Psychopathologic Profiles and Clusters in Tertiary Clinic Referred Patients with Adult Attention Deficit Hyperactivity Disorder: A Person-Centered Analysis

Oh, Yunhye; Park, Hyewon; Kim, Seonwoo; Kim, Hye Seung; Joung, Yoo Sook; Hong, Kyung Sue; Baek, Ji Hyun

doi:10.30773/pi.2020.0331

Cited by 3 publications

(6 citation statements)

References 49 publications

(77 reference statements)

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“…The importance of ADHD-C as a risk factor of SSBs was confirmed by most studies investigating subtypes of ADHD [ 34 , 35 , 37 , 44 , 47 , 49 ]. This could reflect the importance of problems related to the symptom cluster of hyperactivity, inattention, and impulsivity.…”

Section: Discussionmentioning

confidence: 84%

“…Since SSBs are a broad concept, several studies have investigated more than one aspect of SSBs. This accounts for 14 of the studies included in the review [ 23 , 26 , 28 , 29 , 34 , 35 , 37 – 39 , 43 – 46 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…SA or acts are the most common behavior investigated. We identified 12 studies that investigated SI or thoughts as one of their outcomes [ 23 , 26 , 28 , 31 , 32 , 34 , 35 , 38 , 39 , 41 , 43 , 45 ], while 11 studies focused on aspects of self-injurious behavior [ 28 , 29 , 33 , 34 , 37 , 43 – 46 , 49 , 52 ] (Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Suicidal ideation Oh et al compared the prevalence of SI in individuals with predominantly inattentive presentation (ADHD-I) and those with a combined inattentive and hyperactive/impulsive presentation (ADHD-C) [35]. They showed that level of emotional symptoms in participants with ADHD-C was associated with an increased frequency of recurrent thoughts and SI (adjusted OR 22.57, 95%CI [5.04-100.99], p < 0.001) [35].…”

Section: Adhd Related Characteristics Adhd Presentationsmentioning

confidence: 99%

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Risk factors of suicidal spectrum behaviors in adults and adolescents with attention-deficit / hyperactivity disorder – a systematic review

Austgulen,

Skram,

Haavik

et al. 2023

BMC Psychiatry

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Introduction Adolescents and adults with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of suicidal spectrum behaviors (SSBs). However, there is limited knowledge about risk factors triggering SSBs in this group of people. Objective To explore published literature concerning factors that may increase the risk of SSBs in adults and adolescents with ADHD. Methods A systematic literature search following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted on 22nd of February 2022 using the Ovid MEDLINE and Web of Science databases. Three categories of search terms were used: (1) self-harm, self-injury, self-mutilation, suicide, self-poisoning; (2) adults, adolescents; and (3) attention-deficit hyperactivity disorder/ADHD. Studies with data concerning mediating factors of SSBs in relation to a clinical diagnosis of ADHD in participants above 16 years of age were included. Results The literature search identified 604 articles, of which 40 were included in the final study selection. Factors found to increase the likelihood of SSBs included ADHD symptom severity and persistence, female gender, family history of ADHD, childhood and parental influences, and social functioning. Even when adjusting for psychiatric comorbidities, most studies showed that adults and adolescents with ADHD have an elevated risk of SSBs. Conclusion This systematic review has documented that several demographic and clinical features are associated with an increased risk of SSBs in adolescents and adults with ADHD. Notably, ADHD emerges as an independent risk factor for SSBs. This information ought to have clinical implications in terms of screening and suicide prevention strategies. Further longitudinal studies are needed to investigate the outcome of preventive strategies in individuals along the full spectrum of ADHD symptom severity.

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Section: Discussionmentioning

confidence: 84%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Adhd Related Characteristics Adhd Presentationsmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors of suicidal spectrum behaviors in adults and adolescents with attention-deficit / hyperactivity disorder – a systematic review

Austgulen,

Skram,

Haavik

et al. 2023

BMC Psychiatry

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“…Taking into account that ADHD subtypes can change over time, the research focused on examining the relationship between ADHD symptom severity and SSBs and revealed the combined subtype as the higher risk factor for self-harm behaviors [ 54 ], suicidal ideation [ 54 , 55 ], and suicide attempt [ 48 ]. In terms of symptom severity, both inattention and hyperactivity/impulsivity symptom severity scores represent childhood predictors of NSSI and SA [ 54 ], supporting the hypothesis that overall ADHD symptom severity is an important factor in relation to SSBs.…”

Section: Suicide In the Nddmentioning

confidence: 99%

Neurodevelopmental Disorders and Suicide: A Narrative Review

Gagliano,

Costanza,

Di Modica

et al. 2024

JCM

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Specific risk factors for self-harm and suicide in children and adolescents with neurodevelopmental disorders (NDD) may differ from those in the general population within this age range. In the present review paper, we conducted a narrative analysis of the literature, aiming to establish a connection between suicide and affective disorders in children and adolescents with NDD. Emotion dysregulation (ED) as an individual factor and adverse childhood experiences (ACE) as environmental factors are discussed as risk factors for suicidality in all individuals with NDD. We propose a theoretical model in which ED and ACE can directly lead to self-harm or suicide, directly or indirectly by interacting with depressive spectrum disorders. Additionally, we suggest that specific risk factors are more frequently associated with each of the neurodevelopmental disorders listed in the DSM-V. This review underlines the key points useful to improve the knowledge of the trajectory leading to suicide risk in NDDs with the purpose to facilitate the early identification of the suicide risk.

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Deliberate self-harm in adolescents screening positive for attention-deficit / hyperactivity disorder: a population-based study

Austgulen,

Posserud,

Hysing

et al. 2024

BMC Psychiatry

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Background Adolescents with attention-deficit / hyperactivity disorder (ADHD) have an increased risk of self-harm. The risk of self-harm among adolescents who display an elevated level of ADHD symptoms, but without a formal diagnosis, is not well-studied and understood. Objective To investigate the relationship between self-reported symptoms of ADHD and self-harm in a population-based sample of adolescents. Methods Adolescents in the population-based youth@hordaland study were invited to complete the Adult ADHD Self-Report Scale (ASRS) and the Short Mood and Feelings Questionnaire (SMFQ). They were asked whether they ever deliberately have taken an overdose or tried to harm themselves on purpose, once or multiple times, defined according to the code used in the Child and Adolescent Self-harm in Europe (CASE) Study. Adolescents reporting severe problems on ≥ four of six selected items on the ASRS-v 1.1 screener were defined as ADHD-screen positive (ADHD-SC+), and the remaining sample as ADHD-screen negative (ADHD-SC-). SMFQ score ≥ 12 was used to define a high level of depressive symptoms. Results A total of 9692 adolescents (mean age 17.4 years, 53.1% females) participated in the study, of which 2390 (24.7%) screened positive on the ASRS. ADHD-SC+ adolescents engaged in self-harm more often than the ADHD-SC- group (14.6% vs. 5.4%, OR = 3.02, 95%CI [2.57–3.24]). This remained significant after adjustment for demographic variables, SMFQ score ≥ 12, symptoms of conduct disorder and familial history of self-harm and suicide attempts (OR = 1.58, 95%CI [1.31–1.89]). They were also more likely to report an overdose as their method of self-harm (OR = 1.52, 95%CI [1.05–2.23]). Within the ADHD-SC+ group female sex, high levels of inattention and hyperactivity/impulsivity symptoms, SMFQ score ≥ 12, symptoms indicating conduct disorder and familial history of self-harm and suicide attempts increased the likelihood of engaging in deliberate self-harm. Conclusion Adolescents who screened positive for ADHD had increased risk of engaging in self-harm. Clinicians should consider the increased risk of such engagement in adolescents who present with high level of ADHD symptoms, even in the absence of a clinical ADHD diagnosis.

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Psychopathologic Profiles and Clusters in Tertiary Clinic Referred Patients with Adult Attention Deficit Hyperactivity Disorder: A Person-Centered Analysis

Cited by 3 publications

References 49 publications

Risk factors of suicidal spectrum behaviors in adults and adolescents with attention-deficit / hyperactivity disorder – a systematic review

Risk factors of suicidal spectrum behaviors in adults and adolescents with attention-deficit / hyperactivity disorder – a systematic review

Neurodevelopmental Disorders and Suicide: A Narrative Review

Deliberate self-harm in adolescents screening positive for attention-deficit / hyperactivity disorder: a population-based study

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