Cited by 224Attention Deficit Hyperactivity DisorderSuicide and Self-Harm StudiesChild and Adolescent Psychosocial and Emotional Development

Attention deficit hyperactivity disorder and suicide: a review of possible associations

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James, A., Lai, F. H., Dahl, C.·2004·Acta Psychiatrica Scandinavica

Abstract

Objective: To review the evidence of a possible association between attention deficit hyperactivity disorder (ADHD) and suicide. Design: We searched the electronic data bases: Medline, Psych LIT, between 1966 and March 2003 looking for articles on ADHD, attention deficit disorder, hyperactivity and suicide. Results: An association of ADHD and completed suicide was found, especially for younger males. However, the evidence for any direct or independent link was modest with an overall suicide rate from long‐term follow‐up studies of ADHD of 0.63–0.78%. The estimated relative risk ratio, compared with US national suicide rates (males 5–24 years) is 2.91 (95% confidence interval 1.47–5.7, χ2 = 9.3, d.f. = 1, P = 0.002). ADHD appears to increase the risk of suicide in males via increasing severity of comorbid conditions, particularly conduct disorder (CD) and depression. Conclusion: Identification of those at risk, particularly males with comorbid ADHD, depression and CD, may represent a useful clinical means of reducing completed suicide.

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  • Traffic accidents and violations are more frequent in drivers with ADHD than in those without the disorder.

    “Traffic accidents and violations are more frequent in drivers with ADHD 121,217,218 than in those without the disorder”

    From Attention-deficit/hyperactivity disorder (2015) · cites this paper as [218]

    The passages supplied under this DOI are labelled as a study of ADHD and PTSD in U.S. Army soldiers, rather than the named review of ADHD and suicide. Its Abstract and Discussion address psychiatric outcomes, not driving; searches for traffic accidents, violations, and related driving terms found no relevant passage. The available copy therefore cannot verify the claim. (LLM, conf=0.72)

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Research works printed but not linked: 3

  1. [21]21. Institute of Medicine. (2008). Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence. Washington, DC: The National Academies Press.
  2. [22]22. James, A., Lai, F. H., & Dahl, C. (2004). Attention deficit hyperactivity disorder and suicide: a review of possible associations. Acta Psychiatr Scand, 110(6), 408-415. https://doi.org/10.1111/j.1600-0447.2004.00384.x
  3. [27]27. Kessler, R. C., Heeringa, S. G., Stein, M. B., Colpe, L. J., Fullerton, C. S., Hwang, I., . . . Army STARRS Collaborators. (2014). Thirty-day prevalence of DSM-IV mental disorders among nondeployed soldiers in the US Army: results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). JAMA Psychiatry, 71(5), 504-513. https://doi.org/10.1001/jamapsychiatry.2014. · DOI

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Authors
James, A., Lai, F. H., & Dahl, C.
Affiliations
  • Warneford Hospital (GB)
  • Olgahospital (DE)
Corresponding author
James, A.
Venue
Acta Psychiatrica Scandinavica
Publisher
Wiley
Published
2004-09-27
Volume
110
Issue
6
Pages
408-415
ISSN
  • 0001-690X (ISSN-L)
  • 1600-0447
OpenAlex
W2007829834
Cited by
224
References
123
Citations by year
2026: 2 · 2025: 7 · 2024: 7 · 2023: 11 · 2022: 8 · 2021: 5 · 2020: 15 · 2019: 16 · 2018: 9 · 2017: 12 · 2016: 17 · 2015: 9 · 2014: 21 · 2013: 10 · 2012: 9
FWCI
0.66
Type
journal article
Language
en
Open access
Locations
  • Acta Psychiatrica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Department of Defense
  • U.S. Department of Health and Human Services
  • National Institutes of Health
  • Uniformed Services University of the Health Sciences
  • National Institute of Mental Health
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
attention deficit hyperactivity disorder, suicide, suicide mortality, suicide risk, comorbidities, conduct disorder, depression, young men, relative risk
MeSH terms
Suicide Prevention, Adolescent, Attention Deficit Disorder with Hyperactivity, Bipolar Disorder, Depressive Disorder, Follow-Up Studies, United Kingdom, Humans, Male, Suicide, Comorbidity, Conduct Disorder, Substance-Related Disorders

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