|Title||Medication Reduces Crash Risk Among Men With ADHD|
|Publication Type||Journal Article|
|Year of Publication||2014|
|Authors||Winston FK, Romer D|
|Journal||Evidence Based Mental Health|
|Type of Article||journal|
What is already known on this topic?
Safe driving requires ‘situation awareness’, a combined implementation of skills and traits that include attending to the driving task, focusing on relevant hazards, and being aware of traffic and road conditions and responding appropriately.1 Deficits in attention and impulse control put patients with attention-deficit hyperactivity disorder (ADHD) at increased crash risk. Consistent ADHD medication use, ensuring therapeutic levels while driving, has the potential to reduce this risk.2
What does this paper add?
This landmark population-based study is the first to quantify an almost 50% increased risk of serious crash injuries among adults with ADHD.
What next in research
Could these results change your practices and why
Based on these findings and given the high burden of crashes, I would change my practice (FKW) to further prioritise assessment and management of driving among all of my patients with ADHD. Although this study did not examine adolescents, I would ensure that all men with ADHD were optimally treated with medication. I will also share these important results with my colleagues in psychiatry, paediatrics, family practice and internal medicine.
When they were not taking medication (HR=0.42, 95% CI 0.23 to 0.75). For women, no significant difference was found between medication and non-medication periods. Population-attributable fractions estimated that 41% of accidents in men with ADHD could be attributed to non-medication.