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ADHD is common in psychiatric populations. This study aimed to compare clinical characteristics in adults with and without ADHD who presented with self-harm, and to compare later risk of suicidal behaviour within 6 months. Eight hundred four adults presented with self-harm (with and without suicidal intent) at psychiatric emergency services at three Swedish hospitals. Persons with a discharge ICD-10 diagnosis F90.0-F90.9 or a prescription for ADHD medication were considered to have ADHD (n = 93). Medical records were reviewed for evidence of subsequent suicide attempts (SA) within 6 months; suicides were identified by national register. Recent relationship problems were more prevalent in the ADHD group. While the index episodes of those with ADHD were more often non-suicidal, and actual SAs more often rated as impulsive, medical lethality at presentation did not differ in attempters with and without ADHD. Subsequent SAs (fatal or non-fatal) were observed in 29%

Vastra gotalands lanNational cause of death registerKarolinska instituteSahlgrenska university hospital in gothenburgInternational statistical classification of diseasesHealth problemsNorrland university hospital in umeSahlgrenska university hospitalNorrland university hospitalColumbia suicide severity rating scaleSuicide intent scaleSuicide assessment scaleDepression rating scaleBrief scaleInternational statistical classificationRelated health problems