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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2015, Número 1

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Rev Biomed 2015; 26 (1)


Trastorno por Déficit de Atención con Hiperactividad (TDAH) como posible factor mediador para intento suicida en niño de 10 años: Reporte de un caso

Perales-Blum L, Juárez-Treviño M, Treviño-Treviño J, Cáceres-Vargas M

Idioma: Español
Referencias bibliográficas: 56
Paginas: 47-56
Archivo PDF: 152.49 Kb.


RESUMEN

El propósito de este artículo es hacer la descripción de un caso clínico donde se observa una convergencia entre el diagnóstico de TDAH e intento suicida, en ausencia de otras enfermedades psiquiátricas comórbidas, describiendo los antecedentes y el proceso de evaluación.
Se trata de un paciente de 10 años de edad, con diagnóstico de TDAH (de acuerdo a los criterios clínicos del DSM IV TR), quien es hospitalizado al presentar intento suicida de alta letalidad por ahorcamiento en ausencia de comorbilidad psiquiátrica alguna, evaluado clínicamente, usando múltiples fuentes de información y por medio de escalas clinimétricas.
A pesar de que la tasa de TDAH es alta en poblaciones con ideación, intentos y suicidio completado, (casi el doble que los controles) (1), son relativamente pocas las investigaciones que se han realizado de dicha asociación y además suelen intentar explicar la suicidalidad mediante la psicopatología comórbida (Trastornos afectivos, de ansiedad, de personalidad, abuso de sustancias), sin cuestionar la relación TDAH- riesgo suicida como mecanismo explicativo de forma independiente. La disfunción ejecutiva que se presenta en el TDAH, particularmente, la impulsividad, pudiera estudiarse como un posible mecanismo mediador en el riesgo suicida.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Impey M, Heun R. Completed suicide, ideation and attempt in attention deficit hyperactivity disorder. Acta Psychiatr Scand 2012 Feb; 125(2): 93-102.

  2. Berthod C, Giraud C, Gansel Y, Fourneret P, Desombre H. Suicide attempts of 48 children aged 6-12 years. Arch Pediatr 2013 Dec; 20(12): 1296-305.

  3. Gunnel D, Bennewith O, Hawton K, Simkin S, Kapur N. The epidemiology and prevention of suicide by hanging: a systematic review. Int J Epidemiol 2005 Apr; 34(2): 433-42.

  4. Catallozzi M, Pletcher JR, Schwarz DF. Prevention of suicide in adolescents. Curr Opin Pediatr 2001; 13(5):417-22.

  5. Shaffer D, Pfeffer C. Practice Parameter for the Assessment and Treatment of Children and Adolescents With Suicidal Behavior. J Am Acad Child Adolesc Psychiatry. 2001 Jul; 40(7):24S-51S.

  6. Connolly L. Suicidal behavior: does it exist in preschool aged children? Ir J Psychol Med. 1999 Jun; 16(2): 72–4.

  7. Tishler C, Staats-Reiss N, Rhodes A. Suicidal behavior in children younger than twelve: a diagnostic challenge for emergency department personnel. Acad Emerg Med 2007 Sep; 14(9): 810-8.

  8. AAP Committee on Injury and Poison Prevention. Efforts to reduce the toll of injuries in childhood require expanded research. Pediatrics 1996 May; 97(5):765-768.

  9. CDC Suicide trends among youths and young adults ages 10–24 years, United States, 1990–2004. MMWR Morb Mortal Wkly Rep. 2007 Sept; 56(35): 905–8

  10. Brener ND, Krug EG, Simon TR. Trends in suicide ideation and suicidal behavior among high school students in theUnitedStates, 1991-1997. Suicide Life Threat Behav 2000 Winter; 30(4):304-12.

  11. Brent DA, Baugher M, Bridge J, Chen T, Chiappetta L. Age and sex related risk factors for adolescent suicide. J Am Acad Child Adolesc Psychiatry. 1999 Dec; 38(12): 1497-505

  12. Paternite C, Loney J, Salisbury H, Whaley M. Childhood inattention-overactivity, aggression and stimulant medication history as predictors of young adult outcomes. J Child Adolesc Psychopharmacol 1999 Feb; 9(3): 169-84.

  13. Hacker K, Suglia S, Fried L, Rappaport N, Cabral H. Developmental differences in risk factors for suicide attempts between ninth and eleventh grades. Suicide Life Threat Behav 2006 Apr; 36(2): 154-66.

  14. Meyer R, Salzman C, Youngstrom E, Clayton P, Goodwin F, Mann J, et al. Suicidality and risk of suicide- definition, drug safety concerns, and a necessary target for drug development: a consensus statement. J Clin Psychiatry 2010 Aug; 71(8): e1-e21.

  15. Sheehan D, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E et al. The Mini International Neuropsychiatric Interview (MINI): The Development and Validation of a Structured Diagnostic Psychiatric Interview for DSM-IV and ICD-10. J Clin Psychiatry 1998; 59(20): 22-33.

  16. León Mejía L. Validez concurrente del Inventario de Depresión para Niños (CDI) y la Escala de Birleson (DSRS) en escolares de 8 a 12 años. Tesis de Especialización en Psiquiatría Infantil y de la Adolescencia. Facultad de Medicina, UNAM. 2005.

  17. Bard De, Wolraich ML, Neas B, Doffing M, Beck L. The psychometric properties of the Vanderbilt attention-deficit hyperactivity disorder diagnostic parent rating scale in a community population. J Dev Behav Pediatr 2013 Feb; 34(2): 72-82.

  18. Ratey JJ, Gutheil CM. The measurement of aggressive behavior:reflections on the use of the Overt Aggression Scale and the Modified Overt Aggression Scale. J Neuropsychiatry Clin Neurosci 1991 Spring; 3 (2): S57-S60.

  19. Cruz E. Escala CEPO para el trastorno por déficit de atención en adolescentes. México: Tesis para obtener la especialidad en Psiquiatría, UniversidadNacional Autónoma de México; 1998.

  20. Barragán-Pérez E, Peña-Olvera F, Ortiz-León S, Ruiz-García M, Hernández-Aguilar J, Palacios- Cruz L, et al. Primer Consenso Latinoamericano de Trastorno por Déficit de Atención e Hiperactividad. Bol Med Hosp Infant Mex 2007 Sep; 64(5): 326-43.

  21. Schaffer D, Gould MS, Brasic J, Ambrosini P et al. A children's Global Assessment Scale (C-GAS). Arch Gen Psychiatry 1983 Nov; 40(11): 1228-31.

  22. Winters N, Collett B, Myers K. Ten year review of rating scales, VII: scales assessing functional impairment. J Am Acad Child Adolesc Psychiatry 2005 Apr; 44(4): 309-38.

  23. Antshel K, Olszewski A. Cognitive behavioral therapy for adolescents with ADHD. Child Adolesc Psychiatric Clin N Am 2014 Oct; 23(4): 825-42.

  24. Galéra C, Bouvard MP, Encrenaz G, Messiah A, Fombonne E. Hyperactivity-inattention symptoms in childhood and suicidal behaviors in adolescent: the Youth Gazel Cohort. Acta Psychiatr Scand 2008 Dec; 118(6): 480-9.

  25. Manor I, Gutnik I, Ben-Dor D, Anter A, Sever J, Tyano S, Weizman A, Zalsman G. Possible association between attention deficit hyperactivity disorder and attempted suicide in adolescents - A pilot study. Europ Psych 2010 Apr; 25(3): 146-50.

  26. Ilomaki E. Rasanen P, Viilo K, Hakko H. Suicidal behavior among adolescents with conduct disorder- the role of alcohol dependance. Psychiatry Res. 2007 Apr; 150(3): 305-11.

  27. James A, Lai FH, Dahl C. Attention deficit hyperactivity disorder and suicide: a review of possible associations. Acta Psychiatr Scand 2004 Dec; 110(6): 408-15.

  28. Pompili M, Mancinelli I, Girardi P, Ruberto A, Tatarelli R. Childhood suicide: a major issue in pediatric healthcare. Issues Compr Pediatr Nurs 2005 Jan-Mar; 28(1): 63-8.

  29. Pfeffer CR. Childhood suicidal behavior: a developmental perspective. Psychiatr Clin North Am 1997 Sep; 20(3): 551–62.

  30. Groholt B, Ekeberg O, Wichstrom L, Haldorsen T. Suicide among children and younger and older adolescents in Norway: a comparative study. J Am Acad Child Adolesc Psychiatry 1998 May; 37(5): 473–81.

  31. Shaffer D. Suicide in childhood and early adolescence. J Child Psychol Psychiatry 1974 Oct; 15(4):275–91.

  32. Kosky R. Childhood suicidal behavior. J Child Psychol Psychiatry. 1983 Jul; 24(3):457–68.

  33. Clark D. Suicidal behavior in childhood and adolescence: recent studies and clinical implications. Psychiatr Ann. 1993; 23(5): 271–83.

  34. Shaffer D, Pfeffer CR, Bernet W, et al. Practice parameter for the assessment and treatment of children and adolescents with suicidal behavior. J Am Acad Child Adolesc Psychiatry 2001 Jul; 40(Suppl 7):24S–51 (2)

  35. Lam L. Attention deficit disorder and hospitalization swing to intra- and interpersonal violence among children and young adolescents. J Adolesc Health 2005 Jan; 36(1): 19-24.

  36. Marzuk PM, Hartwell N, Leon AC, Portera L. Executive functioning in depressed patients with suicidal ideation. Acta Psychiatr Scand 2005 Oct; 112(4): 294-301

  37. Westheide J, Wednow BB, Kuhn K, Hoppe C, Cooper-Mahkorn D, Hawellek et al. Executive performance of depressed suicide attempters: the role of suicidal ideation. Eur Arch Pyschiatry Clin Neurosci. 2008 Oct; 258(7): 414-21.

  38. Doyle A. Executive functions in attention-deficit/ hyperactivity disorder. J Clin Psychiatry 2006; 67(8): 31-6.

  39. Sjöwall D, Roth L, Lindqvist S, Thorell LB. Multiple deficits in ADHD: executive dysfunction, delay aversion, reaction time variability, and emotional deficits. J Child Psychol Psychiatry 2013 Jun; 54(6): 619-27.

  40. Willcut EG, Doyle AE, Nigg JT, Faraone SV, Pennington BF. Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psychiatry 2005 Jun; 57(11): 1336-46.

  41. Bedard AC, Ickowicz A, Logan GD, Hogg-Johnson S, Schachar R, Tannock R et al. Selective inhibition in children with attention-deficit/hyperactivity disorder off and on stimulant medication. J Abnorm Child Psychol 2003 Jun; 31(3): 315-27.

  42. B e d a r d AC, Ickowicz A, Tannock R. Methylphenidate improves Stroop naming speed, but not response interference, in children with attentiondeficit/ hyperactivity disorder. J Child Adolesc Psychopharmacol 2002 Winter; 12(4): 301-9.

  43. Bedard AC, Martinussen R, Ickowicz A, Tannock R. Methylphenidate improves visual-spatial memory in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 2004 Mar; 43(3): 260-8.

  44. Mann J. The neurobiology of suicide. Nature Med 1998 Jan; 4(1): 25-30.

  45. Del Campo N, Chamberlain SR, Sahakian BJ, Robbins TW. Pathophysiology and treatment of attention-deficit/hyperactivity disorder. Biol Psychiatry 2011 Feb; 69(12): e145-57.

  46. Berkowitz L. Some aspects of observed aggression. J Personality Soc Psychol 1965 Sep; 2(3): 359-69.

  47. Dodge KA, Lochman JE, Harnish JD, Bates JE, Pettit GS. Reactive and proactive aggression in school children and psychiatrically impaired chronically assaultive youth. J Abnorm Psychol 1997 Feb; 106(1): 37-51.

  48. Raine A, Dodge KA, Loeber R, Gatzke-Kopp L, Lynam D, Reynolds C, et al. The Reactive–Proactive Aggression Questionnaire: Differential correlates of reactive and proactive aggression in adolescent boys. Aggress Behav 2006 Apr; 32(2): 159–71

  49. Crick NR, Dodge KA. A review and reformulation of social information-processing mechanisms in children’s social adjustment. Psychol Bull 1994; 115(1): 74–101.

  50. Young J, Klosko J, Weishaar M. Schema Therapy: A Practitioner's Guide. New York: The Guilford Press.; 2003.

  51. Wagner B, Cole R, Schwartzman P. Comorbidity of symptoms among junior and senior high school suicide attempters. Suicide Life Threat Behav 1996 Fall; 26(3): 300-7.

  52. Hawton K, Fagg J, Platt S, Hawkins M. Factors associated with suicide after parasuicide in young people. BMJ 1993 Jun; 306(6893); 1641-4.

  53. Foley DL, Goldston DB, Costello J, Angold A. Proximal psychiatric risk factors for suicidality in youth. The Great Smoky Mountain Study. Arch Gen Psychiatry. 2006 Sep; 63(9):1017–24.

  54. Theriault S, Holmberg D. Impulsive, but violent? Are components of the attention deficit-hyperactivity syndrome associated with aggression in relationships? Viol Ag Wom 2001 Dec; 7(12): 1464-89.

  55. Haavisto A, Sourander A, Ellilä H, Välimäki M, Santalahti P, Helenius H. Suicidal ideation and suicide attempts among child and adolescent psychiatric inpatients in Finland. J Affect Disord. 2003 Sep; 76(1-3): 211-21.

  56. Agosti V, Chen Y, Levin FR. Does attention Deficit Hyperactivity Disorder increase the risk of suicide attempts? J Affect Disord. 2011 Oct; 133(3): 595-99.




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