@article{ref1,
title="Long-term suicide risk of children and adolescents with attention deficit and hyperactivity disorder-a systematic review",
journal="Frontiers in psychiatry",
year="2020",
author="Balazs, Judit and Garas, Peter",
volume="11",
number="",
pages="e557909-e557909",
abstract="BACKGROUND: Attention deficit and hyperactivity disorder (ADHD) is one of the most common mental disorders in childhood. Recently, several studies showed the high  suicide risk of patients with ADHD; however, most of these studies had a  cross-sectional design. Aims: The aim of the current research is to complete a  systematic review of published studies which investigate the suicide risk of ADHD  patients with longitudinal design. <br><br>METHODS: The systematic search was made on OVID  Medline, PsychInfo, PubMed, Scopus, and Web of Science. The search terms were (ADHD  OR attention deficit hyperactivity disorder) AND (suicide OR suicidal OR  suicidality) AND (follow-up OR longitudinal study OR prospective study). The  inclusion criteria were as follows: written in English; the participants were under  18 years at baseline; longitudinal, prospective studies; ADHD population at baseline  and at follow-up; and suicide behavior as a primary outcome. The exclusion criteria  were as follows: the study did not contain empirical data and reviews/meta-analyses  and studies which aimed to investigate the drug treatment efficacy of ADHD. <br><br>RESULTS:  After the screening process, 18 papers were included in the systematic review. Ten  articles were altogether published in the last 5 years. The range of follow-up  periods varied between 2 and 17 years. Several different assessment tools were used  to investigate the symptoms and/or the diagnosis of ADHD and the suicidal risk. Nine  studies enrolled children aged under 12 at baseline, and three studies used birth  cohort data, where there was no strict age-based inclusion criteria. A total of 17  studies found a positive association between ADHD diagnosis at baseline and the  presence of suicidal behavior and/or attempts at the follow-up visits. Limitations:  The main limitation of this review is the methodological heterogeneity of the  selected studies. A further limitation is the relatively low number of studies that  examined a population with balanced gender ratios. Additionally, only one study  published data about the treatment of ADHD. Finally, though we carefully chose the  keywords, we still may be missing some relevant papers on this topic. <br><br>CONCLUSIONS:  In spite of the methodological diversity of the included studies, the results of the  current systematic review highlight the importance of screening suicidality in the  long term in patients with ADHD. Therefore, further studies that compare the  suicidal risk of treated and untreated groups of ADHD patients in the long term are  needed.<p /> <p>Language: en</p>",
language="en",
issn="1664-0640",
doi="10.3389/fpsyt.2020.557909",
url="http://dx.doi.org/10.3389/fpsyt.2020.557909"
}