Attention deficit/hyperactivity disorder and risk of injuries: A systematic review and meta-analysis

J Inj Violence Res. 2017 Jul;9(2):95-105. doi: 10.5249/jivr.v9i2.858. Epub 2016 Nov 16.


Background: This study systematically reviewed the literature in order to determine the effect of Attention-Deficit Hyperactivity Disorder (ADHD) on injuries and assessed the magnitude of the potential association.

Methods: A systematic review of the studies examining the association of ADHD and injuries was carried out across multiple databases. Odds ratios and standardized mean differences were pooled.

Results: A total of 35 studies were selected for quantitative analysis. The association of ADHD and injuries was confirmed over the meta-analysis of eligible studies. The odds ratio pooled over all comparative studies was 1.96(95% CI: 1.6-2.4) using random effects model. Pooled odds ratio of 2.1 and 2.17 were calculated respectively when cohort and case-control studies or just cohort studies were included. The pooled odds ratio reduced to 1.8(CI:1.45-2.3) when studies on specific injuries were removed. For studies comparing scores of rating scales, the pooled standardized mean difference was 0.61(95% CI: 0.03-1.2).

Conclusions: Those with ADHD are nearly two times more likely to be injured.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / complications*
  • Case-Control Studies
  • Cohort Studies
  • Data Interpretation, Statistical
  • Humans
  • Risk Assessment
  • Wounds and Injuries / etiology*