--- title: Do teen girls with ADHD have more suicidal thoughts when angry before their period? description: Teen girls with ADHD are more likely to have PMDD and premenstrual anger. However, overall depression appears to be the main driver of suicide risk, not preme url: https://niyora.com/research/papers/beyond-general-depression-premenstrual-interpersonal-anger-as-a-unique-pathway-2026/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - Do teen girls with ADHD have more suicidal thoughts when angry before their period? Survey study, 2026 # Do teen girls with ADHD have more suicidal thoughts when angry before their period? Teen girls with ADHD are more likely to have PMDD and premenstrual anger. However, overall depression appears to be the main driver of suicide risk, not premenstrual anger alone. Early or limited evidence 392 female psychiatric outpatients, mean age 15.3 years ## What they did Retrospective chart review of 392 female psychiatric outpatients with mean age 15.3 years. Researchers reviewed medical records to look at ADHD diagnosis, premenstrual symptoms, depression severity, and presence of suicidal thoughts using validated questionnaires. ## What they found Girls with ADHD had higher rates of suspected PMDD (22.1% versus 13.3% in those without ADHD). ADHD diagnosis significantly predicted higher premenstrual anger scores even after controlling for depression. Premenstrual anger alone predicted suicidal ideation. However, when depression was included in the analysis, depression became the dominant predictor and premenstrual anger no longer had an independent effect. ## What it means for you Teen girls with ADHD may experience more intense premenstrual anger, but depression is the key factor driving suicide risk, not anger by itself. This study only included girls already in psychiatric care, so results may not apply to all teenagers. Medical records may have incomplete information. 22.1% girls with ADHD had suspected PMDD 13.3% girls without ADHD had suspected PMDD 392 psychiatric outpatients studied ## About the study Original title Beyond general depression: Premenstrual interpersonal anger as a unique pathway to suicidal ideation in adolescent females with ADHD Authors Ogata H, Kondo C, Seki M et al. Journal Journal of psychosomatic research Year 2026 Study design Survey study What was tested None Read the paper [doi.org/10.1016/j.jpsychores.2026.112907](https://doi.org/10.1016/j.jpsychores.2026.112907) ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Irritability and anger](https://niyora.com/research/topics/symptom-irritability-anger/)[Suicidality](https://niyora.com/research/topics/symptom-suicidality/)[ADHD](https://niyora.com/research/topics/comorbidity-adhd/)[Autism](https://niyora.com/research/topics/comorbidity-autism/)[Relationships and partners](https://niyora.com/research/topics/life-area-relationships/)[Adolescents and young people](https://niyora.com/research/topics/life-area-adolescents/) Research tells you what helps on average. Niyora helps on the day it hits. Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor. ## Related studies Cohort study, 2023 Does the menstrual cycle affect how often women have suicidal thoughts? Interview study, 2019 Which PMDD symptoms are most common in college students? Survey study, 2026 Do girls who experienced childhood abuse or neglect have higher PMDD symptoms? Survey study, 2025 Are girls with ADHD or autism more likely to have severe PMS or PMDD? Survey study, 2023 How common are PMS and PMDD among college girls, and what are their symptoms? Survey study, 2016 Is premenstrual syndrome associated with suicide risk personality traits? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗