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Accidental injuries are more common in children with attention deficit hyperactivity disorder compared with their

Y Shilon1, Y Pollak, A Aran

  • 1Pediatric Neurology Unit, Shaare Zedek Medical Center, Jerusalem, Israel. yuvalshilon@gmail.com

Child: Care, Health and Development
|July 5, 2011
PubMed

Insights

Children with attention deficit hyperactivity disorder (ADHD) face a significantly higher risk of accidental injuries. This prospective study highlights the need for increased awareness and safety education for caregivers of children with ADHD.

Area of Science:

  • Pediatric neurology
  • Child psychology
  • Injury prevention

Background:

  • Accidental injuries are a major cause of child illness and death.
  • Attention deficit hyperactivity disorder (ADHD) involves hyperactivity and impulsivity.
  • Previous studies suggest ADHD may increase injury risk, but lack prospective data.

Purpose of the Study:

  • To prospectively investigate if ADHD is a risk factor for accidental injuries in children.
  • To compare injury incidence between children with ADHD and their unaffected siblings.

Main Methods:

  • A prospective case-control study involved 29 school-aged children with ADHD and their siblings.
  • Diagnoses followed DSM-IV criteria; assessments included psychiatric interviews and behavior checklists.
  • Injuries requiring medical attention were recorded over a 9-month follow-up period.

Main Results:

  • 13 injuries occurred in children with ADHD versus 6 in the control group (P < 0.05).
  • ADHD severity, subtype, co-morbidities, or IQ did not predict injury risk.

Conclusions:

  • School-aged children with ADHD have an elevated risk of accidental injuries compared to siblings.
  • This increased risk is independent of ADHD subtype, co-morbidities, or developmental factors.
  • Caregivers of children with ADHD require education on heightened injury risks.
Abstract

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