Citation

Arsandaux J, Orri M, Tournier M, Gbessemehlan A, Côté S, Salamon R, Tzourio C, Galéra C. J. Atten. Disord. 2021; 25(11): 1534-1543.

Copyright

(Copyright © 2021, SAGE Publishing)

DOI

10.1177/1087054720915246

PMID

32338119

Abstract

OBJECTIVE: To estimate the association between ADHD symptoms and suicidal ideation in college students, and to test mediation by depressive symptoms or self-esteem.

METHOD: Based on the i-Share cohort (prospective cohort of 2,331 college students in France). Self-reported measures included ADHD symptoms at baseline, self-esteem and depressive symptoms at 3 months, and suicidal ideation at 1-year follow-up. We conducted path analysis to estimate total, direct, and indirect effect.

RESULTS: Participants with high ADHD symptoms were more likely to report suicidal ideation 1 year later (p <.0001). Indirect effects through depressive symptoms (p <.0001) and self-esteem (p <.0001) explained 44% and 25% of this association, respectively. An indirect pathway via a combination of self-esteem, then depressive symptoms, was also identified (p <.0001), explaining 19% of the total effect. The direct effect was not significant (p =.524).

CONCLUSION: ADHD symptoms seem to have no direct but indirect effect through both self-esteem and depressive symptoms on suicidal ideation.

Language: en

Keywords

Humans; Depression; Prospective Studies; Suicidal Ideation; Longitudinal Studies; suicidal ideation; ADHD; students; Attention Deficit Disorder with Hyperactivity; path analysis; cohort study