ADHD and Suicide
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- Опубліковано 6 вер 2024
- The tragedy of suicide continues to grow. This week the CDC announced that in 2022 more Americans killed themselves than in any previous year. Much of the media attention, as well as the mental health research, focuses on despair and depression. But we’ve known for decades that other conditions, including ADHD, are linked to suicide. Having ADHD makes it somewhere between two to six times more likely that the individual will die from suicide.
While some of these deaths include people who had both depression and ADHD, increasing evidence implicates ADHD itself in contributing to suicide. I think that we continue to underestimate the importance of impulsivity as a risk factor for suicide, particularly in those with ADHD, but perhaps in the larger community as well. Measures to reduce deaths from suicide will need to incorporate ways to address this impulsivity component.
If you are feeling suicidal, in the US, call 988. You do not need to wait until an overwhelming crisis to call this number. Calls are anonymous, and do NOT automatically trigger a visit from police or medical professionals.
References:
Impulsivity traits and suicide related outcomes: A systematic review and meta-analysis using the UPPS model
www.sciencedir...
Effect of Internet-Delivered Emotion Regulation Individual Therapy for Adolescents With Nonsuicidal Self-Injury Disorder
jamanetwork.co...
CDC 2022 Provisional Data on Suicide
www.cdc.gov/su...
Neurological and psychiatric adverse effects of long-term methylphenidate treatment in ADHD: A map of the current evidence
www.sciencedir...
Suicide Risk in Attention-Deficit/Hyperactivity Disorder
www.psychiatri...
ADHD, financial distress, and suicide in adulthood: A population study (Sweden)
www.ncbi.nlm.n...
ADHD and Exposure to Maltreatment in Children and Youth: a Systematic Review of the Past
link.springer....
🇬🇧 I had been diagnosed 2 years ago at 52 years old.
I have trauma from a late diagnosis, bullying at work and negative family dynamics.
I have a lifetime of depression and anxiety.
These contribute greatly to negative thoughts.
I'm seeking trauma therapy.
Keep up your good work Dr.
Thank you for the kind words. I hope that you find effective ways to move forward with your life and all that you have to deal with.
Hi, I was diagnosed at 51 yrs old. Now 52, and have had a lifetime of depression and anxiety. 3 decades of treatment for it before getting the ADHD diagnosis. Negative family dynamics as well. So much can relate. I hope you are doing well in your therapy. Stay well!
Hi, I really think your following will build. I wish I could help in some way. I feel you get into the real specifics that are particularly helpful to overthinking anxious types like myself. Generalizations never help me. I am left with so many questions. You REALLY help me understand and leave me with a satisfaction that I don’t have those lingering questions that plague me. Much appreciated! @@DrJohnKruse
@@KB-tu4zw thanks for sharing your experience and giving hope to others.
I do think of suicide when life gets tough. I have ADHD. I was diagnosed at 47.
Living all those years undiagnosed has left its mark.
I don’t think I have lived a very productive life, besides being a good mother to my daughter.
My daughter who also has ADHD needs me. So that is the reason I live this life. To be there for her.
I hope that being a good mother can be more than enough reason to keep living. Productivity is over-rated! I also hope that you find support for yourself to deal with the ongoing challenges of living with ADHD.
Yes, it is. Would like to show her that it is possible to live a happy life despite the odds.
Living in a country like Malaysia, where the topic of mental health is still taboo, life is tough. As very few understand that the issues you have are real or not made up Or mere character flaws.
These are everyday challenges for a person living with ADHD in my country.
Thank you for your video.
In Germany you can only go to a psychiatric hospital if you have serious suicidal thoughts. The first thing they will do there is to discontinue your stimulant medication, the only thing that ever worked with depression in ADHD, and put you on antidepressants and anti psychptics which never worked and will kill you probably right away. So the only chance you have being suicidal with ADHD, ist to stay out of the facilities as long as you could.
I have seen this exact situation happen in the US. Tragic ignorance.
@@DrJohnKrusethis is so interesting - when I was younger I was put on antidepressants and beforehand I was impulsive which led to feeling depressed… however after taking the medication I felt suicidal. Thank you so much for the information. My good friend (recently diagnosed) said she is on Ritalin and that it was like putting on glasses for the first time. Your information about Ritalin supporting decreases in depression made my brain go ‘AHA!’. Now I know what to discuss with the psychiatrist
Same in Canada!
They just follow standard the protocol… 0 thoughts given
@@understandingyourself yes, all too often that is the case.
I appreciate your nuanced on the idea of what "successful" means relating to this topic. Much of the language around suicide amounts to assumptions and projections veiled in clichés.
We make lots of assumptions about what is "good" for society, for other, and even for ourselves.
Hi my son was diagnosed with ADHD when he was little and I never got him help because of me not being educated about it, well he just committed suicide may 22 and he was 21 and am heart broken and at a loss of not knowing why. He didn’t have no addiction to drugs, alcohol, he was healthy. I know when he was little he had issues with learning in school but so did I so I never really thought twice about, but after he killed him self and left me a last text message he told me he got raped in my basement of the house I was living when he was little and he said ask grandma, so I had no idea and my mom kept this secret from me, also after he graduated high school and started looking for a job he was always so hard on himself and I couldn’t understand why, I told him it’s ok to get rejected. I never knew he thought so little of himself after looking at hes note book and him writing on how worthless he felt, but yea he bought a gun on a Sunday and went to the store to pick up the gun on Tuesday and killed him self on Wednesday may 22 2024. So many things I wish I could of known, so now am looking for answers on why he did this, now looking at your video things are starting to make sense, I have a 8 year old with autism so am trying my best to get help for him and I started little late because again there was no help to guide me and what I mean by that is that I need the help and explaining to be in front of my face for me to understand and by the way am dyslexic so I think that’s my reason for not trying to find information. I’ve been trying since the beginning of this year to find help for my autistic child but the waitlist is a year long hopefully I’ll be able to help him and this won’t happen again to me. Thank u for the video
My heart goes out to you for your loss. Don't be too hard on yourself, many individuals keep their suicidal thoughts hidden from family members. I hope that your 8 year old finds the help he needs - it can be very tough to obtain services for mental health issues in this country, particularly for children.
@dr.johnkruse6708 thank u. Yea am trying my best to get the help needed for my 8 year old. But for my 21 year old just left me at a lost for words and my mom is heart broken too
I have ADHD. I’m 19 thinking about suicide. I have no job, can’t concentrate in college, have no friends and nobody to talk to. I’m the only person without a job in my household. I feel useless and miserable. I try every day, but I keep falling back into this dark state of mind. I was diagnosed with ADHD at a really young age since I was six. I just feel so lonely and behind in life my brain is like a roller coaster I’m lost in my own thoughts. I been fighting alone. I mostly rot in my room all day. I do workout and I’m in shape, but I don’t connect with people I find it hard. I’m isolated most of the day and I talk to myself because I have nobody. I have insomnia and panic attacks everyday and I could burly sleep. Whenever I have my college classes, I end up skipping them because I find it hard to concentrate. The only reason I go to college is because my parents force me to go and if I don’t go I will be considered as a “bum”. I’m not doing it for me I’m doing it for them so they could feel happy about it.
@@JoseSiordia-up2ui yes, it can be quite challenging living with ADHD. But many people do find ways to build lives of meaning and beauty. Your college should have resources available for students in distress. There is also 988 the national hotline for people dealing with suicidal thoughts that can provide non-judgmental assistance. It may also be helpful to reach out to your local branch of NAMI or CHADD to connect with other people struggling with some of the issues that face you.
Thanks for giving me a better understanding of ADHD which I was diagnosed with as a child and know I still have it as an adult but not yet been diagnosed, literally have no friends, hardly any relationships, and just a social life period because of my condition and feel this being behind in society is getting the best of me and having less interest in life 😞
I hope that this information helps, particularly to remind you that there are very likely people out there, and possibly talking therapies or medications, that can help address despair.
Only natural. If you are a life-time specialist in messing up, you are proned to despair.
From Germany: Once again: I do appreciate your education on this so relevant topic a lot!🍒
Thank you!
A very tough subject to bring up, and one that is rarely mentioned, yet so important. Thank you for this!
My go to strategy to shift my mood when I'm down or in "depths of despair" mode, is excercise. The challenge is to force myself to do it for those 1st 5 min, having some kind of conscious awareness that I have adhd and I'm dysregulated at the moment. Is that some type of DBT Doc? I try to remind myself or be present that I'm ruminating, castrophizing etc, and that realize that I have some type of disappointing "blow" or "blows" recently, intense stressors or overwhelm. I have timed my bounce back phase and know it's generally 2 days after the depths of despair, that I will begin to feel more hopeful etc. Primarily, though it's a bike ride or something that will start to help shift me out of it. This has been my experience, and again thanks for bringing awareness to this very very dark side of ADHD. Much appreciated, and also your channel just in general!
Thanks for sharing what has helped you. Yes, I would say that self-talk and action fits well within a DBT framework.
My Dad, and also my Grandad (Mums side) both died by suicide. I am 30, female and have been diagnosed with ADHD recently. My whole life I have watched my Mum and Brother struggle with depression and anxiety - like me. I’m now wondering, is it possible that my Dad or my grandad (or both) possibly had ADHD?
I haven’t told my family yet about my ADHD diagnosis and I fear that they will not be open to me discussing their experiences, or possibility of having it, or the experiences of my family.
Any advice?
I want to give people tools to help their mind. I am starting work with lifeline soon.
This is in the category of general information, rather than advice, since I don't have a doctor-patient relationship with you, and don't know the details of your life or that of your family. Information that might be useful to share is that ADHD has a very strong genetic component, and part of what led to increasing awareness (30+ years ago) that ADHD existed in adults was that so many of the parents picking up their kids at ADHD treatment centers seemed to display ADHD traits. If you approach things from "This is what seems to be helping me, it may be worth talking with your doctor if something similar could have a positive impact for you."
@@DrJohnKruse Thank you so much for your reply. As I am sure you are a busy person, so it is appreciated. I appreciate that there is not a doctor-patient relationship in this format, thus advice is limited. The advice you have given is wonderfully helpful within the bounds of this platform. Research and the neuroscience of the brain is fascinating.
@@Al.531 Best wishes moving forward with your life.
yeah, i'd rather be dead than live another day with adhd.
Thank you Sir!
My good friend john took his life early covid. He was adhd. Particularly hyperactive in my opinion we had lost touch for a couple years but to my knowledge he was still on three 30mg adderall xr a day. Is there any correlation between whats considered a high dose and suicide? A couple months before he died he randomly stopped by my house he had mentioned some troubles with his wife but overall he seemed well and not depressed. He had an awesome job out of all our friend group he was making the most money he had nice cars a house I dont know all the factors that led to his suicide but after hearing about it i wondered if it was because he was on such a high dosage but after watching your other video you said you had patients 2 sisters that were on 200mg of adderall. This was a very helpful video in understanding some of the reasons that could of lead to him taking his life. He was only 28. Thank you!
I'm sorry to hear about your loss. I'm not aware of any research correlating suicide in ADHD with stimulant dosage.
@@DrJohnKruse thank you for the information and the reply doctor.
I am only living because I have few responsibilities towards my family.
Otherwise it's always good to shut-off❤😂
and this video is on the view with discretion list? who else finds this ironic.
My understanding is that they have blanket rules, so no matter how suicide gets discussed it winds up on a discretion list.
I must respectfully disagree with your objection to our gun rights, despite any statistics.
These rights are the only thing that allows us to protect ourselves against people or governments wishing to harm us or take away our freedom.
People may choose to use a firearm to unalive themselves, but there are many, many other ways to do this.
I am sincerely sympathetic to those people whose will to live is impaired, or who are in so much psychological pain that such an exit is what they choose.
However, the fact that a relatively few people choose to die that way does not justify the government in any way trying to curb American citizens' Constitutional right to bear arms.
If you recall your history lessons, Americans fought a war over this right and others. Enough citizens still value these rights sufficiently to be willing again to do whatever is necessary to protect those precious rights.
You may want to also consider from history, that governments seeking to tyranize a country will first disarm the citizens.
There are constant efforts by a few legislators and lobbiests to undermine our 5th Amendment rights.
Based on what our country has been subjected to by our government in the past 3 years, I no longer trust the government to do what is in the best interests of the citizens. Why would we dare to let them disarm us?
This lecture was very informative and thank you for that.
I invite you to reconsider your opposition to guns. Guns are tools. As with anything, they only serve good or evil as the person using them directs.
Thank you for sharing your thoughts. The claim that guns protect us is a very powerful and comforting myth. Having guns in the household is clearly associated with an increased risk of dying from guns.