Shahnovsky Oren, Apter Alan, Barzilay Shira
Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa 3103301, Israel.
Department of Psychiatry, Schneider Children's Medical Center of Israel, Faculty of Medicine, Tel Aviv University, Tel Aviv 4920235, Israel.
Eur J Investig Health Psychol Educ. 2024 Sep 24;14(10):2616-2627. doi: 10.3390/ejihpe14100172.
The global prevalence of suicidal behaviors in children is rising, with attention-deficit hyperactivity disorder (ADHD) proposed as a contributing factor. This study examines the association between ADHD facets (hyperactivity and inattention) and suicidal behavior and attempts in children. Additionally, it seeks to compare self-reported ADHD symptoms and suicide-related incidents with parental reports. A cohort of 71 children referred from emergency departments due to suicidal thoughts and behaviors completed self- and parental report questionnaires. The results revealed that elevated hyperactivity scores, surpassing the ADHD diagnosis threshold, were significantly associated with increased rates of suicidal behavior. Hyperactivity demonstrated a stronger association with lifetime suicide attempts compared to inattention. Moreover, children's self-reported ADHD symptoms exhibited a stronger correlation with suicide attempts than parental reports. This study highlights the critical role of hyperactivity in understanding suicidal behaviors among children with ADHD. It underscores the importance of considering hyperactivity-related symptoms in assessment and treatment approaches for suicidal behavior in this population.
全球儿童自杀行为的患病率正在上升，注意力缺陷多动障碍（ADHD）被认为是一个促成因素。本研究探讨了ADHD各方面（多动和注意力不集中）与儿童自杀行为及自杀未遂之间的关联。此外，它还试图比较儿童自我报告的ADHD症状和自杀相关事件与父母报告的情况。一组因自杀想法和行为从急诊科转诊的71名儿童完成了自我报告和父母报告问卷。结果显示，多动得分升高，超过ADHD诊断阈值，与自杀行为发生率增加显著相关。与注意力不集中相比，多动与终身自杀未遂的关联更强。此外，儿童自我报告的ADHD症状与自杀未遂的相关性比父母报告的更强。这项研究强调了多动在理解ADHD儿童自杀行为中的关键作用。它强调了在评估和治疗该人群自杀行为的方法中考虑多动相关症状的重要性。
