Victimization by Peers and Adolescent Suicide in Three US Samples

Objective To investigate the association between victimization by peers and suicidal ideation and behavior in 3 samples of adolescents in the United States. Study design This study was a secondary analysis of data from 3 cohorts of adolescents: (1) a nationally representative survey of adolescents in grade 7 through 12, Wave I of the National Longitudinal Study of Adolescent Health, conducted by the Carolina Population Center in 1994-1995; (2) a nationally representative survey, the Youth Risk Behavior Surveillance System, conducted by the Centers for Disease Control and Prevention in 2005; and (3) a survey in a high-risk community conducted by the Centers for Disease Control and Prevention in 2004. Results Controlling for differences in age, sex, race/ethnicity, and depressive symptomology, adolescents reporting more frequent victimization by peers were more likely to report suicidal ideation and suicidal behavior. Adjusted odds ratios ranged from 1.67 (95% confidence interval [CI] = 1.30-2.15) to 3.83 (95% CI = 2.78-5.27) for the different outcome measures and data sets. Conclusions Our results provide further support for the need for effective prevention of peer victimization. Inclusion of questions about victimization experiences might aid formal and informal suicide screening efforts. (J Pediatr 2009; 155: 683-8).