Fuller-Thomson Esme, Rivière Raphaël Nahar, Carrique Lauren, Agbeyaka Senyo
Arch Suicide Res. 2022 Jul-Sep;26(3):1122-1140. doi: 10.1080/13811118.2020.1856258. Epub 2020 Dec 21.
This study investigated the prevalence and odds of suicide attempts among adults with attention deficit hyperactivity disorder (ADHD) compared to those without and identified factors associated with suicide attempts among adults with ADHD.
Secondary analysis of the nationally representative Canadian Community Health Survey-Mental Health (CCHS-MH) ( = 21,744 adults, of whom 529 had ADHD). Respondents were asked whether they received an ADHD diagnosis from a health care professional. Lifetime suicide attempt was based on self-report.
Adults with ADHD were much more likely to have attempted suicide than those without (14.0% vs. 2.7%). One in four women with ADHD have attempted suicide. Sixty percent of the association between ADHD and attempted suicide was attenuated when lifetime history of depression and anxiety disorders were taken into account. Female gender, lower education attainment, substance abuse, lifetime history of depression, and childhood exposure to chronic parental domestic violence were found to be independent correlates of lifetime suicide attempts among those with ADHD.
These findings can inform targeted screening and outreach to the most vulnerable adults with ADHD.
本研究调查了患有注意力缺陷多动障碍（ADHD）的成年人与未患该障碍的成年人相比自杀未遂的患病率和几率，并确定了与患有ADHD的成年人自杀未遂相关的因素。
对具有全国代表性的加拿大社区健康调查-心理健康（CCHS-MH）（n = 21744名成年人，其中529人患有ADHD）进行二次分析。受访者被问及是否从医疗保健专业人员处获得ADHD诊断。终生自杀未遂基于自我报告。
患有ADHD的成年人比未患该障碍的成年人更有可能自杀未遂（14.0%对2.7%）。四分之一患有ADHD的女性曾自杀未遂。当考虑到抑郁症和焦虑症的终生病史时，ADHD与自杀未遂之间60%的关联减弱。女性、较低的教育程度、药物滥用、抑郁症的终生病史以及童年时期遭受慢性父母家庭暴力被发现是患有ADHD的成年人终生自杀未遂的独立相关因素。
这些发现可为针对最易受伤害的患有ADHD的成年人进行有针对性的筛查和外展工作提供参考。
