Every year, 1 in 100,000 children, ages 5-14 years, die by suicide globally, yet the research in this age group is limited. One risk associated with youth suicidal behavior (SB) is Attention Deficit Hyperactivity Disorder (ADHD). Youth with a history of suicide attempt or those whom have died by suicide are more likely to have ADHD, however, other research has found ADHD is associated with SB only when examining mediating factors (e.g., comorbid disorders). Objective: The aim of this study is to examine risk factors associated with SB in children with and without ADHD symptoms. We hypothesized children with ADHD symptoms (ADHD+) will have more reported SB (ideation and attempts), non-suicidal self-injury (NSSI), comorbid symptoms (e.g., depression) compared to children without ADHD symptoms (ADHD-). Methods: The sample included n=143 children ages 6-9 years. Parents reported ADHD symptoms via the Child Behavior Checklist for Ages 6-18 (CBCL/6-18), a 113-item questionnaire of their children’s overall functioning; n=47 for ADHD+ and n=96 for ADHD-. Results: There were differences between ADHD+ and ADHD- youth on sex and parental history of SB (PH+); ADHD+ youth were more likely to be male and have PH+ status. After controlling for sex and PH status, ADHD+ status predicted anxiety (p<.001) and anxious/depression symptomology (p<.001). The ADHD+ group was also 5 times more likely to have a history of suicidal ideation compared to the ADHD- group (OR=5.44) however, no differences were found for NSSI. Conclusions: ADHD+ children were more likely to experience comorbid symptoms, such as anxiety and depression, and have a history of suicidal ideation. This is concerning as these risks are associated with future SB in youth. These findings emphasize the importance of investigating how ADHD symptoms play a role in the transition from suicidal ideation to behavior in children at high risk for SB.
Rakes, Amaya
Category
Submitting an Abstract > Research Staff (Assistants/Associates/Scientists/Technicians)
Description
Examining Risk Factors for Suicidal Behavior in Children with ADHD Symptoms