Suicide attempts after bariatric surgery: comparison to a nonsurgical cohort of individuals with severe obesity.
Surg Obes Relat Dis
; 19(12): 1458-1466, 2023 Dec.
Article
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| MEDLINE
| ID: mdl-37758538
ABSTRACT
BACKGROUND:
The rate of suicide is higher among individuals following bariatric surgery compared with the general population; however, it is not clear whether risk is associated with bariatric surgery beyond having severe obesity.OBJECTIVE:
To compare the risk of a suicide attempt among those who had bariatric surgery versus a nonsurgical cohort with severe obesity.SETTING:
Aggregate count data were collected from 5 healthcare systems.METHODS:
Individuals were identified in the surgical cohort if they underwent bariatric surgery between 2009 and 2017 (n = 35,522) and then were compared with a cohort of individuals with severe obesity who never had bariatric surgery (n = 691,752). Suicide attempts were identified after study enrollment date using International Classification of Diseases, Ninth and Tenth Editions (ICD-9 and ICD-10) diagnosis codes from 2009 to 2021.RESULTS:
The relative risk of a suicide attempt was 64% higher in the cohort with bariatric surgery than that of the nonsurgical cohort (2.2% versus 1.3%; relative risk = 1.64; 95% CI, 1.53-1.76). Within the cohort with bariatric surgery, suicide attempts were more common among the 18- to 39-year age group (P < .001), women (P = .002), Hawaiian-Pacific Islanders (P < .001), those with Medicaid insurance (P < .001), and those with a documented mental health condition at baseline (in the previous 2 years; P < .001).CONCLUSIONS:
The relative risk of suicide attempts was higher among those who underwent bariatric surgery compared with a nonsurgical cohort, though absolute risk remained low. Providers should be aware of this increased risk. Screening for suicide risk after bariatric surgery may be useful to identify high-risk individuals.Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Obesidad Mórbida
/
Cirugía Bariátrica
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Surg Obes Relat Dis
Asunto de la revista:
METABOLISMO
Año:
2023
Tipo del documento:
Article