Abstract

Aim

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.

Methods

Secondary analysis of the nationally representative Canadian Community Health Survey–Mental Health (CCHS-MH) (n = 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.

Results

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.

Conclusion

These findings can inform targeted screening and outreach to the most vulnerable adults with ADHD.

中文翻译：

---

ADHD 的阴暗面：加拿大全国代表性样本中与 ADHD 患者自杀未遂相关的因素

摘要

目标

本研究调查了患有注意力缺陷多动障碍 (ADHD) 的成年人与没有患有注意力缺陷多动障碍 (ADHD) 的成年人相比，自杀未遂的发生率和几率，并确定了与 ADHD 成年人自杀未遂相关的因素。

方法

对具有全国代表性的加拿大社区健康调查 - 心理健康 (CCHS-MH) 的二次分析（n  = 21,744 名成年人，其中 529 人患有多动症）。受访者被问及他们是否从医疗保健专业人员那里得到了 ADHD 诊断。终生自杀未遂是基于自我报告。

结果

患有多动症的成年人比没有多动症的成年人更有可能尝试自杀（14.0% 对 2.7%）。四分之一的患有多动症的女性曾企图自杀。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% 的关联被减弱了。女性、受教育程度较低、药物滥用、终生抑郁症史和儿童时期长期遭受父母家庭暴力是多动症患者终生自杀未遂的独立相关因素。

结论

这些发现可以为最脆弱的多动症成年人提供有针对性的筛查和外展信息。