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Additive interactions between sex and forced sexual intercourse victimization on depressive symptoms and suicidality: Youth risk behavior survey 2001–2017

Published:November 14, 2022DOI:https://doi.org/10.1016/j.outlook.2022.09.004

      Highlights

      • Forced Sexual Intercourse Victimization is strongly associated with depressive symptoms in both male and female adolescents, but the effect is larger in females.
      • Forced sex is also strongly associated with suicidal ideation and suicide attempts in both male and female adolescents, but the effect is larger in males.
      • Both male and female adolescents who attempt suicide requiring treatment have an extremely high probability—approximately 40%–of having a history of forced sexual victimization, which highlights the importance of screening adolescents for both sexual victimization and suicidality.

      Abstract

      Background

      Adolescents who have been forced to have sexual intercourse have higher rates of depressive symptoms and suicidality.

      Purpose

      This research investigated whether the association between adolescent forced sexual intercourse victimization and depressive symptoms or suicidality varies significantly by sex.

      Method

      This secondary analysis pooled cross-sectional data from the Youth Risk Behavior Survey 2001 through 2017 (N = 132,580) using R to estimate adjusted risk differences and additive interactions.

      Findings

      Results show an extremely high prevalence of depressive symptoms and suicidality among adolescents who experience forced sexual victimization. This association is significantly higher among females for depressive symptoms, but significantly higher among males for suicide attempt or suicide attempt requiring treatment.

      Results

      also showed that approximately 40% of both males and females who attempted suicide requiring treatment also had a history of forced sexual intercourse victimization.

      Discussion

      These findings highlight the importance of screening for sexual victimization, depression and suicidality among adolescents.

      Keywords

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