Suicidal ideation in adult ADHD: Gender difference with a specific psychopathological profile

Kakuszi, Brigitta; Bitter, István; Czobor, Pál

doi:10.1016/j.comppsych.2018.06.003

Cited by 13 publications

(21 citation statements)

References 41 publications

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“…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%

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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: Resultsmentioning

confidence: 99%

“…Kakuszi et al . investigated the role of gender differences in the association between ADHD and SI in 206 participants [ 32 ]. Females with ADHD were found to have a significantly higher likelihood of SI than males with ADHD (OR 25.0 vs OR 2.90).…”

Section: Resultsmentioning

confidence: 99%

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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“…Rates of suicidal ideation are also significantly higher in females with ADHD than in those without. Suicidal ideation in females was significantly associated with 'problems with self-concept' 21 , which highlights the need for careful assessment of internalized symptoms that are often difficult to recognize, especially in females. Further studies evaluating the interaction between gender and co-morbidities in adults with ADHD are warranted.…”

Section: Female Gender Predicted Poor Hrqolmentioning

confidence: 99%

Commentary: Health-Related Quality of Life and Burden of Illness in Adults with Newly Diagnosed Attention-Deficit/Hyperactivity Disorder in Sweden

Ahnemark¹

2018

J Mental Health & Clin Psychology

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“…There is evidence of a positive association between ADHD and suicidality [24][25][26][27][28], especially in female patients [29]. For example, a large register-based population study from Sweden [30] revealed a greater increase in females than in males in the risk of suicide attempts among ADHD patients compared to the matched controls from the general population.…”

Section: Introductionmentioning

confidence: 99%

The Characteristics of Mood Polarity, Temperament, and Suicide Risk in Adult ADHD

Giupponi

Innamorati

Rogante

et al. 2020

IJERPH

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The present study was designed to shed light on a topic rarely explored and to suggest possible ways to detect risk factors for the presence of suicidal ideation and behaviors in a sample of adult patients with Attention-Deficit Hyperactivity Disorder (ADHD). This study also explored the association between ADHD, affective temperaments, the presence of hypomania symptoms, and suicide risk. We hypothesized that (compared to healthy controls) (1) patients with adult ADHD would report more negative affective temperaments and more hypomania symptoms and (2) that they would have a higher suicide risk. The participants included 63 consecutive adult inpatients (18 women, 45 men) with ADHD and 69 healthy controls (42 women, 22 men). All participants were administered the Wender Utah Rating Scale (WURS), the Hypomania Check-List-32 (HCL-32), the Mood Disorder Questionnaire (MDQ), the Temperament Evaluation for Memphis, Pisa, Paris, and San Diego (TEMPS-A), and the Columbia-Suicide Severity Rating Scale (C-SSRS). Forty-six percent of the ADHD patients had an Axis 1 comorbid disorder. ADHD patients (compared to controls) more often reported suicidal ideation (46.0% vs. 5.9%, one-way Fisher exact test p < 0.001; phi = 0.46). ADHD patients and the controls also significantly differed in all the scales administered (with Cohen’s d between 0.92–4.70), except for the TEMPS-A Hyperthymia scale. A regression model indicated that ADHD was independently associated with higher scores of a negative temperaments/hypomania factor (Odd Ratio = 14.60) but not with suicidal ideation. A high incidence of suicidal ideation, comorbid psychiatric disorders, and negative affective temperaments was reported in adult ADHD patients, and clinicians should routinely assess risk factors for suicide among these patients.

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Suicidal ideation in adult ADHD: Gender difference with a specific psychopathological profile

Cited by 13 publications

References 41 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

Commentary: Health-Related Quality of Life and Burden of Illness in Adults with Newly Diagnosed Attention-Deficit/Hyperactivity Disorder in Sweden

The Characteristics of Mood Polarity, Temperament, and Suicide Risk in Adult ADHD

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