Author/Authors :
Bidaki Reza نويسنده Department of Psychiatry, Rafsanjan University of Medical Sciences, Rafsanjan, Iran Bidaki Reza , Hakim-Shooshtari Mitra نويسنده Department of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran Hakim-Shooshtari Mitra , POURSHAMS Maryam نويسنده Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran , Mostafavi Seyed Ali نويسنده Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, IR Iran , Mozhdehi Fard Masoud نويسنده Department of Psychiatry, Tehran Institute of Psychiatry,
Faculty of Behavioral Science and Mental Health, Iran University of
Medical Sciences, Tehran, IR Iran , Najarzadegan Mohammad Reza نويسنده Department of Psychiatry, Tehran Institute of Psychiatry,
Faculty of Behavioral Science and Mental Health, Iran University of
Medical Sciences, Tehran, IR Iran , Khosravi Terme نويسنده Department of Psychiatry, Tehran Institute of Psychiatry,
Faculty of Behavioral Science and Mental Health, Iran University of
Medical Sciences, Tehran, IR Iran , Moradi Maziar نويسنده Department of Psychiatry, Tehran Institute of Psychiatry,
Faculty of Behavioral Science and Mental Health, Iran University of
Medical Sciences, Tehran, IR Iran , Mohammadi Farsani Hamide نويسنده Department of Psychiatry, Tehran Institute of Psychiatry,
Faculty of Behavioral Science and Mental Health, Iran University of
Medical Sciences, Tehran, IR Iran , Ghiasi Zahra نويسنده Department of Psychiatry, Tehran Institute of Psychiatry,
Faculty of Behavioral Science and Mental Health, Iran University of
Medical Sciences, Tehran, IR Iran
Abstract :
Background Childhood attention deficit hyperactivity disorder
(ADHD) persists into adulthood in up to two thirds of affected patients.
Usually, ADHD has co-morbidities with several psychiatric disorders, and
its symptoms occur more frequently in suicide attempters and may thus be
a reason for the completed act of suicide. Objectives The aim of the
current study was to compare adult suicide attempters affected by ADHD
with other suicide attempters without a history of suicide attempts that
referred to the outpatient clinic. Patients and Methods This case
control study was conducted at Loghman-Hakim hospital, Tehran, during a
one year period. A total of 394 hospitalized patients in the poison
control center that had attempted suicide were recruited. In the control
group, 394 individuals without a history of suicide attempts were
recruited from referrals to the outpatient clinic of Loghman-Hakim
hospital, which provides services for almost all medical specialties. We
used Conners’ adult ADHD rating scale, including the screening version
form and subscale (CAARS-S: SV), the Wender Utah rating scale (WURS),
and clinical interviews for diagnosis of ADHD. The hypothesis was tested
using an independent samples t-test and ANOVA. Results The results of
our study showed that a history of psychiatric disorders and a family
history of ADHD and suicide were significantly higher (P > 0.01)
in the case group than the control group. In addition, both children and
adult ADHD among suicide attempters were significantly higher (P
> 0.01) than the corresponding rates in the control group.
Conclusions ADHD is a common co-morbidity among suicide attempters.
Hence, early diagnosis and treatment with consideration of ADHD may
reduce suicide attempt risk.
