Evidence map›Paper›PMID 38916769›Full record

ArticleEuropean child & adolescent psychiatry2025

Longitudinal study on all-cause and suicide mortality among individuals with attention deficit hyperactivity disorder.

Jia-Shyun Jeng, Hsiang-Hsuan Huang, Wen-Han Chang, Chih-Ming Cheng, Tung-Ping Su, Tzeng-Ji Chen, Shih-Jen Tsai, Mu-Hong Chen

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Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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3 · Its place in the literature

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5 citing papers in PubMed.

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5 · Who and what money

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8 authors.

Jia-Shyun JengDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
Hsiang-Hsuan HuangDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan. shalahs@gmail.com.
Wen-Han ChangDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
Chih-Ming ChengDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
Tung-Ping SuDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
Tzeng-Ji ChenDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Shih-Jen TsaiDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
Mu-Hong ChenDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan. kremer7119@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research has linked attention deficit hyperactivity disorder (ADHD) with an increased risk of all-cause mortality, primarily owing to unnatural causes such as accidents and suicides. This increase may be attributable to the co-occurrence of major psychiatric disorders, including schizophrenia (SCZ), bipolar disorder (BD), major depressive disorder (MDD), autism spectrum disorder (ASD), anxiety disorders, substance use disorders (SUDs), and personality disorders (PDs). This study examined the all-cause and specific-cause mortality rates in individuals with ADHD and the influence of psychiatric comorbidities.

methodsBetween 2003 and 2017, 1.17 million individuals were enrolled in the study, of which 233,886 received a diagnosis of ADHD from the Taiwan's National Health Insurance Research Database. A 1:4 sex- and birth year-matched control group without ADHD was also included. Hazard ratios (HRs) for mortality rates were estimated between groups after adjusting for demographic data.

resultsDuring the follow-up period, 781 individuals with ADHD died. The HR for all-cause mortality was 1.45 (95% confidence interval [CI]: 1.30-1.61), largely owing to unnatural causes, particularly suicide. Suicide rates were particularly high in individuals with ADHD and psychiatric comorbidities: the HRs for suicide were 47.06 in ADHD with SUDs (95% CI: 6.12-361.99), 32.02 in ADHD with SCZ (7.99-128.29), 23.60 in ADHD with PDs (7.27-76.66), 10.11 in ADHD with anxiety disorders (5.74-17.82), 9.30 in ADHD with BD (4.48-19.33), 8.36 in ADHD with MDD (5.66-12.35), and 6.42 in ADHD with ASD (1.83-22.53) relative to ADHD only. DISCUSSION: ADHD was associated with increased mortality rates, primarily owing to suicide. The presence of major psychiatric comorbidities was associated with a further increase in suicide mortality risk.

Indexed as

Attention Deficit Disorder with HyperactivitySuicideAdolescentAdultCause of DeathChildComorbidityFemaleHumansLongitudinal StudiesMaleMiddle AgedTaiwanYoung AdultADHDAll-cause mortalityPsychiatric comorbiditiesSuicideTaiwan

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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.