A longitudinal examination of suicide-related thoughts and behaviors among bariatric surgery patients

Gordon, Kathryn H.; King, Wendy C.; White, George L.; Belle, Steven H.; Courcoulas, Anita P.; Ebel, Faith; Engel, Scott G.; Flum, Dave R.; Hinojosa, Marcelo W.; Pomp, Alfons; Pories, Walter J.; Spaniolas, Dino; Wolfe, Bruce M.; Yanovski, Susan Z.; Mitchell, James E.

doi:10.1016/j.soard.2018.12.001

Cited by 31 publications

(38 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Four years after treatment initiation, 3.7% in the surgical group and 11.5% in the non-surgical group reported any current suicidal ideation according to BDI-2. The frequency was also higher than in previous findings in adults after MBS, where 6.6% reported self-harm/suicidal ideation at the 5-year follow-up [43]; however, the frequency is about the same as that reported by participants in the same sample at the 2-year follow-up [44].…”

Section: Discussioncontrasting

confidence: 70%

Depression, anxiety, and suicidal ideation in young adults 5 years after undergoing bariatric surgery as adolescents

et al. 2020

View full text Add to dashboard Cite

Purpose Metabolic and bariatric surgery (MBS) is increasingly used in adolescents. The aim was to explore symptoms of depression and anxiety in young adults over 5 years’ follow-up after undergoing MBS. Methods Beck Depression Inventory-2 and the Beck Anxiety Inventory were used to assess symptoms of depression and anxiety in 62 patients 1, 2, and 5 years after having Roux-en-Y gastric bypass at 13–18 years of age. Mental health, eating-related problems, and weight outcomes were tested for association with suicidal ideation at the 5-year follow-up. Results At the 5-year follow-up, the mean score for depression was 11.4 (± 12.4), indicating minimal symptoms of depression. The mean score for anxiety was 12.82 (± 11.50), indicating mild anxiety symptoms. Still, several participants reported moderate or severe symptoms of depression (26%) and anxiety (32%). Women reported more symptoms than men (P = 0.03 and 0.04). No significant changes were found in self-reported symptoms of depression and anxiety between the 1-year and the 5-year follow-up (P = 0.367 and 0.934). Suicidal ideation was reported by 16% at the 5-year follow-up. Participants reporting suicidal ideation had lost significantly less excess weight than participants without suicidal ideation (P = 0.009). Conclusion Five years after adolescent MBS, a substantial minority still struggles with mental health issues, and women are more burdened than men. Our results indicate an association between less optimal weight loss and suicidal ideation 5 years after MBS. The findings emphasize the importance of offering long-term follow-up and mental health treatment several years after MBS. Level of evidence Level III, cohort study. Clinical trial registration The study is registered with ClinicalTrials.gov (NCT00289705). First posted February 10, 2006.

show abstract

Section: Discussioncontrasting

confidence: 70%

Depression, anxiety, and suicidal ideation in young adults 5 years after undergoing bariatric surgery as adolescents

et al. 2020

View full text Add to dashboard Cite

show abstract

“…13 Being male was also shown to predict a higher risk of self-harm/suicidal ideation in the 5 years after surgery. 27 In the general population, a "gender paradox of suicidal behavior" has been reported: completed suicide is more prevalent in men, while non-fatal self-harm is more prevalent in women. 28 Although we were not able to analyze these two outcomes separately (due to a low number of completed suicides: 7 in men and 6 in women), it is still possible that some of the mechanisms proposed to explain this gender paradox are relevant.…”

Section: Discussionmentioning

confidence: 99%

Prediction of Suicide and Nonfatal Self-harm After Bariatric Surgery: A Risk Score Based on Sociodemographic Factors, Lifestyle Behavior, and Mental Health

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Multiple studies have documented increased risk of suicide in individuals with severe obesity . A LABS‐2 study that included 2,217 patients with 5 years of follow‐up found that before bariatric surgery, 25% of patients reported a history of suicidal thoughts or behavior, which is considerably higher than in the general population . The prevalence of self‐harm/suicidal ideation was 5.3% before surgery and 3.8% at year 1 post surgery.…”

Section: Mental Health Effects Of Bariatric Surgerymentioning

confidence: 99%

Mental Health in Bariatric Surgery: Selection, Access, and Outcomes

Morledge

Pories

2020

Obesity

Self Cite

View full text Add to dashboard Cite

Severe obesity has many psychiatric consequences that can be influenced by bariatric surgery. The goal of this article is to review these challenges, including the mental health status of patients with severe obesity, the evaluation of surgical candidates, and the early and late effects of the operations, and to offer some recommendations to manage these challenges. The failure of the insurance‐mandated preoperative psychosocial evaluation is also discussed.

show abstract

A longitudinal examination of suicide-related thoughts and behaviors among bariatric surgery patients

Cited by 31 publications

References 37 publications

Depression, anxiety, and suicidal ideation in young adults 5 years after undergoing bariatric surgery as adolescents

Depression, anxiety, and suicidal ideation in young adults 5 years after undergoing bariatric surgery as adolescents

Prediction of Suicide and Nonfatal Self-harm After Bariatric Surgery: A Risk Score Based on Sociodemographic Factors, Lifestyle Behavior, and Mental Health

Mental Health in Bariatric Surgery: Selection, Access, and Outcomes

Contact Info

Product

Resources

About