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Suicidal behaviors and attention deficit hyperactivity disorder (ADHD): a cross-sectional study among Chinese medical college students Shen, Yanmei; Chan, Bella S M; Huang, Chunxiang; Cui, Xilong; Liu, Jianbo; Lu, Jianping; Patel, Marguerite; Verrico, Christopher D; Luo, Xuerong; Zhang, Xiang Y

Abstract

Backgrounds: Associations between attention deficit hyperactivity disorder (ADHD) subtypes and suicidal behaviors remains unclear. The current study explored the prevalence of suicidal behaviors, and its association with ADHD among Chinese medical students. Methods: Five thousand six hundred ninety-three medical college students participated. Symptoms of suicidal behaviors, ADHD, anxiety, depression, tobacco and alcohol use were assessed using online questionnaires. Results: The prevalence of lifetime suicidal ideation, suicide plans, and suicide attempts among medical college students were 27.5, 7.9 and 14.8% respectively. Participants with ADHD predominantly inattentive type (ADHD-I) had more than fivefold increased odds of suicidal behaviors, the adjusted odds ratios (ORs) of ADHD-I and ADHD combined type (ADHD-C) remained significant after controlling for confounding factors. Conclusions: ADHD is associated with high risk of suicidal behaviors. ADHD-I and ADHD-C were strongly associated with suicidal behaviors independent of comorbidities. The finding suggests the importance of addressing ADHD symptoms in suicide prevention.

Item Metadata

Title
Suicidal behaviors and attention deficit hyperactivity disorder (ADHD): a cross-sectional study among Chinese medical college students
Creator
Shen, Yanmei; Chan, Bella S M; Huang, Chunxiang; Cui, Xilong; Liu, Jianbo; Lu, Jianping; Patel, Marguerite; Verrico, Christopher D; Luo, Xuerong; Zhang, Xiang Y
Publisher
BioMed Central
Date Issued
2021-05-18
Description
Backgrounds: Associations between attention deficit hyperactivity disorder (ADHD) subtypes and suicidal behaviors remains unclear. The current study explored the prevalence of suicidal behaviors, and its association with ADHD among Chinese medical students. Methods: Five thousand six hundred ninety-three medical college students participated. Symptoms of suicidal behaviors, ADHD, anxiety, depression, tobacco and alcohol use were assessed using online questionnaires. Results: The prevalence of lifetime suicidal ideation, suicide plans, and suicide attempts among medical college students were 27.5, 7.9 and 14.8% respectively. Participants with ADHD predominantly inattentive type (ADHD-I) had more than fivefold increased odds of suicidal behaviors, the adjusted odds ratios (ORs) of ADHD-I and ADHD combined type (ADHD-C) remained significant after controlling for confounding factors. Conclusions: ADHD is associated with high risk of suicidal behaviors. ADHD-I and ADHD-C were strongly associated with suicidal behaviors independent of comorbidities. The finding suggests the importance of addressing ADHD symptoms in suicide prevention.
Subject
ADHD; Suicidal behavior; Odds ratio; Anxiety; Depression; Epidemiology
Genre
Article
Type
Text
Language
eng
Date Available
2021-05-19
Provider
Vancouver : University of British Columbia Library
Rights
Attribution 4.0 International (CC BY 4.0)
DOI
10.14288/1.0398051
URI
http://hdl.handle.net/2429/78384
Affiliation
Education, Faculty of; Non UBC; Educational and Counselling Psychology, and Special Education (ECPS), Department of
Citation
BMC Psychiatry. 2021 May 18;21(1):258
Publisher DOI
10.1186/s12888-021-03247-6
Peer Review Status
Reviewed
Scholarly Level
Faculty
Copyright Holder
The Author(s)
Rights URI
http://creativecommons.org/licenses/by/4.0/
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Rights

Attribution 4.0 International (CC BY 4.0)