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While it's possible that dating violence could cause thoughts of suicide, it's also possible that children who are depressed are more likely than others to fall into abusive relationships, says Adiaha Spinks-Franklin,​ a developmental and behavioral pediatrician at Texas Children's Hospital in Houston who was not involved in the new study.Assaults by romantic partners often aren't isolated events.60% say that psychological abuse has occurred in their relationships.According to teens themselves in a 2009 survey: How do you know what to do when someone confides in you?

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Ten percent of high school boys also report having been physically or sexually assaulted by a dating partner, about the same rate reported in earlier surveys, according to a study led by the Centers for Disease Control and Prevention published today in JAMA Pediatrics.Many teens reported being assaulted multiple times, according to the study, based on the CDC's Youth Behavior Risk Surveillance System using questionnaires answered by more than 13,000 high school students."If there is violence once, there is likely to be violence again," Spinks-Franklin says."It has to be taken very seriously."Spinks-Franklin say she has seen violence even among relationships between 10- and 11-year-olds."If a parent is concerned that a child is in an unhealthy relationship, they need to address it, but do it in a way that doesn't make the child shut down," she says.In order to get that power and control, most teen abusers start out very slyly using the various tactics - or spokes - of the wheel, but usually increase their use of them over time.These include anger/emotional abuse, using social status, intimidation, minimize/deny/blame, threats, sexual coercion, isolation/exclusion and peer pressure.

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