COIOS
Behavioural science Item new peer-reviewed

1 in 4 Black US students left a suicide-injury survey item blank, against 1 in 10 white

Across 163,489 US high school students surveyed between 2001 and 2021, 11.1% left the suicide-attempt item blank and 13.9% the injury item, with injury missingness averaging 25.8% among Black adolescents against 9.7% among white adolescents.

The study measured non-response to four suicide-related items in the US Youth Risk Behavior Survey from 2001 to 2021, covering 163,489 high school students. Ideation and plan items were almost always answered (under 2% missing), but the attempt (11.1%) and injury (13.9%) items were not, and injury missingness rose by 2.99% a year on average and by 6.49% a year from 2011 to 2021. Missingness was concentrated among Black (25.8% for injury), American Indian and Alaska Native (19.4%) and Hispanic (16.9%) adolescents, against 9.7% among white adolescents.

Why it is interesting: Subgroup comparisons in the main US adolescent suicide surveillance series rest on items that a rising and unevenly distributed share of respondents leave blank.

Source
Public Health, 17 September 2026
DOI
10.1016/j.puhe.2026.106497
Type
Peer-reviewed article
Design
Trend analysis of repeated cross-sectional national surveys, Youth Risk Behavior Survey 2001-2021, N = 163,489 US high school students
Verdict
New finding
Driver
Alcohol, drugs and suicide