ADHD, financial distress, and suicide in adulthood: A population study
Attention-deficit/hyperactivity disorder (ADHD) exerts lifelong impairment, including difficulty sustaining employment, poor credit, and suicide risk. To date, however, studies have assessed selected samples, often via self-report. Using mental health data from the entire Swedish population ( = 11.5...
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| Veröffentlicht in: | Science advances 2020-09, Vol.6 (40) |
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| creator | Beauchaine, Theodore P Ben-David, Itzhak Bos, Marieke |
| description | Attention-deficit/hyperactivity disorder (ADHD) exerts lifelong impairment, including difficulty sustaining employment, poor credit, and suicide risk. To date, however, studies have assessed selected samples, often via self-report. Using mental health data from the entire Swedish population (
= 11.55 million) and a random sample of credit data (
= 189,267), we provide the first study of objective financial outcomes among adults with ADHD, including associations with suicide. Controlling for psychiatric comorbidities, substance use, education, and income, those with ADHD start adulthood with normal credit demand and default rates. However, in middle age, their default rates grow exponentially, yielding poor credit scores and diminished credit access despite high demand. Sympathomimetic prescriptions are unassociated with improved financial behaviors. Last, financial distress is associated with fourfold higher risk of suicide among those with ADHD. For men but not women with ADHD who suicide, outstanding debt increases in the 3 years prior. No such pattern exists for others who suicide. |
| doi_str_mv | 10.1126/sciadv.aba1551 |
| format | Article |
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= 11.55 million) and a random sample of credit data (
= 189,267), we provide the first study of objective financial outcomes among adults with ADHD, including associations with suicide. Controlling for psychiatric comorbidities, substance use, education, and income, those with ADHD start adulthood with normal credit demand and default rates. However, in middle age, their default rates grow exponentially, yielding poor credit scores and diminished credit access despite high demand. Sympathomimetic prescriptions are unassociated with improved financial behaviors. Last, financial distress is associated with fourfold higher risk of suicide among those with ADHD. For men but not women with ADHD who suicide, outstanding debt increases in the 3 years prior. No such pattern exists for others who suicide.</description><identifier>ISSN: 2375-2548</identifier><identifier>EISSN: 2375-2548</identifier><identifier>DOI: 10.1126/sciadv.aba1551</identifier><identifier>PMID: 32998893</identifier><language>eng</language><publisher>United States: American Association for the Advancement of Science</publisher><subject>03 Good Health and Well-being ; 08 Decent work & economic growth ; Adult ; Attention Deficit Disorder with Hyperactivity - epidemiology ; Comorbidity ; Humans ; Male ; Middle Aged ; Psychological Science ; SciAdv r-articles ; Self Report ; Social Sciences ; Substance-Related Disorders ; Suicide</subject><ispartof>Science advances, 2020-09, Vol.6 (40)</ispartof><rights>Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution NonCommercial License 4.0 (CC BY-NC).</rights><rights>Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution NonCommercial License 4.0 (CC BY-NC). 2020 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-4112890eb059f6f22c730f4605d21c514ba17dad8ace38cfe8ee85249d61b2b63</citedby><cites>FETCH-LOGICAL-c432t-4112890eb059f6f22c730f4605d21c514ba17dad8ace38cfe8ee85249d61b2b63</cites><orcidid>0000-0002-7367-2372 ; 0000-0001-9743-7441 ; 0000-0002-0938-945X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7527218/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7527218/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32998893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://research.hhs.se/esploro/outputs/journalArticle/ADHD-financial-distress-and-suicide-in/991001480471706056$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Beauchaine, Theodore P</creatorcontrib><creatorcontrib>Ben-David, Itzhak</creatorcontrib><creatorcontrib>Bos, Marieke</creatorcontrib><title>ADHD, financial distress, and suicide in adulthood: A population study</title><title>Science advances</title><addtitle>Sci Adv</addtitle><description>Attention-deficit/hyperactivity disorder (ADHD) exerts lifelong impairment, including difficulty sustaining employment, poor credit, and suicide risk. To date, however, studies have assessed selected samples, often via self-report. Using mental health data from the entire Swedish population (
= 11.55 million) and a random sample of credit data (
= 189,267), we provide the first study of objective financial outcomes among adults with ADHD, including associations with suicide. Controlling for psychiatric comorbidities, substance use, education, and income, those with ADHD start adulthood with normal credit demand and default rates. However, in middle age, their default rates grow exponentially, yielding poor credit scores and diminished credit access despite high demand. Sympathomimetic prescriptions are unassociated with improved financial behaviors. Last, financial distress is associated with fourfold higher risk of suicide among those with ADHD. For men but not women with ADHD who suicide, outstanding debt increases in the 3 years prior. 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To date, however, studies have assessed selected samples, often via self-report. Using mental health data from the entire Swedish population (
= 11.55 million) and a random sample of credit data (
= 189,267), we provide the first study of objective financial outcomes among adults with ADHD, including associations with suicide. Controlling for psychiatric comorbidities, substance use, education, and income, those with ADHD start adulthood with normal credit demand and default rates. However, in middle age, their default rates grow exponentially, yielding poor credit scores and diminished credit access despite high demand. Sympathomimetic prescriptions are unassociated with improved financial behaviors. Last, financial distress is associated with fourfold higher risk of suicide among those with ADHD. For men but not women with ADHD who suicide, outstanding debt increases in the 3 years prior. No such pattern exists for others who suicide.</abstract><cop>United States</cop><pub>American Association for the Advancement of Science</pub><pmid>32998893</pmid><doi>10.1126/sciadv.aba1551</doi><orcidid>https://orcid.org/0000-0002-7367-2372</orcidid><orcidid>https://orcid.org/0000-0001-9743-7441</orcidid><orcidid>https://orcid.org/0000-0002-0938-945X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | 03 Good Health and Well-being 08 Decent work & economic growth Adult Attention Deficit Disorder with Hyperactivity - epidemiology Comorbidity Humans Male Middle Aged Psychological Science SciAdv r-articles Self Report Social Sciences Substance-Related Disorders Suicide |
| title | ADHD, financial distress, and suicide in adulthood: A population study |
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