Attention deficit hyperactivity disorder in adults who present with self-harm: a comparative 6-month follow-up study

BMC Psychiatry

Bo Runeson¹  Ellinor Salander Renberg²  Stefan Wiktorsson³  Margda Waern³  Petter Olsson³  Lotta M. J. Strömsten⁴ 

[1] Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institute and Stockholm Health Care Services, Region Stockholm;Department of Clinical Sciences, Psychiatry, Umeå University;Department of Psychiatry and Neurochemistry, University of Gothenburg;Department of Psychology, Umeå University;

关键词: ADHD;    Suicide;    Attempt;    Adults;   

DOI  :  10.1186/s12888-022-04057-0

来源: DOAJ

【 摘 要 】

Abstract Background ADHD is common in psychiatric populations. This study aimed to compare clinical characteristics in adults with and without ADHD who presented with self-harm, and to compare later risk of suicidal behaviour within 6 months. Methods Eight hundred four adults presented with self-harm (with and without suicidal intent) at psychiatric emergency services at three Swedish hospitals. Persons with a discharge ICD-10 diagnosis F90.0-F90.9 or a prescription for ADHD medication were considered to have ADHD (n = 93). Medical records were reviewed for evidence of subsequent suicide attempts (SA) within 6 months; suicides were identified by national register. Results Recent relationship problems were more prevalent in the ADHD group. While the index episodes of those with ADHD were more often non-suicidal, and actual SAs more often rated as impulsive, medical lethality at presentation did not differ in attempters with and without ADHD. Subsequent SAs (fatal or non-fatal) were observed in 29% of the ADHD group and 20% in all others (P = .005). A logistic regression model showed elevated risk of suicidal behaviour during follow-up in the ADHD group (OR = 1.70, CI 1.05–2.76), although a final regression model suggested that this association was partly explained by age and comorbid emotionally unstable personality disorder. Conclusions Findings highlight the need for clinicians to take self-harm seriously in adults with ADHD.

【 授权许可】

Unknown