If an adolescent on ADHD medication reports suicidal thoughts, what action is required?

• A. Contact the healthcare provider right away.
• B. Ignore the symptoms and continue as planned.
• C. Increase the dose to cope with thoughts.
• D. Have them nap and reassess later.

Answer: (A)

Whenever an adolescent on ADHD medication reports suicidal thoughts, safety must come first. This symptom can signal an emerging crisis, a mood disorder, or a medication-related side effect, and it requires prompt clinical evaluation to determine the appropriate steps.

The best action is to contact the prescribing clinician right away so they can assess risk, review the medication regimen, and decide whether changes to treatment, additional mental health support, or urgent crisis intervention are needed. If there is any plan or intent to harm themselves, or the risk is high, seek emergency care immediately.

In the meantime, ensure the patient is in a safe environment and that trusted adults are aware of the situation. Do not increase the medication dose or delay assessment, and avoid letting the situation be dismissed or ignored.