Do Attention Deficit/Hyperactivity Disorder and Oppositional Defiant Disorder Influence Preschool Unintentional Injury Risk?
Open accessAbstract
Purpose This study explores the relationship among preschool attention deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), injury-risk-taking behavior, and unintentional injury.Method An emergency department (ED) casecontrol study of parent-reported child behavior was conducted.Findings Children with ODD and ADHD had significantly more injury-risk-taking behaviors (odds ratio [OR] = 7.68, 95% confidence interval [CI] 2.25-26.25; OR = 4.87, 95% CI 1.17--20.28, respectively), and injured children had a 17-fold increase in high-risk-taking behaviors (OR 17.2, 95% CI 2.14--138.0). No significant association existed between ODD or ADHD and ED-treated unintentional injury.Implications Disruptive behavior disorders are not major contributors to ED-treated unintentional injury in preschool children.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
ADHD prospectively predicted risky driving, sexual behavior, gambling, and unintentional injury.
“ADHD also prospectively predicted risky driving, sexual behavior, gambling, and unintentional injury (Breyer et al. 2009; Flory et al. 2006; Garzon et al. 2008; Thompson et al. 2007).”
From Risk taking and sensitivity to punishment in children with ADHD, ODD, ADHD+ODD, and controls (2011) · cites this paper as Garzon et al. 2008
ODD predicts risk taking in children.
“Our findings support previous research that ODD predicts risk taking (Garzon et al. 2008; Schwebel et al. 2002)”
From Risk taking and sensitivity to punishment in children with ADHD, ODD, ADHD+ODD, and controls (2011) · cites this paper as Garzon et al. 2008
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,767 · see citing works
Methods in observational epidemiology
Leck, I. M. (1987) · Journal of Epidemiology & Community Health · doi:10.1136/jech.41.3.263-a · Cited by 1,309 · see citing works
Methods in Observational Epidemiology
Kelsey, J. L. (1986) · Cited by 1,308 · see citing works
Leibson, C. L. (2001) · JAMA · doi:10.1001/jama.285.1.60 · Cited by 397 · see citing works
Injuries to children with attention deficit hyperactivity disorder
DiScala, C., Lescohier, I., Barthel, M., & Li, G. (1998) · PEDIATRICS · doi:10.1542/peds.102.6.1415 · Cited by 305 · see citing works
Surveillance for Fatal and Nonfatal Injuries--United States, 2001
Vyrostek, S. B., Annest, J. L., & Ryan, G. W. (2004) · PsycEXTRA Dataset · doi:10.1037/e307172005-001 · Cited by 267 · see citing works
Cornish, K. M., Manly, T., Savage, R., Swanson, J., Morisano, D., Butler, N., Grant, C., Cross, G., Bentley, L., & Hollis, C. P. (2005) · Molecular Psychiatry · doi:10.1038/sj.mp.4001641 · Cited by 220 · see citing works
Childhood Psychiatric Disorder and Unintentional Injury: Findings from a National Cohort Study
Rowe, R. (2004) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsh015 · Cited by 212 · see citing works
Understanding Toddlers' In-Home Injuries: I. Context, Correlates, and Determinants
Morrongiello, B. A. (2004) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsh046 · Cited by 211 · see citing works
Guevara, J. P., Lozano, P., Wickizer, T. M., Mell, L. K., & Gephart, H. R. (2001) · PEDIATRICS · doi:10.1542/peds.108.1.71 · Cited by 200 · see citing works
Patterns of Injury in Children: A Population-Based Approach
Spady, D. W., Saunders, D., Schopflocher, D., & Svenson, L. W. (2004) · PEDIATRICS · doi:10.1542/peds.113.3.522 · Cited by 186 · see citing works
Patterns of injury in children
Peclet, M. H., Newman, K. D., Eichelberger, M. R., Gotschall, C. S., Guzzetta, P. C., Anderson, K. D., Garcia, V. F., Randolph, J. G., & BOWMAN, L. M. (1990) · Journal of Pediatric Surgery · doi:10.1016/s0022-3468(05)80169-1 · Cited by 166 · see citing works
Morrongiello, B. A., & House, K. (2004) · Injury Prevention · doi:10.1136/ip.2003.003459 · Cited by 152 · see citing works
Morrongiello, B. A., & Dawber, T. (1998) · Journal of Applied Developmental Psychology · doi:10.1016/s0193-3973(99)80059-8 · Cited by 131 · see citing works
Assessment of Injury Risk in Young Children: A Preliminary Study of the Injury Behavior Checklist
Speltz, M. L., Gonzales, N. A., Sulzbacher, S. I., & Quan, L. (1990) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/15.3.373 · Cited by 123 · see citing works
Unintentional Injury in Preschool Boys With and Without Early Onset of Disruptive Behavior
Schwebel, D. C. (2002) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/27.8.727 · Cited by 120 · see citing works
Injury risk factors in children with attention deficit hyperactivity disorder.
Farmer, J. E., & Peterson, L. (1995) · Health Psychology · doi:10.1037/0278-6133.14.4.325 · Cited by 114 · see citing works
Don't Run With Scissors: Young Children's Knowledge of Home Safety Rules
Morrongiello, B. A. (2001) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/26.2.105 · Cited by 114 · see citing works
Gender differences in children's outdoor play injuries: A review and an integration
Rosen, B. N., & Peterson, L. (1990) · Clinical Psychology Review · doi:10.1016/0272-7358(90)90057-h · Cited by 112 · see citing works
Are There Injury-Prone Children? A Critical Review of the Literature
Wazana, A. D. (1997) · The Canadian Journal of Psychiatry · doi:10.1177/070674379704200606 · Cited by 88 · see citing works
Quinlan, K. P., Thompson, M. P., Annest, J. L., Peddicord, J. P., Ryan, G. W., Kessler, E., & McDonald, A. K. (1999) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(99)70166-6 · Cited by 83 · see citing works
Childhood Risk Taking and Injury: Self-Report and Informant Measures
Potts, R., Martinez, I. G., & Dedmon, A. (1995) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/20.1.5 · Cited by 79 · see citing works
Mothers' Anticipation and Prevention of Unintentional Injury to Young Children in the Home
Gärling, A., & Gärling, T. (1995) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/20.1.23 · Cited by 73 · see citing works
Differential ranking of causes of fatal versus non-fatal injuries among US children
Ballesteros, M. F., Schieber, R. A., Gilchrist, J., Holmgreen, P., & Annest, J. L. (2003) · Injury Prevention · doi:10.1136/ip.9.2.173 · Cited by 70 · see citing works
Risk for Injury in Preschoolers: Relationship to Attention Deficit Hyperactivity Disorder
Byrne, J. M., Bawden, H. N., Beattie, T. L., & DeWolfe, N. A. (2003) · Child Neuropsychology · doi:10.1076/chin.9.2.142.14501 · Cited by 68 · see citing works
Anderson, R. N., Miniño, A., Fingerhut, L. A., Warner, M., & Heinen, M. (2004) · PubMed · Cited by 64 · see citing works
Medical Expenditures Attributable to Injuries—United States, 2000
(2004) · JAMA · doi:10.1001/jama.291.7.817 · Cited by 53 · see citing works
Peterson, L., Mori, L. T., & Scissors, C. (1986) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/11.2.177 · Cited by 49 · see citing works
Bijttebier, P., Vertommen, H., & Florentie, K. (2003) · Psychology and Health · doi:10.1080/0887044031000094831 · Cited by 30 · see citing works
Risk taking in young hispanic children
Kennedy, C., & Rodriguez, D. A. (1999) · Journal of Pediatric Health Care · doi:10.1016/s0891-5245(99)90074-3 · Cited by 13 · see citing works
Risk-taking in preschool children
Kennedy, C., & Lipsitt, L. P. (1998) · Journal of Pediatric Nursing · doi:10.1016/s0882-5963(98)80034-1 · Cited by 12 · see citing works
Psychopathology and behavioural trends of children with accidental poisoning
Katrivanou, A., Lekka, N. P., & Beratis, S. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00544-0 · Cited by 10 · see citing works
Flagged first, then by citations
3 of the 37 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Attention-deficit/hyperactivity disorder and adverse health outcomes
Nigg, J. T. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.11.005 · Cited by 436 · see citing works
Early-Life Exposure to Polycyclic Aromatic Hydrocarbons and ADHD Behavior Problems
Perera, F. P., Chang, H.-W., Tang, D. L., Roen, E. L., Herbstman, J. B., Margolis, A. E., Huang, T.-J., Miller, R. L., Wang, S., & Rauh, V. (2014) · PLoS ONE · doi:10.1371/journal.pone.0111670 · Cited by 165 · see citing works
Risk taking and sensitivity to punishment in children with ADHD, ODD, ADHD+ODD, and controls
Humphreys, K. L., & Lee, S. S. (2011) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-011-9237-6 · Cited by 94 · see citing works
Stressful Life Events, ADHD Symptoms, and Brain Structure in Early Adolescence
Humphreys, K., Watts, E. L., Dennis, E., King, L. S., Thompson, P., & Gotlib, I. (2018) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-018-0443-5 · Cited by 61 · see citing works
Attention deficit/hyperactivity disorder and risk of injuries: a systematic review and meta-analysis
Amiri, S., Sadeghi‐Bazargani, H., Nazari, S., Ranjbar, F., & Abdi, S. (2016) · Journal of Injury and Violence Research · doi:10.5249/jivr.v9i2.858 · Cited by 51 · see citing works
Young children with ADHD: Early identification and intervention.
DuPaul, G. J., & Kern, L. (2011) · American Psychological Association eBooks · doi:10.1037/12311-000 · Cited by 50 · see citing works
Weevil x Insecticide: Does ‘Personality’ Matter?
Morales, J. A., Cardoso, D. G., Lúcia, T. M. C. D., & Guedes, R. N. C. (2013) · PLoS ONE · doi:10.1371/journal.pone.0067283 · Cited by 50 · see citing works
Accident Proneness in Children and Adolescents Affected by ADHD and the Impact of Medication
Lange, H., Buse, J., Bender, S., Siegert, J., Knopf, H. C., & Roessner, V. (2014) · Journal of Attention Disorders · doi:10.1177/1087054713518237 · Cited by 49 · see citing works
Keyes, K. M., Susser, E., Pilowsky, D. J., Hamilton, A. D., Bitfoi, A., Goelitz, D., Kuijpers, R., Lesinskienė, S., Mihova, Z., Otten, R., et al. (2014) · Preventive Medicine · doi:10.1016/j.ypmed.2014.07.030 · Cited by 41 · see citing works
The Association Between Hospital-Treated Injuries and ADHD Symptoms in Childhood and Adolescence
Hurtig, T. M., Ebeling, H. E., Jokelainen, J. J., Koivumaa-Honkanen, H. T., & Taanila, A. M. (2013) · Journal of Attention Disorders · doi:10.1177/1087054713486699 · Cited by 35 · see citing works
A systematic review of socioeconomic status measurement in 13 years of U.S. injury research
Yuma, P., Orsi, R., Lee, P.-T., & Cubbin, C. (2017) · Journal of Safety Research · doi:10.1016/j.jsr.2017.12.017 · Cited by 33 · see citing works
Association of Externalizing Behavior Disorder Symptoms and Injury Among Fifth Graders
Schwebel, D. C., Roth, D. L., Elliott, M. N., Visser, S. N., Toomey, S. L., Shipp, E. M., Grunbaum, J. A., & Schuster, M. A. (2011) · Academic Pediatrics · doi:10.1016/j.acap.2011.03.003 · Cited by 30 · see citing works
Campbell, M., Lai, E. T. C., Pearce, A., Orton, E., Kendrick, D., Wickham, S. L., & Taylor-Robinson, D. C. (2019) · BMC Pediatrics · doi:10.1186/s12887-019-1514-7 · Cited by 21 · see citing works
Hodgkins, P., Montejano, L. B., Sasané, R., & Huse, D. (2011) · The Primary Care Companion For CNS Disorders · doi:10.4088/pcc.10m01031 · Cited by 20 · see citing works
Risky decision-making in children with and without ADHD: A prospective study
Humphreys, K. L., Tottenham, N., & Lee, S. S. (2016) · Child Neuropsychology · doi:10.1080/09297049.2016.1264578 · Cited by 18 · see citing works
Lindemann, C., Langner, I., Banaschewski, T., Garbe, E., & Mikolajczyk, R. (2017) · Frontiers in Pediatrics · doi:10.3389/fped.2017.00220 · Cited by 19 · see citing works
Furukawa, E., Alsop, B., Shimabukuro, S., & Tripp, G. (2019) · ADHD Attention Deficit and Hyperactivity Disorders · doi:10.1007/s12402-019-00307-6 · Cited by 18 · see citing works
Turgut, K., Poyraz, M. K., Sekmen, E., Aydın, İ., Algın, A., & Yavuz, E. (2019) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2019.01.030 · Cited by 9 · see citing works
Ayaz, A. B., Ayaz, M., Şentürk, E., Soylu, N., Yüksel, S., & Yulaf, Y. (2014) · International Journal of Injury Control and Safety Promotion · doi:10.1080/17457300.2014.969279 · Cited by 7 · see citing works
Allan, C. C., DeShazer, M., Staggs, V. S., Nadler, C. B., Crawford, T. P., Moody, S. S., & Chacko, A. (2021) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsab044 · Cited by 7 · see citing works
Merino, A. G., Guàrdia‐Olmos, J., Peró, M., & de la Fuente-Solanas, E. I. (2010) · Psychological Reports · doi:10.2466/pr0.106.2.519-533 · Cited by 7 · see citing works
Altun, H., & Altun, İ. (2018) · Child s Nervous System · doi:10.1007/s00381-018-3808-8 · Cited by 6 · see citing works
Pai, M., Yang, S., Chu, C., & Lan, T.-Y. (2022) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.13471 · Cited by 5 · see citing works
Nasri, S., Nazari, M. A., Maiqani, E., Shahrokhi, H., & Goodarzi, I. (2018) · Shenakht Journal of Psychology and Psychiatry · doi:10.29252/shenakht.5.4.63 · Cited by 6 · see citing works
Unintentional child injury in child welfare placements
Helton, J. J., & Weaver, N. L. (2019) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.104231 · Cited by 4 · see citing works
Early-Life Exposure to Polycyclic Aromatic Hydrocarbons and ADHD Behavior Problems
Perera, F. P., Chang, H.-W., Tang, D. L., Roen, E. L., Herbstman, J. B., Camann, D., Miller, R., Margolis, A. E., Wang, S., & Rauh, V. (2014) · ISEE Conference Abstracts · doi:10.1289/isee.2014.p3-617 · Cited by 4 · see citing works
Ramos, A., & Nunes, L. (2014) · Revista de Enfermagem Referência · doi:10.12707/riii11299 · Cited by 2 · see citing works
Szegleti, G., Faradzs-zade, S., & Nagy, P. (2025) · Orvosi Hetilap · doi:10.1556/650.2025.33272 · Cited by 1 · see citing works
Pischetola, M., Boncompagni, S., & Bondi, D. (2025) · European Journal of Translational Myology · doi:10.4081/ejtm.2025.13404 · Cited by 1 · see citing works
Bange, F. (2023) · Dunod eBooks · doi:10.3917/dunod.bange.2023.01.0338 · Cited by 1 · see citing works
Unintentional Injury Risk Among Preschoolers With Behavior Disorders: Response to Garzon et al.
Schwebel, D. C. (2009) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2008.10.009 · Cited by 1 · see citing works
Piščalkienė, V., & Zinkevičienė, N. (2012) · doi:10.5200/304
Garzon, D. L. (2009) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2009.08.003
Self-citationTDA/H - Trouble Déficit de l'Attention/Hyperactivité
Bange, F. (2014) · Dunod eBooks · doi:10.3917/dunod.bange.2014.01.0338
(2020) · Elsevier eBooks · doi:10.1016/b978-0-12-815002-3.00020-6
A nationwide longitudinal survey of infantile injury and its recurrence in Japan
Hiraoka, T., Obara, T., Matsumoto, N., Tsukahara, K., Hongo, T., Nojima, T., Hisamura, M., Yumoto, T., Nakao, A., Yorifuji, T., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-76403-z
Judgment of atypical children on family and school context rules
Dell’Agli, B. A. V., Fabiano, A. V. M. D. C., Galhardo, P. B., Costa, L. B. D. S., da Silva, S. C., da Silva, B. V., & Caetano, L. M. (2025) · Caderno Pedagógico · doi:10.54033/cadpedv22n7-333
ADHD in children and adolescents and risk of emergency department visits for injuries
Udsen, M., Bilenberg, N., Morales-suarez-varela, M., Kaerlev, H. C., & Kærlev, L. (2026) · Journal of Safety Research · doi:10.1016/j.jsr.2026.05.019
- Authors
- Garzon, D. L., Huang, H., & Todd, R. D.
- Affiliations
- Washington University in St. Louis (US)
- Venue
- Archives of Psychiatric Nursing
- Publisher
- Elsevier BV
- Published
- 2008-10
- Volume
- 22
- Issue
- 5
- Pages
- 288-296
- ISSN
- 0883-9417 (ISSN-L)
- PMC
- PMC2572107
- OpenAlex
- W1994417641
- Cited by
- 38
- References
- 37
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 3 · 2017: 2 · 2016: 2 · 2014: 7 · 2013: 2 · 2012: 2
- FWCI
- 2.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Archives of Psychiatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Washington University in St. Louis
- National Institutes of Health
- Centers for Disease Control and Prevention
- Washington University School of Medicine in St. Louis
- National Institute of Mental Health (T32MH017104, T32 MH17104)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- attention deficit hyperactivity disorder, oppositional defiant disorder, unintentional injuries, preschool children, disruptive behavior disorders, emergency department visits, child behavior
- MeSH terms
- Accidents, Analysis of Variance, Attention Deficit Disorder with Hyperactivity, Child Behavior, Child, Preschool, Emergency Service, Hospital, Female, Hospitals, Pediatric, Hospitals, Teaching, Hospitals, Urban, Humans, Male, Surveys and Questionnaires, Risk Factors, Risk-Taking, Socioeconomic Factors, Wounds and Injuries, Midwestern United States, Logistic Models, Case-Control Studies, Attention Deficit and Disruptive Behavior Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review