TY - JOUR PY - 2024// TI - A qualitative analysis of perspectives on self-directed violence in a prospective longitudinal study of young women with and without childhood ADHD JO - Journal of attention disorders A1 - Ahmad, Shaikh I. A1 - Hinshaw, Stephen P. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: Non-suicidal self-directed violence (NSSDV) is a significant and growing youth public health crisis. Girls with ADHD are at increased risk of engaging in NSSDV, yet qualitative studies with this population-to better understand manifestations, motivations, and developmental course-are lacking.

METHOD: We conducted semi-structured, qualitative interviews with a sub-sample of 57 young women (32 with childhood ADHD, 25 neurotypical comparisons; mean age of 27 years, part of a larger prospective longitudinal study) regarding histories and manifestations of NSSDV.

RESULTS: Inductive and deductive analysis revealed several key themes, including self-perceived reasons for engaging in NSSDV (affect regulation, attention seeking, self-punishment, asserting control), impulsivity, secretiveness, and in some cases motivations for desistance.

CONCLUSION: Findings underscore the importance of early education and screening, especially among high-risk clinical populations. Increased resources and supports for professionals, parents, and peers are indicated, along with countering the persistent stigma associated with ADHD and NSSDV.

Language: en

LA - en SN - 1087-0547 UR - http://dx.doi.org/10.1177/10870547231221729 ID - ref1 ER -