ADHD and Suicidality in Adolescents: A Systematic Review of Moderators and Mediators.

IF 6.1 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Child and Family Psychology Review Pub Date : 2025-06-19 DOI:10.1007/s10567-025-00531-9

Yvette Rother,Carissa M Orlando,Peter Warren,Kate Flory

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引用次数: 0

Abstract

In the United States, suicide is the second leading cause of death for those aged 10-14 and the third for those aged 15-24. Adolescents with attention-deficit/hyperactivity disorder (ADHD) are at an increased risk for suicide compared to adolescents without ADHD. However, the strength of the relation between ADHD and suicide and the mechanisms at play in this association are unclear and need further investigation. This systematic review examined the literature to determine whether there is a direct association between ADHD and suicidality in adolescents, and which factors moderate or mediate this relation. A systematic literature search, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, was carried out on December 20th, 2024. Relevant publications were identified via electronic searches of PsycInfo and Web of Science databases. Studies were included if they assessed ADHD, suicidality, and at least one additional construct analyzed as a moderator or mediator. Studies had to include participants with a mean age between 10 and 19 years (i.e., an adolescent sample). The literature search yielded 405 articles, with 28 included in the final study selection. ADHD emerged as an independent risk factor for suicide among adolescents. Various constructs, including psychological, demographic, family, peer and social, subjective well-being, and trauma and adversity factors, served as moderators or mediators to varying degrees. Our review can inform adolescent suicide prevention efforts by highlighting the importance of addressing specific risk factors. Further research is needed to examine understudied factors, with emphasis on strengths-based factors to improve well-being.

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青少年ADHD与自杀：调节因子与调节因子的系统回顾。

在美国，自杀是10-14岁人群的第二大死因，是15-24岁人群的第三大死因。与没有注意缺陷多动障碍的青少年相比，患有注意缺陷多动障碍的青少年自杀的风险更高。然而，ADHD和自杀之间的关系强度以及在这种关联中起作用的机制尚不清楚，需要进一步调查。本系统综述对文献进行了检查，以确定ADHD与青少年自杀之间是否存在直接关联，以及哪些因素调节或调节了这种关系。按照系统评价和荟萃分析（PRISMA）指南的首选报告项目，于2024年12月20日进行了系统文献检索。通过PsycInfo和Web of Science数据库的电子检索确定了相关出版物。如果研究评估了ADHD、自杀倾向，并且至少有一个额外的构念被分析为调节或调节因素，则纳入研究。研究必须包括平均年龄在10到19岁之间的参与者（即青少年样本）。文献检索产生405篇文章，其中28篇纳入最终研究选择。ADHD成为青少年自杀的独立风险因素。心理因素、人口因素、家庭因素、同伴与社会因素、主观幸福感因素、创伤与逆境因素等构念在不同程度上起调节或中介作用。我们的综述可以通过强调处理特定风险因素的重要性，为青少年自杀预防工作提供信息。需要进一步的研究来检查未被充分研究的因素，重点是基于优势的因素来提高幸福感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Child and Family Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

10.50

自引率

4.30%

发文量

期刊介绍： Editors-in-Chief: Dr. Ronald J. Prinz, University of South Carolina and Dr. Thomas H. Ollendick, Virginia Polytechnic Institute Clinical Child and Family Psychology Review is a quarterly, peer-reviewed journal that provides an international, interdisciplinary forum in which important and new developments in this field are identified and in-depth reviews on current thought and practices are published. The Journal publishes original research reviews, conceptual and theoretical papers, and related work in the broad area of the behavioral sciences that pertains to infants, children, adolescents, and families. Contributions originate from a wide array of disciplines including, but not limited to, psychology (e.g., clinical, community, developmental, family, school), medicine (e.g., family practice, pediatrics, psychiatry), public health, social work, and education. Topical content includes science and application and covers facets of etiology, assessment, description, treatment and intervention, prevention, methodology, and public policy. Submissions are by invitation only and undergo peer review. The Editors, in consultation with the Editorial Board, invite highly qualified experts to contribute original papers on topics of timely interest and significance.