The incident happened at 10:20 p.m. on Route 683, one tenth of a mile north of Route 859.
A 2001 Dodge Dakota was driving with two male high school students in the bed of the pick-up truck.
The pick-up was driven by Trinity L. Davis, 18, of Martinsville, Va., one of the males fell from the back of the vehicle onto the roadway. The male was identified as Logan Smith, 18, of Martinsville, Va. Mr. Smith died at the scene.
The other male juvenile in the rear of the vehicle was not injured.
The incident remains under investigation.