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The Association between Hyperactivity and Suicidal Behavior and Attempts among Children Referred from Emergency
Oren Shahnovsky1,2, Alan Apter2,3, Shira Barzilay1,2
1Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa 3103301, Israel.
Summary
Hyperactivity in children with attention-deficit hyperactivity disorder (ADHD) significantly increases suicidal behavior risk. Children
Area of Science:
- Child and Adolescent Psychiatry
- Neurodevelopmental Disorders
- Suicidology
Background:
- Rising global prevalence of suicidal behaviors in children.
- Attention-deficit hyperactivity disorder (ADHD) is a potential contributing factor.
- Need to understand the specific facets of ADHD linked to suicidal ideation and attempts.
Purpose of the Study:
- To examine the association between ADHD hyperactivity and inattention facets and suicidal behavior/attempts in children.
- To compare self-reported ADHD symptoms and suicide-related incidents with parental reports.
Main Methods:
- A cohort of 71 children presenting with suicidal thoughts/behaviors were recruited from emergency departments.
- Participants completed self-report and parental-report questionnaires assessing ADHD symptoms and suicide-related incidents.
- Statistical analysis to determine associations between ADHD facets and suicidal behaviors.
Main Results:
- Elevated hyperactivity scores, above the ADHD diagnostic threshold, were significantly linked to increased suicidal behavior.
- Hyperactivity showed a stronger association with lifetime suicide attempts than inattention.
- Children's self-reported ADHD symptoms correlated more strongly with suicide attempts than parental reports.
Conclusions:
- Hyperactivity is a critical factor in understanding suicidal behaviors among children with ADHD.
- Assessment and treatment for suicidal behavior in this population should prioritize hyperactivity-related symptoms.
- Child self-reports of ADHD symptoms may offer valuable insights into suicide risk.
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