ADHD drug treatment and risk of negative events and outcomes

26 bookofjoe 12 8/15/2025, 2:27:44 PM bmj.com ↗

Comments (12)

ravenstine · 17m ago
Makes sense that methylphenidate helps with most of the things associated with classical ADHD symptoms but not with clumsiness that can lead to accidental injuries; or, in my case, just bruises on my shins all the time.
kruffalon · 1m ago
Why?

I don't really disagree with you but I wonder how the thwarted sense of "my body in the world" is so connected to ADHD while not being connected at all to executive functioning (which in my perception is what amphetamines help with).

rmorey · 6m ago
It only didn’t help with the first incident of accidental injuries (makes sense, almost everyone has one early on regardless) but it was still also associated with reduced recurrence
bluefirebrand · 37s ago
I was diagnosed with ADHD in my early 30s and prescribed Concerta to help manage it

For a few years being medicated for ADHD was a godsend. I was finally able to be more productive and focus on work, my career took off in a huge way, I've literally tripled my income since I started medication

Now I'm incredibly burned out, I've been having pretty severe memory problems, I'm on medical leave from my job to try and course correct a bit here. I don't think this is purely caused by the medication, I think it is stress related as well, but my doctor's only course of action right now is to reduce and re-evaluate my meds

On one hand, being medicated was incredible for me. It felt like it finally let me overcome my demons and be the person I wanted to be and always knew I was capable of being

On the other hand, if it led to my current situation it's probably one of the worst choices I could have ever made. I hate having massive holes in my memory like this, and being burned out this way is extremely difficult to bear

So... If you can balance things better than I could, it's still probably worth being medicated. I don't regret it I just wish it hadn't burned me out like this

bookofjoe · 1h ago
Full title: ADHD drug treatment and risk of suicidal behaviours, substance misuse, accidental injuries, transport accidents, and criminality: emulation of target trials
skeezyboy · 11m ago
Whod have thought taking speed might fuck you up even more than the ADHD
pooloo · 3m ago
As others have stated this is not what the article/study states, also speed is related to a street drug with unknown dosage and control. While the prescribed pharmaceutical-grade medication is precise and well managed with slow release mechanism, making it vastly different from the street drug.
skeezyboy · 29s ago
I wouldnt call it vastly different. It cant be abused for euphoria, but it still has an addiction warning on the label.
tonyarkles · 9m ago
I don't think the article is saying what you think it's saying:

> Drug treatment for ADHD was associated with beneficial effects in reducing the risks of suicidal behaviours, substance misuse, transport accidents, and criminality but not accidental injuries when considering first event rate. The risk reductions were more pronounced for recurrent events, with reduced rates for all five outcomes. This target trial emulation study using national register data provides evidence that is representative of patients in routine clinical settings.

beschizza · 2m ago
What's great about this comment is it gets two things wrong: the conclusion of the study (which found reductions across the board in fuckedupedness) and the drug being studied (Ritalin, not Adderall i.e. "speed")
californical · 9m ago
That’s the opposite of the conclusion, though?

> Drug treatment for ADHD was associated with beneficial effects in reducing the risks of suicidal behaviours, substance misuse, transport accidents, and criminality but not accidental injuries when considering first event rate. The risk reductions were more pronounced for recurrent events, with reduced rates for all five outcomes. This target trial emulation study using national register data provides evidence that is representative of patients in routine clinical settings.

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gg4949 · 5m ago
maybe if you took your speed you would have understood the paper