Journal of Neural Transmission

, Volume 126, Issue 9, pp 1163–1173 | Cite as

Accident patterns in trauma surgery patients with and without self-reported ADHD

  • Sarah Wolff
  • Kristin Queiser
  • Leonie Wessendorf
  • Anna Maria Meier
  • Moritz Verdenhalven
  • Oliver Grimm
  • Christoph Reimertz
  • Christoph Nau
  • Michelle Klos
  • Andreas Reif
  • Sarah Kittel-SchneiderEmail author
Psychiatry and Preclinical Psychiatric Studies - Original Article


Attention deficit/hyperactivity disorder (ADHD) has been associated with a higher risk for accidents and injuries, leading to increased mortality. The objective of this study was to identify the types and mechanisms of accidents in a group of adult trauma victims with self-reported ADHD compared to a control group, based on Adult ADHD Self-Report Scale Version 1.1 (ASRSv1.1). A semi-open/qualitative accident questionnaire was conducted with 116 recruited patients from three trauma surgery units. The adult ADHD (aADHD) group differed significantly from the control group in self-reported psychiatric co-morbidities (p = 0.012), regular psychotropic medication use (p = 0.005), other accidents in the past year (p = 0.002), substance use before the accident (p = 0.007), and overconfidence in relation to the accident (p = 0.033). Most interestingly, we found significantly greater subjective ratings for stress (p = 0.002) and stressful/pressurising events before the accident (p = 0.026) in the adult ADHD group, as well as for self-reported stress at the time when conducting the interview (p = 0.016). The data demonstrate that special attention should be paid to interventions in stress reduction and sufficient treatment of ADHD in terms of preventing accidents and injuries in aADHD. Therefore, we suggest, in addition to pharmaceutical therapy, the integration of stress-management and coping strategies into aADHD management.


Adult attention deficit/hyperactivity disorder (aADHD) Accidents Psychosocial stress Cross-sectional study 



The authors would like to thank all the staff members of the Occupational Accident Clinic [Berufsgenossenschaftliche Unfallklinik (BGU)] Frankfurt, the Department of Trauma, Hand and Reconstructive Surgery and Department of Oral, Dental and Cosmetic Facial surgery, University Hospital of Frankfurt as well as all patients for participation.


This study, as part of the Prevalence of Adult Attention Deficit/-Hyperactivity Disorder in Accident Victims (PrADA) study of the Department of Psychiatry, Psychosomatic Medicine and Psychotherapy at Goethe University in Frankfurt/Main, Germany, was funded by Medice Arzneimittel Pütter GmbH & Co KG. The Sponsor receives the data from the study only as cumulative, anonymized results in the form of a publication, and had no influence on study design and interpretation.

Compliance with ethical standards

Conflict of interest

AR has received speaker’s honoraria from Medice, Shire, Servier, Janssen and Neuraxpharm as well as grant support from Medice. SKS has received author’s and speaker’s honoraria as well as travel costs from Medice Arzneimittel and travel costs from Shire. All other co-authors have no conflict of interest to declare.

Ethical approval

All procedures performed in studies involving human participants were in accordance with ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendment or comparable ethical standards.

Supplementary material

702_2019_2011_MOESM1_ESM.docx (23 kb)
Supplementary material 1 (DOCX 23 kb)


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  • Sarah Wolff
    • 1
  • Kristin Queiser
    • 1
  • Leonie Wessendorf
    • 1
  • Anna Maria Meier
    • 1
  • Moritz Verdenhalven
    • 1
  • Oliver Grimm
    • 1
  • Christoph Reimertz
    • 2
  • Christoph Nau
    • 3
  • Michelle Klos
    • 4
  • Andreas Reif
    • 1
  • Sarah Kittel-Schneider
    • 1
    Email author
  1. 1.Department of Psychiatry, Psychosomatic Medicine and PsychotherapyUniversity Hospital Frankfurt, Goethe UniversityFrankfurt am MainGermany
  2. 2.Occupational Accident Clinic Frankfurt (Berufsgenossenschaftliche Unfallklinik, BGU)Frankfurt am MainGermany
  3. 3.Department of Trauma, Hand and Reconstructive SurgeryUniversity Hospital Frankfurt, Goethe UniversityFrankfurt am MainGermany
  4. 4.Department of Oral, Maxillofacial and Plastic Facial SurgeryUniversity Hospital Frankfurt, Goethe UniversityFrankfurt am MainGermany

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