaths: Preliminary data for 2011. National Vital Statistics Reports. Hyattsville: National Center for Health Statistics.Google Scholar
  34. Joiner, T. E. (2005). Why people die by suicide. Cambridge: Harvard University Press.Google Scholar
  35. Joiner, T. E., & Van Orden, K. A. (2008). The interpersonal-psychological theory of suicidal behavior indicates specific and crucial psychotherapeutic targets. International Journal of Cognitive Therapy, 1(1), 80–89. doi:10.1680/ijct.2008.1.1.80.CrossRefGoogle Scholar
  36. Joiner, T. E., Van Orden, K. A., Witte, T. K., Selby, E. A., Ribeiro, J. D., Lewis, R., et al. (2009). Main predictions of the interpersonal-psychological theory of suicidal behavior: Empirical tests in two samples of young adults. Journal of Abnormal Psychology, 118(3), 634–646. doi:10.1037/A0016500.CrossRefPubMedCentralPubMedGoogle Scholar
  37. Kesner, J. E., Julian, T., & McKenry, P. C. (1997). Application of attachment theory to male violence toward female intimates. Journal of Family Violence, 12(2), 211–228. doi:10.1023/A:1022840812546.CrossRefGoogle Scholar
  38. Kessler, R. C., Borges, G., & Walters, E. E. (1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of General Psychiatry, 56(7), 617–626.CrossRefPubMedGoogle Scholar
  39. Kovacs, M., Goldston, D., & Gatsonis, C. (1993). Suicidal behaviors and childhood-onset depressive disorders: A longitudinal investigation. Journal of American Academy of Child and Adolescent Psychiatry, 32(1), 8–20. doi:10.1097/00004583-199301000-00003.CrossRefGoogle Scholar
  40. Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1996). Adolescent suicidal ideation and attempts: Prevalence, risk factors, and clinical implications. Clinical Psychology-Science and Practice, 3(1), 25–46.CrossRefGoogle Scholar
  41. Magdol, L., Moffitt, T. E., Caspi, A., Newman, D. L., Fagan, J., & Silva, P. A. (1997). Gender differences in partner violence in a birth cohort of 21-year-olds: Bridging the gap between clinical and epidemiological approaches. Journal of Consulting and Clinical Psychology, 65(1), 68–78.CrossRefPubMedGoogle Scholar
  42. Mccullagh, P. (1983). Quasi-likelihood functions. Annals of Statistics, 11(1), 59–67.CrossRefGoogle Scholar
  43. McKeown, R. E., Garrison, C. Z., Cuffe, S. P., Waller, J. L., Jackson, K. L., & Addy, C. L. (1998). Incidence and predictors of suicidal behaviors in a longitudinal sample of young adolescents. Journal of American Academy of Child and Adolescent Psychiatry, 37(6), 612–619. doi:10.1097/00004583-199806000-00011.CrossRefGoogle Scholar
  44. Molidor, C., & Tolman, R. M. (1998). Gender and contextual factors in adolescent dating violence. Violence Against Women, 4(2), 180–194.CrossRefPubMedGoogle Scholar
  45. Multisite Violence Prevention Project. (2004). The multisite violence prevention project: Background and overview. American Journal of Preventive Medicine, 26(1 Suppl), 3–11. doi:10.1016/j.amepre.2003.09.017.PubMedCentralGoogle Scholar
  46. Munoz-Rivas, M. J., Grana, J. L., O’Leary, K. D., & Gonzalez, M. P. (2007). Aggression in adolescent dating relationships: Prevalence, justification, and health consequences. Journal of Adolescent Health, 40(4), 298–304. doi:10.1016/j.jadohealth.2006.11.137.CrossRefPubMedGoogle Scholar
  47. Nagin, D. S. (2005). Group-based modeling of development. Cambridge: Harvard University Press.Google Scholar
  48. National Center for Health Statistics. (2011). Health, United States, 2010: With special feature on death and dying. Hyattsville, MD.Google Scholar
  49. O’Leary, K. D., Smith Slep, A. M., Avery-Leaf, S., & Cascardi, M. (2008). Gender differences in dating aggression among multiethnic high school students. Journal of Adolescent Health, 42(5), 473–479. doi:10.1016/j.jadohealth.2007.09.012.CrossRefPubMedGoogle Scholar
  50. Olshen, E., McVeigh, K. H., Wunsch-Hitzig, R. A., & Rickert, V. I. (2007). Dating violence, sexual assault, and suicide attempts among urban teenagers. Archives of Pediatrics and Adolescent Medicine, 161(6), 539–545. doi:10.1001/archpedi.161.6.539.CrossRefPubMedGoogle Scholar
  51. Orpinas, P., Horne, A. M., Song, X., Reeves, P. M., & Hsieh, H. L. (2013). Dating trajectories from middle to high school: Association with academic performance and drug use. Journal of Research on Adolescence,. doi:10.1111/jora.12029.Google Scholar
  52. Orpinas, P., Hsieh, H.-L., Song, X., Holland, K., & Nahapetyan, L. (2012). Trajectories of physical dating violence from middle to high school: Association with caring partner relationship and acceptability of aggression. Journal of Youth and Adolescence, 42(4), 551–565. doi:10.1007/s10964-012-9881-5.CrossRefPubMedGoogle Scholar
  53. Pan, W. (2001). Akaike’s information criterion in generalized estimating equations. Biometrics, 57(1), 120–125.CrossRefPubMedGoogle Scholar
  54. Rothman, K. J., & Greenland, S. (1998). Modern epidemiology. Philadelphia: Lippincott-Raven.Google Scholar
  55. Sabbath, J. C. (1969). The suicidal adolescent: The expendable child. Journal of American Academy of Child Psychiatry, 8(2), 272–289.CrossRefGoogle Scholar
  56. Silverman, M. M., Berman, A. L., Sanddal, N. D., O’Carroll, P. W., & Joiner, T. E. (2007). Rebuilding the tower of Babel: A revised nomenclature for the study of suicide and suicidal behaviors. Part 2: Suicide-related ideations, communications, and behaviors. Suicide & Life-Threatening Behavior, 37(3), 264–277. doi:10.1521/suli.2007.37.3.264.CrossRefGoogle Scholar
  57. Silverman, J. G., Raj, A., & Clements, K. (2004). Dating violence and associated sexual risk and pregnancy among adolescent girls in the United States. Pediatrics, 114(2), e220–e225.CrossRefPubMedGoogle Scholar
  58. Silverman, J. G., Raj, A., Mucci, L. A., & Hathaway, J. E. (2001). Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. Journal of the American Medical Association, 286(5), 572–579. doi:10.1001/jama.286.5.572.CrossRefPubMedGoogle Scholar
  59. Simon, O. R., Swann, A. C., Powell, K. E., Potter, L. B., Kresnow, M. J., & O’Carroll, P. W. (2001). Characteristics of impulsive suicide attempts and attempters. Suicide & Life-Threatening Behavior, 32(1 Suppl), 49–59.CrossRefGoogle Scholar
  60. Swahn, M. H., Simon, T. R., Arias, I., & Bossarte, R. M. (2008). Measuring sex differences in violence victimization and perpetration within date and same-sex peer relationships. Journal of Interpersonal Violence, 23(8), 1120–1138. doi:10.1177/0886260508314086.CrossRefPubMedGoogle Scholar
  61. Tharp, A. T., Burton, T., Freire, K., Hall, D. M., Harrier, S., Latzman, N. E., et al. (2011). Dating matters: Strategies to promote healthy teen relationships. Journal of Womens Health, 20(12), 1761–1765. doi:10.1089/jwh.2011.3177.CrossRefGoogle Scholar
  62. Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner Jr, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. doi:10.1037/a0018697.CrossRefPubMedCentralPubMedGoogle Scholar
  63. Watt, T. T., & Sharp, S. F. (2002). Race differences in strains associated with suicidal behavior among adolescents. Youth & Society, 34(2), 232–256. doi:10.1177/004411802237865.CrossRefGoogle Scholar
  64. West, B. A., Swahn, M. H., & McCarty, F. (2010). Children at risk for suicide attempt and attempt-related Injuries: Findings from the 2007 Youth Risk Behavior survey. Western Journal of Emergency Medicine, 11(3), 257–263.PubMedCentralPubMedGoogle Scholar
  65. Wolitzky-Taylor, K. B., Ruggiero, K. J., Danielson, C. K., Resnick, H. S., Hanson, R. F., Smith, D. W., et al. (2008). Prevalence and correlates of dating violence in a national sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 47(7), 755–762. doi:10.1097/CHI.0b013e318172ef5f.CrossRefPubMedCentralPubMedGoogle Scholar
  66. Yan, F. A., Howard, D. E., Beck, K. H., Shattuck, T., & Hallmark-Kerr, M. (2010). Psychosocial correlates of physical dating violence victimization among Latino early adolescents. Journal of Interpersonal Violence, 25(5), 808–831. doi:10.1177/0886260509336958.CrossRefPubMedGoogle Scholar
  67. Zeger, S. L., & Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42(1), 121–130.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Lusine Nahapetyan
    • 1
  • Pamela Orpinas
    • 1
  • Xiao Song
    • 2
  • Kristin Holland
    • 1
  1. 1.Department Health Promotion and Behavior, College of Public HealthUniversity of GeorgiaAthensUSA
  2. 2.Department of Epidemiology and Biostatistics, College of Public HealthUniversity of GeorgiaAthensUSA

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