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primary topic: Suicidal Ideation and Non-suicidal Self-injury in Early Adolescence: The Role of ADHD Symptoms, Affect, and Emotion Regulation

Suicidal Ideation and Non-suicidal Self-injury in Early Adolescence: The Role of ADHD Symptoms, Affect, and Emotion Regulation
type: AcademicArticle
type: Article
abstract: Background: Suicidal ideation and non-suicidal selfinjury (NSSI) are highly prevalent during early adolescence and represent serious public health concerns. Emotional dysregulation has been identified as a transdiagnostic factor underlying various risk behaviors, particularly in youth with externalizing difficulties such as attentiondeficit/hyperactivity disorder (ADHD). While prior research has examined these factors independently, few studies have explored their joint and differential contribution to suicide-related outcomes in early adolescence. This study aimed to examine the association of ADHD-related symptoms, positive and negative affect, and emotional dysregulation with suicidal ideation and NSSI, as well as to explore whether emotional dysregulation moderates the relationship between ADHD-related symptoms and these risk behaviors. Methods: A total of 1079 Spanish adolescents (Mage = 12.6 years, SD = 0.6) enrolled in the first year of compulsory secondary education participated in a cross-sectional study. Standardized self-report measures were used to assess ADHD-related symptoms (Strengths and Difficulties Questionnaire [SDQ]), affect (Positive and Negative Affect Schedule for Children and Adolescents [PANAS-N]), and difficulties in emotion regulation (Difficulties in Emotion Regulation Scale [DERS-18]), alongside indicators of suicidal ideation and NSSI. Data analysis included group comparisons and hierarchical logistic regression models. Results: Suicidal ideation was reported by 10.1% of participants, and NSSI by 16.4%. Adolescents with either behavior exhibited significantly more hyperactivityinattention symptoms, greater negative affect, lower positive affect, and substantially elevated emotional dysregulation. In regression analyses, ADHD-related symptoms remained significant predictors after accounting for affect, although emotional dysregulation emerged as the strongest predictor, reducing the effects of other variables. Specific dimensions such as…
date: 2026-06
volume: 54
issue: 3
is part of: Actas Españolas de Psiquiatría
status: peerReviewed
status: published
author list: authors
type: EPrint
type: ArticleEPrint
is part of: repository
has document: Suicidal Ideation and Non-suicidal Self-injury in Early Adolescence: The Role of ADHD Symptoms, Affect, and Emotion Regulation (Texto)
subject: Psychology

Suicidal Ideation and Non-suicidal Self-injury in Early Adolescence: The Role of ADHD Symptoms, Affect, and Emotion Regulation (Texto)
type: Document
has file: ActEsp-54-3-726-740.pdf
has part: ActEsp-54-3-726-740.pdf

Actas Españolas de Psiquiatría
type: Collection
issn: 11399287

Jeffrey V. Tabares
type: Person
given name: Jeffrey V.
family name: Tabares

Karmele Salaberria
type: Person
given name: Karmele
family name: Salaberria

Alexander Muela
type: Person
given name: Alexander
family name: Muela

César González-Blanch
type: Person
given name: César
family name: González-Blanch

Paloma Canduela
type: Person
given name: Paloma
family name: Canduela

Jon García-Ormaza
type: Person
given name: Jon
family name: García-Ormaza

Amador Priede
type: Person
given name: Amador
family name: Priede

Ennio Ammendola
type: Person
given name: Ennio
family name: Ammendola

HTML Summary of #28587 Suicidal Ideation and Non-suicidal Self-injury in Early Adolescence: The Role of ADHD Symptoms, Affect, and Emotion Regulation
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primary topic: Suicidal Ideation and Non-suicidal Self-injury in Early Adolescence: The Role of ADHD Symptoms, Affect, and Emotion Regulation

Psychology
type: Concept
preferred label: Psicología @es