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Self-Reported Depressive Symptoms and Suicidality in Adolescents with Attention-Deficit/Hyperactivity Disorder: Roles of Bullying Involvement, Frustration Intolerance, and Hostility

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  • Tai-Ling Liu

    (Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan)

  • Ray C. Hsiao

    (Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195-6560, USA
    Department of Psychiatry, Children’s Hospital and Regional Medical Center, Seattle, WA 98105, USA)

  • Wen-Jiun Chou

    (School of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Cheng-Fang Yen

    (Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan)

Abstract

This study examined the relationships of cyberbullying and traditional bullying victimization and perpetration, perceived family function, frustration discomfort, and hostility with self-reported depressive symptoms and suicidality in adolescents diagnosed as having attention-deficit/hyperactivity disorder (ADHD). Both the self-reported severity of depressive symptoms on the Center for Epidemiological Studies Depression Scale and the occurrence of suicidal ideation or a suicide attempt on the suicidality module of the Kiddie Schedule for Affective Disorders and Schizophrenia were assessed in 195 adolescents with ADHD. The adolescents completed the Cyberbullying Experiences Questionnaire, Chinese version of the School Bullying Experience Questionnaire, Frustration–Discomfort Scale, Buss–Durkee Hostility Inventory, and Family APGAR Index. Caregivers completed the ADHD problems component of the Child Behavior Checklist for Ages 6–18. Multiple regression analyses were used to examine the correlates for each of self-reported depressive symptoms and suicidality. The results showed that after the effects of gender, age, ADHD symptoms, and family function were controlled, greater frustration discomfort and bullying perpetration significantly predicted self-reported depressive symptoms. Being cyberbullying victims and displaying hostility significantly predicted the risk of suicidality. Various types of bullying involvement, frustration intolerance, and hostility significantly predicted self-reported depressive symptoms and suicidality in adolescents with ADHD. By monitoring and intervening in these factors, we can reduce the risk of depression-related problems and suicidality in adolescents with ADHD.

Suggested Citation

  • Tai-Ling Liu & Ray C. Hsiao & Wen-Jiun Chou & Cheng-Fang Yen, 2021. "Self-Reported Depressive Symptoms and Suicidality in Adolescents with Attention-Deficit/Hyperactivity Disorder: Roles of Bullying Involvement, Frustration Intolerance, and Hostility," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7829-:d:600147
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    References listed on IDEAS

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    1. Chien-Chuan Wang & Ray C. Hsiao & Cheng-Fang Yen, 2019. "Victimization of Traditional and Cyber Bullying During Childhood and Their Correlates Among Adult Gay and Bisexual Men in Taiwan: A Retrospective Study," IJERPH, MDPI, vol. 16(23), pages 1-14, November.
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    Cited by:

    1. Xiaoou Man & Jiatong Liu & Zengxin Xue, 2022. "Effects of Bullying Forms on Adolescent Mental Health and Protective Factors: A Global Cross-Regional Research Based on 65 Countries," IJERPH, MDPI, vol. 19(4), pages 1-17, February.

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