Details

Autor(en) / Beteiligte

• Olsson, Petter
• Wiktorsson, Stefan
• Strömsten, Lotta M. J
• Salander Renberg, Ellinor
• Runeson, Bo
• Waern, Margda

Titel

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

Ist Teil von

• BMC psychiatry, 2022-06, Vol.22 (1), p.1-428, Article 428

Ort / Verlag

London: BioMed Central Ltd

Erscheinungsjahr

2022

Quelle

Electronic Journals Library

Beschreibungen/Notizen

• 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.