Abstract
This article comments on a paper by Dumais et al. (Psychiatric Risk Factors for Motor Vehicle Fatalities in Young Men, Canadian Journal of Psychiatry, November 2005). It is posited that the original authors did not discuss the possible underlying mechanisms leading to fatal collisions, and that they did not make mention of a key Axis I diagnosis strongly associated with motor vehicle crashes: Attention Deficit-Hyperactivity Disorder (ADHD). Demographic details of the accidents could provide information about the underlying mechanisms involved in motor vehicle crashes. It is unclear from the description of the methodology whether information concerning the nature or circumstances of these deaths was available. Importance of a careful evaluation of possible comorbidities in categorical diagnoses with the potential for problem driving lies in the emerging literature about the protective value of medications for managing impulsive and aggressive behavior patterns.
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