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Suicidal Behavior in Juvenile Delinquents: The Role of ADHD and Other Comorbid Psychiatric Disorders
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Child and Adolescent Psychiatry. Yale Univ, Sch Med, Ctr Child Study, 333 Cedar St, New Haven, CT 06520 USA.;Sater Forens Psychiat Clin, S-78327 Sater, Sweden..
UiT Arctic Univ Norway, Reg Ctr Child & Youth Mental Hlth & Welf, Tromso, Norway..
Univ Barcelona, Fundacio St Joan de Deu, Parc Sanitari St Joan de Deu,Dr Antoni Pujades 42, Barcelona 08830, Spain.;Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, CIBERSAM, Monforte Lemos 3-5 Pabellon 11, Madrid 28029, Spain..
Natl Inst Mental Hlth, Dept Child & Adolescent Mental Hlth, NCNP, 4-1-1 Ogawahigashi, Kodaira, Tokyo 1878553, Japan.;Sodertorn Univ, Stockholm Ctr Hlth & Social Change SCOHOST, S-14189 Huddinge, Sweden.;Univ Tokyo, Grad Sch Med, Dept Human Ecol, Bunkyo Ku, 7-3-1 Hongo, Tokyo 1130033, Japan..
2017 (English)In: Child Psychiatry and Human Development, ISSN 0009-398X, E-ISSN 1573-3327, Vol. 48, no 5, p. 691-698Article in journal (Refereed) Published
Abstract [en]

This study evaluated the role of psychiatric morbidity in relation to a history of suicidal behavior, with a particular focus on attention-deficit/hyperactivity disorder (ADHD). Suicidality and psychiatric diagnoses were assessed in 370 incarcerated male juvenile delinquents from Northern Russia using the semi-structured K-SADS-PL psychiatric interview. A lifetime history of suicidal ideation only (24.7 %) and suicidal ideation with suicide attempts (15.7 %) was common. Binary logistic regression analysis was used to assess the role of ADHD and other psychiatric disorders in suicidal ideation and suicide attempts. A history of suicidal ideation and of suicide attempts were associated with higher rates of psychiatric morbidity and with the number of comorbid psychiatric disorders. An ADHD diagnosis was associated with an increased risk for both suicidal ideation and for suicide attempts. The comorbidity of ADHD with drug dependence further increased the risk for suicidal ideation, while ADHD and alcohol dependence comorbidity increased the risk for suicide attempts. Our findings highlight the importance of adequately detecting and treating psychiatric disorders in vulnerable youths, especially when they are comorbid with ADHD.

Place, publisher, year, edition, pages
SPRINGER , 2017. Vol. 48, no 5, p. 691-698
Keywords [en]
Suicide, ADHD, Psychopathology, Juvenile delinquents
National Category
Psychology
Identifiers
URN: urn:nbn:se:uu:diva-338535DOI: 10.1007/s10578-016-0693-9ISI: 000412534900001PubMedID: 27734259OAI: oai:DiVA.org:uu-338535DiVA, id: diva2:1172419
Available from: 2018-01-10 Created: 2018-01-10 Last updated: 2018-01-10Bibliographically approved

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Ruchkin, Vladislav V.

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