Article

Does Attention Deficit Hyperactivity Disorder increase the risk of suicide attempts?

New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA.
Journal of Affective Disorders (Impact Factor: 3.71). 06/2011; 133(3):595-9. DOI: 10.1016/j.jad.2011.05.008
Source: PubMed

ABSTRACT To determine if Attention Deficit Hyperactivity Disorder (ADHD) is a risk factor for suicide attempts.
Data were drawn from the National Comorbidity Replication Survey (NCS-R), a nationally representative sample of adults (N=8098).
Of the 365 adults with current ADHD, 16% attempted suicide. After controlling for the presence of comorbid disorders, logistic regression analyses revealed that the ADHD was not a not a strong predictor of suicide attempts; having one or more comorbid disorders was associated with fourfold to twelvefold elevated risk.
The small sample size of respondents with ADHD who attempted suicide significantly reduced the probability of determining which specific comorbid disorders were correlated with parasuicide.
Early treatment of ADHD and comorbidity may reduce the risk of suicide attempts and improve its prognosis.

0 Followers
 · 
92 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Reviews salient emerging themes in the scientific literature related to identifying etiology and pathophysiology of ADHD. While bypassing the need for new treatment research, the review highlights three themes. First, recognition of the epigenetic effects is expected to revitalize the search for and mapping of early environmental influences on the development of ADHD. Second, neurobiological findings will have limited impact if not examined in the context of significant race and cultural variation in ADHD-related developmental processes, and in the context of rapidly changing social and technological contexts of children's development worldwide. Third, further examination of the phenotype and characterization of its dimensional and categorical structure remains a major need. Overall, the coming decades of etiology research on ADHD will be expected to capitalize on new scientific tools. The hope in the field is that new insights into fundamental prevention can emerge.
    Journal of Clinical Child & Adolescent Psychology 05/2012; 41(4):524-33. DOI:10.1080/15374416.2012.686870 · 1.92 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Attention-deficit/hyperactivity disorder (ADHD) is defined by extreme levels of inattention-disorganization and/or hyperactivity-impulsivity. In DSM-IV, the diagnostic criteria required impairment in social, academic, or occupational functioning. With DSM-5 publication imminent in 2013, further evaluation of impairment in ADHD is timely. This article reviews the current state of knowledge on health-related impairments of ADHD, including smoking, drug abuse, accidental injury, sleep, obesity, hypertension, diabetes, and suicidal behavior. It concludes by suggesting the need for new avenues of research on mechanisms of association and the potential for ADHD to be an early warning sign for secondary prevention of some poor health outcomes.
    Clinical psychology review 12/2012; 33(2):215-228. DOI:10.1016/j.cpr.2012.11.005 · 7.18 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background:  Medication is an important element of therapeutic strategies for ADHD. While medications for ADHD are generally well-tolerated, there are common, although less severe, as well as rare but severe AEs during treatment with ADHD drugs. The aim of this review is to provide evidence- and expert-based guidance concerning the management of adverse events (AEs) with medications for ADHD. Methods:  For ease of use by practitioners and clinicians, the article is organized in a simple question and answer format regarding the prevalence and management of the most common AEs. Answers were based on empirical evidence from studies (preferably meta-analyses or systematic reviews) retrieved in PubMed, Ovid, EMBASE and Web of Knowledge through 30 June 2012. When no empirical evidence was available, expert consensus of the members of the European ADHD Guidelines Group is provided. The evidence-level of the management recommendations was based on the SIGN grading system. Results:  The review covers monitoring and management strategies of loss of appetite and growth delay, cardiovascular risks, sleep disturbance, tics, substance misuse/abuse, seizures, suicidal thoughts/behaviours and psychotic symptoms. Conclusion:  Most AEs during treatment with drugs for ADHD are manageable and most of the times it is not necessary to stop medication, so that patients with ADHD may continue to benefit from the effectiveness of pharmacological treatment.
    Journal of Child Psychology and Psychiatry 01/2013; 54(3). DOI:10.1111/jcpp.12036 · 5.67 Impact Factor

Preview

Download
4 Downloads
Available from