Suicides following bariatric surgery for the treatment of obesity

Omalu, Bennet; Cho, Patrick; Shakir, Abdulrezzak; Agumadu, Uche H.; Rozin, Leon; Kuller, Lewis H.; Wecht, Cyril H.

doi:10.1016/j.soard.2005.04.003

Cited by 39 publications

(22 citation statements)

References 10 publications

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“…For surgery-seeking women Chen et al [141] reported that weight-related stigma was associated with suicidal ideation and/or behaviour. To further understand the mortality pattern of these patients, Omalu et al [142] studied the role of bariatric surgery in this context. In the three studied cases, wherein suicide was committed following bariatric surgery, a recurrent major depressive disorder was present before and after the intervention, concluding that the depressive disorder must have remained although a successful surgical control of obesity was obtained.…”

Section: Psychological Aspectsmentioning

confidence: 99%

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

et al. 2017

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Bariatric surgery is today the most effective long-term therapy for the management of patients with severe obesity, and its use is recommended by the relevant guidelines of the management of obesity in adults. Bariatric surgery is in general safe and effective, but it can cause new clinical problems and is associated with specific diagnostic, preventive and therapeutic needs. For clinicians, the acquisition of special knowledge and skills is required in order to deliver appropriate and effective care to the post-bariatric patient. In the present recommendations, the basic notions needed to provide first-level adequate medical care to post-bariatric patients are summarised. Basic information about nutrition, management of co-morbidities, pregnancy, psychological issues as well as weight regain prevention and management is derived from current evidences and existing guidelines. A short list of clinical practical recommendations is included for each item. It remains clear that referral to a bariatric multidisciplinary centre, preferably the one performing the original procedure, should be considered in case of more complex clinical situations.

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Section: Psychological Aspectsmentioning

confidence: 99%

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

et al. 2017

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“…Na literatura médica, encontram-se relatos de casos de suicídio após a realização da cirurgia bariátrica 16 . Todos os pacientes já sofriam de quadro depressivo prévio, assim como já haviam sido submetidos a tratamento psiquiátrico.…”

Section: Discussionunclassified

O impacto emocional da cirurgia bariátrica em pacientes com obesidade mórbida

Leal

Baldin

2007

Rev. psiquiatr. Rio Gd. Sul

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ResumoA cirurgia bariátrica é um método que tem sido utilizado para o emagrecimento e resgate da saúde. Em muitos casos, porém, o emagrecimento súbito incorre em quadros psiquiátricos, tais como: sintomas depressivos, ansiedade, uso de substâncias, alterações comportamentais e ideação suicida, dentre outras situações, associadas às mudanças emocionais que o paciente vivencia com o novo estado físico e psíquico. O atual estudo teve como objetivo analisar as expectativas, fantasias, resultados, dificuldades e frustrações enfrentadas após o procedimento cirúrgico. Realizou-se um relato de caso das informações colhidas com seis pacientes em acompanhamento num hospital público de Santa Catarina e que desenvolveram sintomas de sofrimento psíquico após a cirurgia bariátrica. Cada paciente participou de duas sessões de entrevistas semi-estruturadas. A pesquisa foi submetida e aprovada pela comissão de ética da Universidade de Joinville. Os resultados obtidos demonstram que as mudanças psicológicas decorrentes da cirurgia foram marcantes. Em determinados casos, as entrevistadas expressaram expectativas além do emagrecimento, como a resolução dos conflitos interpessoais e conjugais, assim como mudanças de traços definidos de suas personalidades. Constatou-se, também, o uso de substâncias (álcool e tabaco) associado a comportamentos de risco (envolvimento extraconjugal e direção perigosa). O problema da obesidade ficou evidenciado como parte de uma complexa situação que envolve o estado físico e emocional das pessoas, e sua resolução, por vezes, expõe as dificuldades e as limitações psíquicas dos pacientes. Descritores: Obesidade mórbida, cirurgia bariátrica, adaptação psicológica. AbstractBariatric surgery has been used for health recovery and weight loss. In many cases, however, abrupt weight loss produces psychiatric symptoms, such as depression, anxiety, use of drugs, behavioral changes and suicidal ideation, among other situations, all related to the emotional changes faced by the patient in his new physical and chemical state. This study aimed at analyzing hopes, fantasies, results, difficulties, and frustrations present after a surgical procedure. This case report resulted from the data collected from six patients being followed at a public hospital in Santa Catarina, Brazil, who developed symptoms of psychic suffering after the bariatric surgery. Each patient participated in two sessions of semi-structured interviews. This research was approved by the ethics committee of Universidade de Joinville. Results show that psychological changes resulting from the bariatric surgery were remarkable. In some cases, patients expressed expectations beyond weight loss, such as resolution of marital and interpersonal conflicts, as well as changes in stable personality traits. Use of substances (alcohol and tobacco) associated with risk behavior (extra-marital relationships and dangerous driving) was also detected. The problem of obesity was evidenced as part of a complex situation that involves both physical and mental status, an...

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“…Over the last decade, numerous studies have reported an increase in mortality due to accident, drug overdose, and suicide among bariatric patients compared to the general population or obese individuals who have not undergone weight loss surgery (Pories et al 1995;Omalu et al 2005;Sjostrom et al 2013;Bruschi Kelles et al 2014). In recent years, an increasing number of studies have revealed a consistent, longitudinal, and positive association between obesity and symptoms of depression (Mather et al 2009;Luppino et al 2010;Faith et al 2011).…”

Section: Self-harm and Suicidalitymentioning

confidence: 99%

“…Building on this observational foundation laid by Adams et al (2007) and others (Pories et al 1995;Omalu et al 2005;Sjostrom et al 2013;Bruschi Kelles et al 2014), the first study of note to specifically investigate post-surgical suicidality was conducted by Tindle et al (2010) among Pennsylvanian residents. Apart from the overall elevated suicide rate of 6.6 per 10,000 person-years, which was approximately twice that reported by Adams et al (2007), the rates differed greatly between men and women (13.7/10,000 in men and 5.2/10,000 in women).…”

Section: Self-harm and Suicidalitymentioning

confidence: 99%

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

Herpertz

Kessler

Jongen

2017

Zeitschrift für Psychosomatische Medizin und Psychotherapie

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ZusammenfassungPsychosoziale Fragen zur Adipositas-Chirurgie: was SummarySubject: In view of the epidemic increase in severe obesity and the ineffectiveness of conservative weight-loss interventions, bariatric surgery delivers compelling results for patients with class II (BMI ≥ 35 kg/m²) and class III obesity (BMI ≥ 40 kg/m²), not only in reducing weight over the long term, but also in reducing obesity-related somatic comorbidity and improving psychosocial functioning and quality of life. Investigations into the psychosocial aspects of obesity surgery have proliferated over the last 15 years, providing a huge amount of essential research data. Yet the results are partly contradictory and highly dependent on the duration of follow-up. Method: Based of a narrative review, this article provides an overview of the current status and recent developments of the reciprocal effects between bariatric surgery and psychosocial functioning. The review focused on eight domains representing important psychosomatic and psychosocial aspects of bariatric surgery. Results: Especially in cases of class II and III obesity, bariatric surgery is the only means to reduce bodyweight significantly and permanently, though they carry with them the associated risk factors of metabolic, cardiovascular, and oncological diseases. With regard to psychosocial and psychosomatic aspects, studies with a short-term catamnesis (approx. 3 years) speak in favor of an improvement in the quality of life including mental disorders. If we consider studies with longer follow-ups, however, the results are not as uniform. In particular, we observe an increase in harmful alcohol consumption, self-harm behavior, and suicide risk. Discussion: In light of mental well-being and thus also quality of life, bariatric surgery would appear to convey an elevated risk for a minority of patients. Yet identifying these patients before surgery has so far been insufficient.

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Suicides following bariatric surgery for the treatment of obesity

Cited by 39 publications

References 10 publications

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

O impacto emocional da cirurgia bariátrica em pacientes com obesidade mórbida

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

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