Attention deficit hyperactivity disorder (ADHD) has been described as a preexisting psychiatric disorder for patients with burns that may have contributed significantly to their injury. The authors are not aware of any studies that have specifically looked at ADHD in burn patients and its role in the injury. A retrospective chart review of all youth that were admitted to a burn care unit over the past 20 years and diagnosed with ADHD on admission was conducted to describe the occurrence and features of their injury. In the 39 patients identified as having ADHD, impulsive behavior contributed to burn injury in 21 cases (54%) and possibly four additional cases. In addition, nine of the 21 cases were not on prescribed stimulant medication on the day of burn injury. The presence of ADHD is important to consider with respect to risk and potential prevention of pediatric burn injury.