Evidence map›Paper›PMID 35751076›Full record

ArticleBMC psychiatry2022

Attention deficit hyperactivity disorder in adults who present with self-harm: a comparative 6-month follow-up study.

Petter Olsson, Stefan Wiktorsson, Lotta M J Strömsten, Ellinor Salander Renberg, Bo Runeson, Margda Waern

Abstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Petter OlssonDepartment of Psychiatry and Neurochemistry, University of Gothenburg, Blå stråket 15, vån 3, SU/S, 413 45, Göteborg, Sweden. petter.olsson@gu.se.
Stefan WiktorssonDepartment of Psychiatry and Neurochemistry, University of Gothenburg, Blå stråket 15, vån 3, SU/S, 413 45, Göteborg, Sweden.
Lotta M J StrömstenDepartment of Psychology, Umeå University, Umeå, Sweden.
Ellinor Salander RenbergDepartment of Clinical Sciences, Psychiatry, Umeå University, Umeå, Sweden.
Bo RunesonDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institute and Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Margda WaernDepartment of Psychiatry and Neurochemistry, University of Gothenburg, Blå stråket 15, vån 3, SU/S, 413 45, Göteborg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundADHD is common in psychiatric populations. This study aimed to compare clinical characteristics in adults with and without ADHD who presented with self-harm, and to compare later risk of suicidal behaviour within 6 months.

methodsEight hundred four adults presented with self-harm (with and without suicidal intent) at psychiatric emergency services at three Swedish hospitals. Persons with a discharge ICD-10 diagnosis F90.0-F90.9 or a prescription for ADHD medication were considered to have ADHD (n = 93). Medical records were reviewed for evidence of subsequent suicide attempts (SA) within 6 months; suicides were identified by national register.

resultsRecent relationship problems were more prevalent in the ADHD group. While the index episodes of those with ADHD were more often non-suicidal, and actual SAs more often rated as impulsive, medical lethality at presentation did not differ in attempters with and without ADHD. Subsequent SAs (fatal or non-fatal) were observed in 29% of the ADHD group and 20% in all others (P = .005). A logistic regression model showed elevated risk of suicidal behaviour during follow-up in the ADHD group (OR = 1.70, CI 1.05-2.76), although a final regression model suggested that this association was partly explained by age and comorbid emotionally unstable personality disorder.

conclusionsFindings highlight the need for clinicians to take self-harm seriously in adults with ADHD.

Indexed as

Attention Deficit Disorder with HyperactivitySelf-Injurious BehaviorAdultFollow-Up StudiesHumansSuicidal IdeationSuicide, AttemptedADHDAdultsAttemptSuicide

Identifiers

PMID35751076
PMCPMC9233312

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.