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Long-term suicide risk of children and adolescents with attention deficit and hyperactivity disorder – a systematic review

Published online by Cambridge University Press:  01 September 2022

P. Garas  and
J. Balazs
P. Garas*
Affiliation:
Semmelweis University, Mental Health Sciences School Of Ph.d. Studies, Budapest, Hungary
J. Balazs
Affiliation:
Eotvos Lorant University, Developmental And Clinical Child Psychology, Budapest, Hungary Bjørknes University College, -, Oslo, Norway
*
*Corresponding author.

Abstract

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Introduction

Several studies showed the high suicide risk of patients with attention deficit and hyperactivity disorder (ADHD), however most of these studies had cross-sectional design.

Objectives

The aim of the current study was to review systematically those studies which investigated the suicide risk among ADHD patients with longitudinal design.

Methods

The systematic search was made on OVID Medline, PsychInfo, PubMed, Scopus, and Web of Science. The search terms were (ADHD OR attention deficit hyperactivity disorder) AND (suicide OR suicidal OR suicidality) AND (follow-up OR longitudinal study OR prospective study). Inclusion criteria were: written in English; participants under 18 years at the baseline; longitudinal, prospective studies; ADHD population at the baseline and at the follow-up; suicide behavior as primary outcome. Exclusion criteria were: the study did not contain empirical data, and reviews/meta-analyses and studies which aimed to investigate the drug treatment efficacy of ADHD.

Results

18 papers were included in the systematic review. 10 articles were published in the last 5 years. 9 studies enrolled children aged under 12 at baseline. The follow-up periods varied between 2 and 17 years. 17 studies found a significant positive association between ADHD diagnosis at baseline and the future suicidal behavior and/or attempts at the follow-up. The affective comorbidity showed an association with the future suicide risk.

Conclusions

These results highlight the importance of screening suicidality in patient with ADHD and consider it during treatment. Further studies are needed to clarify the role of the treatment and comorbidities of ADHD in the increased suicide risk.

Disclosure

No significant relationships.

Keywords

ADHDsuicidalityreviewchildren
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S324 - S325
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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