New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA.
J Affect Disord. 2011 Oct;133(3):595-9. doi: 10.1016/j.jad.2011.05.008. Epub 2011 Jun 11.
To determine if Attention Deficit Hyperactivity Disorder (ADHD) is a risk factor for suicide attempts.
Data were drawn from the National Comorbidity Replication Survey (NCS-R), a nationally representative sample of adults (N=8098).
Of the 365 adults with current ADHD, 16% attempted suicide. After controlling for the presence of comorbid disorders, logistic regression analyses revealed that the ADHD was not a not a strong predictor of suicide attempts; having one or more comorbid disorders was associated with fourfold to twelvefold elevated risk.
The small sample size of respondents with ADHD who attempted suicide significantly reduced the probability of determining which specific comorbid disorders were correlated with parasuicide.
Early treatment of ADHD and comorbidity may reduce the risk of suicide attempts and improve its prognosis.
确定注意力缺陷多动障碍（ADHD）是否是自杀未遂的一个风险因素。
数据来自全国共病调查复制研究（NCS-R），这是一项全国性的成年人代表性样本（N=8098）。
在 365 名患有当前 ADHD 的成年人中，有 16%试图自杀。在控制了共病障碍的存在后，逻辑回归分析表明 ADHD 并不是自杀未遂的强烈预测因素；患有一种或多种共病障碍与自杀风险增加四到十二倍相关。
患有 ADHD 且试图自杀的受访者样本量较小，这极大地降低了确定哪些特定共病障碍与企图自杀相关的可能性。
早期治疗 ADHD 和共病可能会降低自杀未遂的风险，并改善其预后。
