A cross-sectional study of adult attention deৎicit hyperactive disorder in patients with intentional self-harm

Abstract

Attention deficit hyperactive disorder is previously known to be diagnosed in only childhood, recently many research has been done on ADHD, proving that ADHD can persist even in Adults. ADHD in adults is said to be one of the causes of suicide. The main aim of this Study is to identify the patients with intentional self-harm with their sociodemographic and clinical characteristics of the above patients and finally to determine the prevalence of Adult ADHD among high patients. It is a cross-sectional study of Patients who are above the age of 18 years, with intentional self-harm, who are willing to give consent for the Study, without any comorbid medical conditions and who came in contact with the outpatient department of psychiatry from other departments in a tertiary hospital between the timeline of 1 year (i.e. between 1st May 2015-30th April 2016). The subjects were recruited for Study, their sociodemographic details were collected, and SCID-I and SCID-II were applied along with Adult ADHD self-reporting scale. They were diagnosed according to DSM5 by two qualified Psychiatrist.Among the 112 patients who attended psychiatric OPD,45 of them were recruited for the Study with History of intentional self-harm, Mean age group of the Study was 28.27, and the study subjects were divided into two groups Intentional self Harm with ADHD and Intentional selfharm without ADHD, two groups were compared with each other, majority of them were between the Age group 21-30 yrs in both the groups(P=2.113), the preponderance of Female was seen in intentional self-harm without ADHD groups (p=4.544), subjects in this Study came from a semi-urban background, from both the groups (P=1.784), nuclear family (P=0.675) and middle socioeconomic status(6.585). The primary method used by subjects in both group (P=2.742)was multiple tablets with medium suicidal intent (p=1.044). When comparing both groups, no statistical significance could be found between them. This Study showed no statistically significant between Adult ADHD and Intentional Self Harm.