Physical Dating Violence Research Articles

Dating Violence Victimization, Perpetration and Suicidality Among Adolescents

ABSTRACT Few studies have focused on evaluating the relationship between dating violence (DV) and suicide during the critical period of adolescence, particularly for transgender and gender-diverse (TGD) youth. The study examined the relationship between experiencing DV victimization and perpetration in the past 6 months and suicidality (ideation and attempts) among male, female, and TGD adolescents. This study used data from a longitudinal randomized trial examining the effectiveness of myPlan, a healthy relationship and safety planning app intervention for adolescents, to a control website. Data for this study was collected virtually, in which participants completed surveys through online platforms. A convenience sample was recruited through youth organizations and posting on online platforms including social media. N = 610 adolescents age 15–17 years, who resided in the U.S. experienced DV in the past 6 months, had access to a safe device, and were able to access online surveys were included in this study. The majority were female (63.8%) with (19.5%) TGD and 16.7% male. Nearly 22% of the sample identified as Hispanic/Latino and 61.0% as white. Participants completed an online survey consisting of measures of socio demographics, DV victimization and perpetration via the Conflict of Adolescent Dating Relationships Inventory (CADRI), and suicidality. The primary outcome was the association between DV victimization and perpetration on suicidality. Different forms of DV were accounted for including emotional/relational, physical, and sexual DV. Logistic regressions determined differences in the rate of DV victimization and perpetration on suicidality between gender groups (cisgender female, cisgender male, and TGD). A stratified analysis was conducted to test if the relationship between DV and suicidality differed across gender identity. Approximately one-third (32.2%) of adolescents reported suicidality in the past 6 months. TGD adolescents were more likely to report suicidality compared to males (20.6%, p < .05) and females (32.7%, p > .05). The overall odds of suicidality increased as frequency of emotional/relational DV victimization (OR = 1.37, p < .001), physical DV victimization (OR = 1.59, p < .001) and sexual DV victimization (OR = 1.42, p < .001) increased. These relationships were not significant for DV perpetration. When stratifying findings by gender groups, all forms of DV victimization significantly increased the odds of suicidality for females as well as female perpetration of physical violence. For males, all forms of DV victimization and perpetration were associated with increased odds of suicidality, although not significant due to the smaller sample size. While DV victimization is associated with increased odds of suicidality for TGD, perpetration of DV is associated with decreased odds of suicidality, although not significant due to small sample size. The findings from this study provide further insight into experiences of DV and suicidality among gender diverse youth and can guide future interventions aimed at preventing DV and suicide among adolescents.

Maltreatment and Parent-Child Attachment as Predictors of Dating Violence and Risky Sexual Behaviour Among High-Risk Teens.

A history of maltreatment can increase risk for dating violence (DV) and risky sexual behaviour (RSB) among adolescents. Secure parent-child attachment may reduce this risk, yet few studies have examined this as a protective factor. This study differentiated developmentally appropriate, exploratory sexual behaviours from RSB and examined whether maltreatment experiences and parent-child attachment in adolescence predicted DV and RSB reported five years later in a high-risk sample. Participants were 179 adolescents (46% girls; M age = 15.34, range = 12-18 years) at risk for aggressive and antisocial behaviour. Adolescents reported their maltreatment histories and attachment to their parents at Time 1; five years later, at Time 2, they reported their experiences with DV perpetration and victimization and engagement in RSB. Both bivariate correlations and structural analyses demonstrated that maltreatment was associated with DV perpetration and victimization but not RSB, and attachment avoidance was associated with fewer RSB but not DV. Attachment anxiety was associated with physical DV perpetration and greater condom use, but only at the correlational level; attachment anxiety was not associated with DV or RSB in the structural model. There were no significant interaction effects. Findings highlight the importance of considering key developmental factors such as maltreatment and parent-child attachment in understanding adolescent risk for DV and RSB, and may inform future research that accounts for contextual factors such as motivation for violence perpetration and contraceptive use with multiple and/or casual sex partners.

Investigating the association between multiple substance Use and dating violence involvement among U.S adolescents

Adolescent dating violence and substance use are clinical and public health concerns. Prior meta-analytic studies indicate that about 20% of adolescents reported having experienced physical dating violence (PDV) and 10% reported sexual dating violence (SDV). This study aims to assess the prevalence of dating violence, and the association between substance use and dating violence among adolescents. Our study population is derived from the 2019 Youth Risk Behavior Surveillance System (YRBSS)a cross-sectional, nationally representative survey of United States (U.S) adolescents. The sample comprised 13,677 adolescents between the ages of 13–19 years currently enrolled in school. Descriptive analysis estimated the prevalence of dating violence and substance use. Multiple logistic regression adjusted for confounders of the association between substance use and dating violence. The confounders adjusted for include sex, school grade, race, academic grade, and duration of night sleep. The prevalence of PDV and SDV was each 8.2%. Only 2.6% of this nationally representative sample had experienced both PDV and SDV. Adolescents who used three or more substances had 2.1 times higher odds of PDV (OR = 2.10, 95% CI = 1.27–3.47, p < 0.0001), and SDV (OR = 2.11, 95% CI = 1.34–3.34, p < 0.0001) respectively, and 2.8 (OR = 2.75, 95% CI = 1.34–5.61, p < 0.0001) times higher odds of both PDV and SDV in the past month. Multiple substance use increases the odds of dating violence. Policy and interventions should be focused on preventing substance use initiation among substance-naïve adolescents and to advocate abstinence and gradual reduction of substances used to mitigate the prevalence of dating violence.

Cumulative Incidence of Physical and Sexual Dating Violence: Insights From A Long-term Longitudinal Study.

Decades of inquiry on intimate partner violence show consistent results: violence is woefully common and psychologically and economically costly. Policy to prevent and effectively intervene upon such violence hinges upon comprehensive understanding of this phenomenon at a population level. The current study prospectively estimates the cumulative incidence of sexual and physical dating violence (DV) victimization/perpetration over a 12-year timeframe (2010-2021) using diverse participants assessed annually from age 15 to 26. Data are from Waves 1-13 of an ongoing longitudinal study. Since 2010 (except for 2018 and 2019), participants were assessed on past-year physical and sexual DV victimization and perpetration. Participants (n = 1,042; 56% female; Mage baseline = 15) were originally recruited from seven public high schools in southeast Texas. The sample consisted of Black/African American (30%), White (31%), Hispanic (31%), and Mixed/Other (8%) participants. Across 12 years of data collection, 27.3% experienced sexual DV victimization and 46.1% had experienced physical DV victimization by age 26. Further, 14.8% had perpetrated at least one act of sexual DV and 39.0% had perpetrated at least one act of physical DV against a partner by this age. A 12-year cumulative assessment of physical and sexual DV rendered prevalence estimates of both victimization and perpetration that exceeded commonly and consistently reported rates in the field, especially on studies that relied on lifetime or one-time specified retrospective reporting periods. These data suggest community youth are at continued and sustained risk for DV onset across the transition into emerging adulthood, necessitating early adolescent prevention and intervention efforts that endure through late adolescence, emerging adulthood, and beyond. From a research perspective, our findings point to the need for assessing DV on a repeated basis over multiple timepoints to better guage the full extent of this continued public health crisis.

Suicidal ideation and psychological dating violence victimization-A short report.

As the second leading cause of death among Americans aged 10 to 34, suicide is a serious public health concern. One potential predictor of suicidality is dating violence (DV) victimization, such as any physical, psychological, or sexual abuse by a current or former intimate partner. However, little longitudinal data exists on the relationship between suicidal ideation and DV. To address this gap in knowledge, we leverage data from two years of our longitudinal study Dating It Safe. Specifically, we examine whether physical and psychological DV victimization is associated with subsequent suicidal ideation in our ethnically diverse sample of young adults (n = 678; mean age = 25 at Wave 9; 63.6% female). While physical DV victimization was not linked to suicidal ideation over time, psychological DV victimization was (χ2 = 7.28, p = 0.007 for females; χ2 = 4.87, p = 0.027 for males). That psychological abuse was potentially as or more impactful than physical violence is consistent with the broader literature on the deleterious impacts of psychological violence, as well as the limited longitudinal literature looking at DV and suicidality specifically. These findings reinforce the notion that psychological abuse is as consequential as physical violence in the long-term, has unique impacts on mental health, and points to the need for both suicide and violence intervention programs to address this form of dating violence victimization.

Dating violence and its relationship with anxiety, depression, and stress in young Andalusian university students

AimTo analyze the prevalence of dating violence (DV) and its relationship with states of depression, anxiety, and stress in young Andalusian university students. MethodCross-sectional descriptive quantitative study in 8 public universities in Andalusia. Data collection was carried out from September to November 2020 through a self-administered questionnaire that included sociodemographic variables and variables related to dating violence, depression, anxiety, and stress. For the analysis of the data, descriptive and nonparametric tests were performed through the U Mann–Whitney and Spearman Rho for the relationship between variables. ResultsThousand ninety-one young university students from Andalusia participated. The most prevalent DV was psychological, including behaviors related to cyberbullying, control-surveillance and psychoemotional (68.42–42.90%), followed by sexual (16.68–3.57%) and finally physical (5.60–1.92%). Statistically significant differences were shown according to sex and DV, where girls scored higher in being victims of behaviors related to cyberbullying, control-surveillance and sexual, and boys in perpetrating psycho-emotional, physical and sexual violence. All types of DV showed significant and positive correlations with depression, anxiety, and stress, except physical DV perpetrated with stress. ConclusionsThe high prevalence of DV and its relationship with mental health show the importance of conducting research on this line in the educational field, since it is a space that guarantees egalitarian relationships and promotes health.

Familial and Individual Risk Markers for Physical and Psychological Dating Violence Perpetration and Victimization Among College Students

Dating violence (DV) is a prominent problem among college students that can result in harmful physical and mental health outcomes. Though much research has focused on physical DV, fewer studies have examined psychological DV. As such, the current paper compared early/familial risk markers (e.g., child physical abuse, witnessing parental violence, and maternal relationship quality) and individual risk markers (e.g., alcohol use, marijuana and prescription drug use) for physical and psychological DV among college students. Data were gathered at two large public universities using pencil and paper surveys (N = 1,482). Bivariate results revealed more risk markers for men (e.g., more child physical abuse, more frequent drinking, more close friends who drink and more marijuana and prescription drug use) compared to women. Multivariate results showed that familial risk markers were generally most important for explaining physical DV victimization and perpetration whereas individual risk markers were more salient for explaining psychological DV victimization and perpetration. Findings highlight the contribution of both early/familial and individual risk markers for understanding psychological and physical DV victimization and perpetration among college students.

Bystander Intervention Efficacy to Reduce Teen Dating Violence Among High School Youth Who Did and Did Not Witness Parental Partner Violence: A Path Analysis of A Cluster RCT

Youth who witness parental intimate partner violence (IPV) are at increased risk of teen dating violence (DV). This analysis of secondary data investigated whether a bystander intervention program, Green Dot, was effective at reducing physical and psychological DV victimization and perpetration among youth who had and had not previously witnessed parental IPV. The parent RCT assigned 13 schools to control and 13 schools to the Green Dot intervention. Responses from 71,797 individual surveys that were completed by high school students were analyzed across three phases of a 5-year cluster randomized control trial. Multigroup path analyses revealed that students in intervention schools who witnessed parental IPV had a reduction in psychological (p < .001) and physical DV (p < .01) perpetration and psychological DV victimization (p < .01) in Phase 2 of the intervention, while those who did not witness parental IPV had a significant reduction in psychological DV victimization (p < .01). Individuals in the intervention received more training (p < .001), which was associated with lower levels of violence acceptance (p < .001). Violence acceptance was positively associated with DV victimization and perpetration (p < .001), especially for individuals who previously witnessed parental IPV. Green Dot is an effective program at reducing DV victimization and perpetration among the high-risk group of youth who previously witnessed parental IPV, largely operating through violence acceptance norms. This underscores the bystander intervention approach as both a targeted and universal prevention program.

The Interplay of Perceptions and Conflict Behaviors during Disagreements: A Daily Study of Physical Teen Dating Violence Perpetration.

Physical dating violence (DV) is a widespread problem among adolescents. A growing body of literature demonstrates that physical DV often occurs during disagreements when partners use destructive conflict management strategies, such as conflict engagement (e.g., losing control, criticizing) or withdrawal (e.g., acting cold, being distant). However, little is known regarding how the individual daily variability on the use of destructive conflict management strategies can influence the probability of perpetrating day-to-day physical DV, especially if the other partner is also perceived as using destructive behaviors. Using an intensive longitudinal approach, the current study first aimed to examine the daily associations between the use of various conflict management strategies and physical DV perpetration in adolescent dating relationships. A second objective was to investigate if perceived partner's conflict behaviors moderated the relation between self-reported conflict management strategies and day-to-day physical DV perpetration. A sample of 216 adolescents (Mage = 17.03, SD = 1.49) involved in a dating relationship, completed a baseline assessment followed by 14 daily diaries. Results of multilevel logistic analyses revealed that using conflict engagement strategies significantly increased the probability of day-to-day physical DV perpetration. Furthermore, the probability of perpetrating physical DV was significantly higher on days in which teens reported using high levels of conflict engagement while also perceiving their partner as using high levels of conflict engagement or withdrawal. These findings yield new insights on the daily context in which disagreements might escalate into aggression. Evidence from this study further supports the conflict escalation pattern and the demand/withdraw communication pattern in the context of adolescent dating relationships. Preventive initiatives should address the interplay of perceptions and conflict behaviors concerning physical DV perpetration.

Risk Behaviours Associated with Dating and Relationship Violence among 11-16 Year Olds in Wales: Results from the 2019 Student Health and Wellbeing Survey.

(1) Background: This study examines the associations between risk behaviours and adolescent emotional and physical dating and relationship violence (DRV) victimisation and perpetration, and how these vary by gender. The risk behaviours explored include bullying, cyberbullying, sexting, alcohol, and cannabis use; (2) Methods: Cross-sectional self-report data from the School Health Research Network (SHRN) 2019 Student Health Wellbeing (SHW) survey of 48,397 students aged 11–16 from 149 schools across Wales were analysed using single and multiple-behaviour logistic regression models to explore the associations between each risk behaviour and emotional and physical DRV victimisation and perpetration; (3) Results: Bivariate analyses revealed a statistically significant association between DRV and all risk behaviours. In multivariate analyses, students who reported bullying, cyberbullying, sexting, and substance use, compared to those that had not, had significantly higher odds of experiencing and perpetrating emotional and physical DRV; and (4) Conclusions: Future studies on DRV should consider a mixed-methods approach to explore the context in which DRV and risk behaviours interrelate. Results from this study indicate the possibility that prevention and intervention programmes in school settings that seek to develop healthy school environments and peer-to-peer relationships, could inadvertently reduce the occurrence of future DRV and associated risk behaviours.

Perpetration of Dating Violence Among Belgian Youth: Impulsivity, Verbal Skills, and Empathy as Risk and Protective Factors?

Dating violence (DV) is a serious social problem among adolescents and emerging adults, both boys and girls are victims and perpetrators. The current study aimed to investigate correlates of DV perpetration among Belgian youths. We examined facets of empathy and verbal skills as protective factors, and facets of impulsivity as risk factors for psychological and physical DV perpetration. Eight hundred and thirteen adolescents and emerging adults (71.7% females, mean age = 18.9) completed self-administered questionnaires investigating their physical and psychological DV perpetration, empathy, verbal skills, and impulsivity. Findings show that male and female respondents have different patterns of correlations between the studied variables. Facets of empathy and verbal skills hinder DV perpetration, whereas facets of impulsivity foster it. The impact of the different facets can vary across regression models, gender of the perpetrator, and forms of DV. The present study contributes to a better understanding of DV by examining facets of empathy, verbal skills, and impulsivity. Prevention programs are encouraged to target specific facets of these variables among adolescents and emerging adults.

Dating Violence Experiences among Youths with Same-gender and Multi-gender Dating Partners: A Dyadic Concordance Type Approach.

Dating violence (DV) among youth is widespread and is now established as a significant public health problem. Yet, few studies have assessed DV experiences among youth with same-gender or multi-gender dating partners, and most failed to consider bidirectional DV. We analyzed self-reported dyadic concordance types (DCTs) among 295 youths (52% girls) who dated same-gender and multi-gender partners in the last 12 months using an adapted version of the Conflict in Adolescent Dating Relationships Inventory. Youths were classified in one of three DCTs: self-only (unidirectional perpetration of DV by the participant), partner-only (unidirectional victimization perpetrated by their partner) or both (bidirectional DV, where partners are both perpetrators and victims of DV). Overall prevalence rates of DV among sexual minority youths (SMYs) range from 11.5% for threats, to 51.2% for psychological violence, with physical and sexual violence reported by about one-fourth of participants. The both DCT was the most common pattern for psychological (59.6%) and physical (50.6%) DV across gender, while most threatening behaviors were reported as perpetrated by the partner only (47.1%). Girls were more likely to report sexual DV as partner-only perpetrated (63.6%), whereas boys reported higher rates of both (44.2%) and self-only (34.9%) perpetrated sexual violence. Because healthy intimate relationships can play a supportive and positive role in transitioning toward adulthood, it is crucial that DV prevention becomes more inclusive of sexual and gender diversity.

Perceptions of Dating Violence: Assessment and Antecedents.

Challenging perceptions of violence is crucial to prevent dating violence (DV), because such perceptions intervene in the organization and interpretation of violent events. However, these perceptions have received limited attention. This likely reflects the lack of a psychometric tool to do so. The current study had two purposes: to develop a measure of perceptions of psychological, sexual, and physical DV, and to explore how vertical collectivism, through hostile sexism and violence myth acceptance, shapes perceptions of DV. A total of 491 college students (55.3% women; M = 20.76 years, SD = 1.77 years) completed measures of the vertical collectivism, hostile sexism, domestic violence myth acceptance, and perceptions of DV. The results of exploratory factor analyses revealed a 15-item single-factor measure of perceptions of DV as initial construct validity, which had satisfactory internal consistency. A gender difference emerged in perceptions of DV; college women perceived psychological, sexual, and physical DV as more serious compared with college men. Moreover, the association between vertical collectivism and perceptions of DV was serially mediated via hostile sexism and violence myth acceptance. The findings are discussed in terms of previous research and the need to address the role of vertical collectivism in sexism, myth acceptance, and perceptions of violence in prevention/intervention efforts to reduce vulnerability to DV perpetration and victimization. Several recommendations are outlined to facilitate future research.

State-level teen dating violence education laws and teen dating violence victimisation in the USA: a cross-sectional analysis of 36 states

BackgroundApproximately 10% of teens report experiencing sexual dating violence (SDV) or physical dating violence (PDV), collectively represented as teen dating violence (TDV). This study examines the association between laws incorporating...

An Examination of Dating Violence Among College Student-Athletes.

College students are at increased risk for dating violence (DV) perpetration and victimization. One group of college students who may be at elevated risk is college student-athletes. While levels of athletic involvement range from National Collegiate Athletic Association (NCAA) Division I to Division III, there is currently a lack of information about the dating and relationship behaviors of male and female Division III student-athletes. This study identified the frequency of both minor and severe physical, psychological, and sexual DV perpetration and victimization in a sample of NCAA Division III college student-athletes. We also examined hazardous drinking and hostile sexism as risk factors for DV perpetration and victimization among male and female student-athletes. A total of 350 student-athletes from a Division III university participated in this study. In total, 57% of student-athletes reported perpetrating some form of DV in the past year, while 56% reported experiencing some form of DV victimization in the past year. Two negative binomial generalized linear models assessed if hazardous drinking and hostile sexism were associated with sexual assault perpetration and victimization among men and women. Both hostile sexism and hazardous drinking were predictive of DV perpetration and victimization. These findings serve as an important first step in identifying behaviors that contribute to DV among Division III student-athletes and can be used to inform future prevention interventions aimed at decreasing DV among student-athletes.

Childhood physical abuse and physical dating violence in young adulthood: The mediating role of adverse mental health.

The purpose of this study was to examine whether adverse mental health (i.e., symptoms of anxiety, posttraumatic stress disorder, and depression) mediated the relation between childhood physical abuse (CPA) and physical dating violence (DV) victimization/perpetration in young adulthood. We used four waves of data from an ongoing longitudinal study. The sample consisted of 864 adolescents including 282 Hispanic Americans, 248 European Americans, 240 African Americans, and 94 other, with a mean age of 17 years at Wave 3. Structural equation modeling suggested that posttraumatic stress disorder symptoms mediated the link between CPA and both physical DV victimization (β = .06, 95% CI: 0.01, 0.11) and perpetration (β = .07, 95% CI: 0.02, 0.13). Anxiety and depressive symptoms, however, did not show significant indirect effects. Findings highlight the importance of interventions targeting posttraumatic stress symptoms for adolescents who experienced CPA in preventing physical DV in young adulthood.

Ten-Year Trends in Physical Dating Violence Victimization Among Adolescent Boys and Girls in British Columbia, Canada.

Physical dating violence (PDV) victimization among adolescents is a serious global problem. Although knowledge of trends in PDV victimization can help guide programming and health policies, little research has examined whether the prevalence of PDV victimization has increased, decreased, or remained stable over time among non-U.S.-based samples of youth. In addition, few studies have directly tested whether disparities in PDV victimization between boys and girls have narrowed, widened, or remained unchanged in recent years. To address these gaps, we used school-based data from the British Columbia Adolescent Health Survey (BC AHS) of 2003, 2008, and 2013 (n boys = 18,441 and n girls = 17,459) to examine 10-year trends in PDV victimization. We also tested whether trends differed across self-reported sex. Data from the 2003 to 2013 BC AHS revealed that recent PDV victimization rates had significantly decreased among youth overall (5.9%-5.0%) and boys (8.0%-5.8%), but not girls (5.3%-4.2%). Although boys had steeper declines than girls in PDV victimization rates, year-by-sex interactions indicate that the sex gap in PDV victimization had not significantly narrowed. Moreover, rates of PDV victimization over the 10-year period indicated significantly higher rates of PDV victimization among boys compared with girls. Despite positive declines in recent rates of PDV victimization among youth, important differences in rates of PDV victimization between boys and girls remain. These findings underscore the need for greater attention to sex differences in research and programming and health policies to reduce PDV victimization and the sex disparities therein.

Exploration of Dating Violence and Related Attitudes Among Adolescents and Emerging Adults.

Young people's romantic relationships can be marked with various forms of dating violence (DV). However, adolescents and emerging adults do not necessarily acknowledge this violence because of their attitudes toward dating violence. Our study aims to study dating violence and attitudes toward this phenomenon through two well-established questionnaires administered jointly in their entirety. Indeed, too many studies report results on some dimensions and items, neglecting the richness of available tools. The Conflict in Adolescent Dating Relationship Inventory and the Attitudes Toward Dating Violence Scale were self-administered to 1,014 participants (M age = 18.9) attending secondary schools or a regional college. They reported the frequency of their dating violence perpetration and victimization, and their attitudes toward dating violence. Results show that relational and sexual violence perpetration rates are higher for males, physical violence perpetration rate is higher for females, and relational violence victimization is higher for males. MANCOVAs not only show the same trends for scores but also underline more frequent emotional violence perpetrated by females, physical victimization for males, and sexual victimization for females. Males show higher tolerance toward every form of dating violence; younger participants are also more tolerant. Participants are more tolerant toward male-perpetrated psychological DV than female-perpetrated ones, and more tolerant toward female-perpetrated physical and sexual DV compared with male-perpetrated physical and sexual DV. There are patterns of multiperpetration, multivictimization, bidirectionality, and multi(in)tolerance. Our paper contributes to the symmetry debate, a better understanding of the link between attitudes and violent behaviors, a further step on gendered attitudes regarding who perpetrates and who sustains.

Project Date SMART: a Dating Violence (DV) and Sexual Risk Prevention Program for Adolescent Girls with Prior DV Exposure.

Clinical Trials, NCT01326195, and http://www.clinicaltrials.gov.

Adolescent Dating Violence and Nonmedical Prescription Drug Use.

* Abbreviations: DV — : dating violence NMUPD — : nonmedical use of prescription drugs In this issue of Pediatrics , Clayton et al1 report on the associations between adolescent dating violence (DV) victimization and the nonmedical use of prescription drugs (NMUPD) using the Youth Risk Behavior Surveillance System. Given our national focus on the opioid epidemic, studies on associations of NMUPD with other health risk exposures among adolescents, such as DV victimization, are timely. Because most researchers conducting studies on NMUPD among adolescents have relied on emergency department samples or limited geographic areas, researchers conducting a study using nationally representative data to estimate prevalence ratios add needed perspective. With a sample of 10 443 male- and female-identified US high school students who had dated in the past 12 months, Clayton et al1 provide sex-stratified analyses revealing that experiencing both physical and sexual DV victimization is associated with NMUPD for both sex categories. Stratifying by sex category identifies some subtle but important differences. Among boys, there is an association of lifetime NMUPD with sexual violence victimization, whereas among girls, lifetime NMUPD is associated with physical DV victimization. Among girls, NMUPD is associated with a higher frequency of sexual violence victimization … Address correspondence to Elizabeth Miller, MD, PhD, Division of Adolescent and Young Adult Medicine, Oakland Medical Building, 3420 Fifth Ave, Pittsburgh, PA 15213. E-mail: elizabeth.miller{at}chp.edu