Abstract
Although adolescents with attention-deficit hyperactivity disorder (ADHD) have a higher risk of suicidality and more problems related to school bullying, and quality of life (QoL) is reportedly associated with school bullying, suicide, and ADHD, no study has examined their correlation. This study examined the complex relationships between QoL, school bullying, suicide, and ADHD symptoms. A total of 203 adolescents with ADHD aged between 12 and 18 years were recruited. School bullying and QoL were examined using the Chinese version of the School Bullying Experience Questionnaire and the Taiwanese Quality of Life Questionnaire for Adolescents. Network model analysis was conducted to graphically present their relationships. We identified triangular correlations between school bullying, QoL, and suicidality, indicating possible pathways from school bullying to suicidality, and the originating or mediating roles of personal competence and psychological well-being. Furthermore, the ADHD symptoms of inattention and hyperactivity/impulsivity may differentially regulate these pathways. Longitudinal studies are warranted to confirm these findings.
Highlights
Adolescents with attention-deficit hyperactivity disorder (ADHD) have been reported to be involved in school bullying
Similar results regarding victimization have been found in longitudinal studies, in which researchers reported that bullying victimization at an early age could predict suicidal ideation and suicide attempts in adolescents [9,10]
We examined the associations between school bullying, quality of life (QoL), and suicidality in adolescents with ADHD
Summary
Adolescents with attention-deficit hyperactivity disorder (ADHD) have been reported to be involved in school bullying. Similar results regarding victimization have been found in longitudinal studies, in which researchers reported that bullying victimization at an early age could predict suicidal ideation and suicide attempts in adolescents [9,10]. Both bullying victimization and perpetration were related to a higher frequency of suicide attempts among adolescent inpatients in an acute inpatient program [11]. No study has examined the associations between QoL, mental health, and school bullying simultaneously in adolescents with ADHD. We examined the associations between school bullying, QoL, and suicidality in adolescents with ADHD. We examined the role of ADHD symptoms in these associations
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