Autolesão não suicida em crianças e adolescentes com TDAH: revisão narrativa da literatura

Authors

  • Beatriz Billafan Ferreira
  • Barbara Evelline da Silva Bandeira
  • Marina Nogueira de Assis Fonseca
  • Giovana Cristina dos Santos Freitas

DOI:

https://doi.org/10.34119/bjhrv6n3-329

Keywords:

Transtorno de Déficit de Atenção e Hiperatividade, comportamento autolesivo, autolesão não suicida, crianças, adolescentes

Abstract

Introdução: Este estudo visa esclarecer a associação entre o Transtorno de Déficit de Atenção e Hiperatividade (TDAH) na infância e adolescência e o comportamento autolesivo – em especial, a autolesão não suicida -, investigando-se a relevância diagnóstica e terapêutica dessa comorbidade no curso do TDAH. Metodologia: Realizou-se revisão narrativa da literatura, na plataforma digital PubMed, com descritores extraídos da plataforma Descritores em Ciências da Saúde, do Portal Regional da Biblioteca Virtual em Saúde - BIREME. Resultados: Dentre os oito estudos analisados, seis destacaram associação positiva entre TDAH e autolesão na infância/adolescência. Também apresentaram importante papel fatores como sexo feminino, impulsividade, idade, comorbidades psiquiátricas, disfunção familiar e problemas comportamentais e emocionais na infância. Discussão/Conclusão: Em crianças e adolescentes com TDAH, propõe-se vigilância ativa com relação a autolesão e seus fatores de risco. Há necessidade de atenção especial às meninas, principalmente àquelas com mais sintomas impulsivos/hiperativos ou apresentação combinada. 

References

American Psychiatric Association. DSM-5: Manual Diagnóstico e Estatístico de Transtornos Mentais. 5. ed. Porto Alegre: Artmed Editora, 2014.

DE SOUSA, A. F.; COIMBRA, I. M.; CASTANHO, J. M. POLANCZYK, G. V.; ROHDE, L. A. Attention deficit hyperactivity disorder. In: REY, J. M.; MARTIN, A. JM Rey’s IACAPAP e-Textbook of Child and Adolescent Mental Health. Genebra: International Association for Child and Adolescent Psychiatry and Allied Professions, 2020.

REALE. L.; BARTOLI, B.; CARTABIA, M.; ZANETTI, M.; CONSTANTINO, M. A.; CANEVINI, M. P.; TERMINE, C.; BONATI, M. Comorbidity prevalence and treatment outcome in children and adolescents with ADHD. European Child and Adolescent Psychiatry, v. 26, n. 12, p. 1443-1457, dez. 2017.

CARON, C.; RUTTER, M. Comorbidity in child psychopathology: concepts, issues and research strategies. Journal of Child Psychology and Psychiatry, v. 32, n. 7, p. 1063-1080, nov. 1991.

GILLBERG, C.; GILLBERG, I. C.; RASMUSSEN, P.; KADESJÖ, B.; SÖDERSTRÖM, M. R.; JOHNSON, M.; ROTHENBERGER, A.; NIKLASSON L. Co-existing disorders in ADHD – implications for diagnosis and intervention. European Child and Adolescent Psychiatry, v. 13, n. 1, p. 80-92, jul. 2004.

BLANCO, C.; WALL, M. W.; HE, J. P.; KRUEGER, R. F.; OLFSON, M.; JIN C. J.; BURSTEIN, M.; MERIKANGAS, K. R. The space of common psychiatric disorders in adolescents: comorbidity structure and individual latent liabilities. Journal of the American Academy of Child and Adolescent Psychiatry, v. 54, n. 1, p. 45-52, jan. 2015.

ALLELY, C. S. The association of ADHD symptoms to self-harm behaviours: a systematic PRISMA review. BMC Psychiatry, v. 14, n. 133, maio 2014.

JANS, T.; VLOET, T. D.; TANELI, Y.; WARNKE, A. Suicide and Self-Harming Behaviour. In: REY, J. M.; MARTIN, A. JM Rey’s IACAPAP e-Textbook of Child and Adolescent Mental Health. Genebra: International Association for Child and Adolescent Psychiatry and Allied Professions, 2018.

POSNER, K.; OQUENDO, M. A.; GOULD, M.; STANLEY, B.; DAVIES, M. Columbia Classification Algorithm of Suicide Assessment (C- CASA): Classification of Suicidal Events in the FDA’s Pediatric Suicidal Risk Analysis of Antidepressants. American Journal of Psychiatry, v. 164, n. 7, p. 1035-1043, jul. 2007.

LOCKWOOD, J.; DALEY, D.; TOWNSEND, E.; SAYAL, K. Impulsivity and self-harm in adolescence: A systematic review. European Child and Adolescent Psychiatry, v. 26, n. 4, p. 387– 402, abr. 2016.

BEAUCHAINE, T. P.; HINSHAW, S. P.; BRIDGE, J. A. Nonsuicidal Self-Injury and Suicidal Behaviors in Girls: The Case for Targeted Prevention in Preadolescence. Clinical Psychological Science, v. 7, n. 4., p. 643–667, jan. 2019.

GIUPPONI, G.; GIORDANO, G.; MANISCALCO, I.; ERBUTO, D.; BERARDELLI, I.; CONCA, A.; LESTER, D.; GIRARDI, P.; POMPILI, M. Suicide risk in attention-deficit/hyperactivity disorder. Psychiatria Danubina, v. 30, n. 1, p. 2–10, mar. 2018.

HINSHAW, S. P.; OWENS, E. B.; ZALECKI, C.; HUGGINS, S. P.; MONTENEGRO-NEVADO, A. J.; SCHRODEK, E.; SWANSON, E. N. Prospective Follow-Up of Girls With Attention-Deficit/Hyperactivity Disorder Into Early Adulthood: Continuing Impairment Includes Elevated Risk for Suicide Attempts and Self-Injury. Journal of Consulting and Clinical Psychology, v. 80, n. 6, p. 1041-1051, dez. 2012.

MEZA, J. I.; OWENS, E. B.; HINSHAW, S. P. Childhood predictors and moderators of lifetime risk of self-harm in girls with and without attention-deficit/hyperactivity disorder. Development and Psychopathology, v. 33, n. 4, p. 1351-1367, out. 2021.

WARD, J. H.; CURRAN, S. Self-harm as the first presentation of attention deficit hyperactivity disorder in adolescents. Child and Adolescent Mental Health, v. 26, n. 4, p. 303-309, nov. 2021.

MULRANEY, M.; ZENDARSKI, N.; COGHILL, D. Suicidality and Self-harm in Adolescents With Attention-Deficit/ Hyperactivity Disorder and Subsyndromal ADHD. Child and Adolescent Mental Health, v. 60, n. 9, p. 1049-1051, set. 2021.

BALÁZS, J.; GYORI, D.; HORVÁTH, L. O.; MÉSZÁROS, G.; SZENTIVÁNYI, D. Attention-deficit hyperactivity disorder and nonsuicidal self-injury in a clinical sample of adolescents: the role of comorbidities and gender. BMC Psychiatry, v. 18, n. 34, fev. 2018.

O’GRADY, S. M.; HINSHAW, S. P. Long-term outcomes of females with attention-deficit hyperactivity disorder: increased risk for self-harm. The British Journal of Psychiatry, v. 218, n. 1, p. 4-6, jan. 2021.

HURTIG, T.; TAANILA, A.; MOILANEN, I.; NORDSTRÖM, H. E. Suicidal and self-harm behaviour associated with adolescent attention deficit hyperactivity disorder – A study in the Northern Finland Birth Cohort 1986. Nordic Journal of Psychiatry, v. 66, n. 5, p. 320-328, out. 2012.

CHOU, I. C.; LIN, C. C.; SUNG, F. C.; KAO, C. H. Attention-deficit hyperactivity disorder increases the risk of deliberate self-poisoning: A population-based cohort. European Psychiatry, v. 29, n. 8, p. 523-527, out. 2014.

GOODMAN, R. The Strengths and Difficulties Questionnaire: A Research Note. Journal of Child Psychology and Psychiatry, v. 38, n. 5, p. 581-586, jul. 1997

GOODMAN, R.; MELTZER, H.; BAILEY, V. (1998) The Strengths and Difficulties Questionnaire: A pilot study on the validity of the self-report version. European Child and Adolescent Psychiatry, v. 7, n. 3, p. 125-130, set. 1998.

NOCK, M. K.; HOLMBERG, E. B.; PHOTOS, V. I.; MICHEL, B. D. Self-Injurious Thoughts and Behaviors Interview: development, reliability, and validity in an adolescent sample. Psychological Assessment, v. 19, n. 3, p. 309-317, set. 2007.

KAUFMAN, J.; BIRMAHER, B.; BRENT, D.; RAO, U.; FLYNN, C.; MORECI, P.; WILLIAMSON, D.; RYAN, N. Schedule for Affective Disorders and Schizophrenia for School-Age Children - Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, v. 36, n. 7, p. 980-988, jul. 1997.

SHEEHAN, D. V.; LECRUBIER, Y.; SHEEHAN, K. H.; AMORIM, P.; JANAVS, J.; WEILLER, E.; HERGUETA, T.; BAKER, R.; DUNBAR, G. C. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, v. 59, n. 20, p. 22-33, maio 1998.

GRATZ, K. L. Measurement of Deliberate Self-Harms: Preliminary Data on the Deliberate Self-Harm Inventory. Journal of Psychopathology and Behavioral Assessment, v. 23, n. 4, p. 253-263, dez. 2001.

RUCKLIDGE, J. J.; TANNOCK R. Psychiatric, psychosocial, and cognitive functioning of female adolescents with ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, v. 40, n. 5, p. 530-540, maio 2001.

Published

06/15/2023

How to Cite

FERREIRA, B. B.; BANDEIRA, B. E. da S.; FONSECA, M. N. de A.; FREITAS, G. C. dos S. Autolesão não suicida em crianças e adolescentes com TDAH: revisão narrativa da literatura. Brazilian Journal of Health Review, [S. l.], v. 6, n. 3, p. 12626–12641, 2023. DOI: 10.34119/bjhrv6n3-329. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/60682. Acesso em: 19 oct. 2026.

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Section

Original Papers