title: Suicidal Behavior in Juvenile Delinquents: The Role of ADHD and Other Comorbid Psychiatric Disorders.
abstract: This study evaluated the role of psychiatric morbidity in relation to a history of suicidal behavior, with a particular focus on attention-deficit/hyperactivity disorder (ADHD). Suicidality and psychiatric diagnoses were assessed in 370 incarcerated male juvenile delinquents from Northern Russia using the semi-structured K-SADS-PL psychiatric interview. A lifetime history of suicidal ideation only (24.7 %) and suicidal ideation with suicide attempts (15.7 %) was common. Binary logistic regression analysis was used to assess the role of ADHD and other psychiatric disorders in suicidal ideation and suicide attempts. A history of suicidal ideation and of suicide attempts were associated with higher rates of psychiatric morbidity and with the number of comorbid psychiatric disorders. An ADHD diagnosis was associated with an increased risk for both suicidal ideation and for suicide attempts. The comorbidity of ADHD with drug dependence further increased the risk for suicidal ideation, while ADHD and alcohol dependence comorbidity increased the risk for suicide attempts. Our findings highlight the importance of adequately detecting and treating psychiatric disorders in vulnerable youths, especially when they are comorbid with ADHD.
authors.affiliation: Child and Adolescent Psychiatry Unit, Department of Neuroscience, Uppsala University, 751 85, Uppsala, Sweden. vladislav.ruchkin@yale.edu.|Child Study Center, Yale University Medical School, New Haven, CT, 06520, USA. vladislav.ruchkin@yale.edu.|Säter Forensic Psychiatric Clinic, 783 27, Säter, Sweden. vladislav.ruchkin@yale.edu.
authors.forename: Vladislav
authors.initials: V
authors.lastname: Ruchkin
authors.affiliation: Regional Centre for Child and Youth Mental Health and Welfare, UiT The Arctic University of Norway, Tromsø, Norway.
authors.forename: Roman A
authors.initials: RA
authors.lastname: Koposov
authors.affiliation: Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr, Antoni Pujades, 42, Sant Boi de Llobregat, 08830, Barcelona, Spain.|Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Monforte de Lemos 3-5 Pabellón 11, 28029, Madrid, Spain.
authors.forename: Ai
authors.initials: A
authors.lastname: Koyanagi
authors.affiliation: Department of Child and Adolescent Mental Health, National Institute of Mental Health, National Centre for Neurology and Psychiatry (NCNP), 4-1-1 Ogawahigashi, Kodaira, Tokyo, 187-8553, Japan.|The Stockholm Center for Health and Social Change (SCOHOST), Södertörn University, 141 89, Huddinge, Sweden.|Department of Human Ecology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
authors.forename: Andrew
authors.initials: A
authors.lastname: Stickley
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications* / Q000523:psychology; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology*; D008297:Male; D012307:Risk Factors; D012426:Russia; D019966:Substance-Related Disorders / Q000150:complications* / Q000523:psychology; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology*; D055815:Young Adult
keywords: ADHD; Juvenile delinquents; Psychopathology; Suicide