Attention-deficit hyperactivity disorder and suicidality: The mediating effects of psychiatric comorbidities and family function

Journal of Affective Disorders
Ying-Yeh ChenSusan Shur-Fen Gau

Abstract

To explore the association between Attention-Deficit Hyperactivity Disorder ("ADHD") and suicidality in children. Mediating effects of family function and psychiatric co-morbidities were also explored. This is a national representative cross-sectional survey of school-based sample of 4739 children aged 7-15. Logistic regression was used to assess the excess risks of suicidality (i.e., suicidal ideation, suicide plan, and suicide attempts) in 412 children with ADHD. Serial multiple mediator models were conducted to assess the mediating effects of family function and psychiatric comorbidities. The prevalence of suicidality in children with ADHD was approximately 20% in Taiwan. After adjusting for potential confounders, the risk of suicidality among children with ADHD was approximately four times higher than among non-ADHD children [(adjusted Odds Ratio ["OR"] = 3.82, 95% Confidence Interval ("CI") (2.73, 5.34)] for suicidal ideation, adjusted OR = 4.18, 95% CI (2.57, 6.80) for suicide plan and adjusted OR = 4.45, 95% CI (1.99, 9.93) for suicide attempts. The mediating effects of anxiety/depression and conduct problems were about 20% and 8%, respectively, across all suicide outcomes. The mediating effects of family function were a...Continue Reading

Citations

Jul 9, 2020·Autism Research : Official Journal of the International Society for Autism Research·Ying-Yeh ChenSusan Shur-Fen Gau
Aug 14, 2020·Issues in Mental Health Nursing·Tamara Pike Keefner, Thomas Stenvig
May 13, 2020·International Journal of Environmental Research and Public Health·Yi-Lung ChenCheng-Fang Yen
Apr 4, 2021·International Journal of Environmental Research and Public Health·Ascensión FumeroEduardo Fonseca-Pedrero

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