Pathways From ADHD Symptoms to Suicidal Ideation During College Years: A Longitudinal Study on the i-Share Cohort

Author:

Arsandaux Julie1ORCID,Orri Massimiliano12,Tournier Marie3,Gbessemehlan Antoine1ORCID,Coté Sylvana13,Salamon Réda1,Tzourio Christophe1,Galéra Cédric14

Affiliation:

1. University of Bordeaux, Inserm, Bordeaux Population Health Research Center, Team HEALTHY, UMR 1219, France

2. McGill University, Montreal, Québec, Canada

3. University of Montreal, Québec, Canada

4. Centre Hospitalier Charles Perrens, Bordeaux, France

Abstract

Objective: To estimate the association between ADHD symptoms and suicidal ideation in college students, and to test mediation by depressive symptoms or self-esteem. Method: Based on the i-Share cohort (prospective cohort of 2,331 college students in France). Self-reported measures included ADHD symptoms at baseline, self-esteem and depressive symptoms at 3 months, and suicidal ideation at 1-year follow-up. We conducted path analysis to estimate total, direct, and indirect effect. Results: Participants with high ADHD symptoms were more likely to report suicidal ideation 1 year later ( p < .0001). Indirect effects through depressive symptoms ( p < .0001) and self-esteem ( p < .0001) explained 44% and 25% of this association, respectively. An indirect pathway via a combination of self-esteem, then depressive symptoms, was also identified ( p < .0001), explaining 19% of the total effect. The direct effect was not significant ( p = .524). Conclusion: ADHD symptoms seem to have no direct but indirect effect through both self-esteem and depressive symptoms on suicidal ideation.

Funder

Agence Nationale de la Recherche

conseil français de l’énergie

Publisher

SAGE Publications

Subject

Clinical Psychology,Developmental and Educational Psychology

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