TY  - JOUR
PY  - 2019//
TI  - A longitudinal examination of suicide-related thoughts and behaviors among bariatric surgery patients
JO  - Surgery for obesity and related diseases
A1  - Gordon, Kathryn H.
A1  - King, Wendy C.
A1  - White, Gretchen E.
A1  - Belle, Steven H.
A1  - Courcoulas, Anita P.
A1  - Ebel, Faith E.
A1  - Engel, Scott G.
A1  - Flum, Dave R.
A1  - Hinojosa, Marcelo W.
A1  - Pomp, Alfons
A1  - Pories, Walter J.
A1  - Spaniolas, Dino
A1  - Wolfe, Bruce M.
A1  - Yanovski, Susan Z.
A1  - Mitchell, James E.
SP  - 269
EP  - 278
VL  - 15
IS  - 2
N2  - BACKGROUND: Past research suggests self-harm/suicidality are more common among adults who have undergone bariatric surgery than the general population. <br><br>OBJECTIVES: To compare prevalence of self-harm/suicidal ideation over time and identify presurgery risk factors for postsurgery self-harm/suicidal ideation. SETTING: The Longitudinal Assessment of Bariatric Surgery-2 is a cohort study with presurgery and annual postsurgery assessments conducted at 10 U.S. hospitals. <br><br>METHODS: Adults with severe obesity undergoing bariatric surgery between March 2006 and April 2009 (n = 2458). Five-year follow-up is reported. Self-reported history of suicidality assessed retrospectively via the Suicide Behavior Questionnaire-Revised (SBQ-R) and self-reported self-harm/suicidal ideation assessed prospectively via the Beck Depression Inventory-Version 1 (BDI-1). <br><br>RESULTS: The SBQ-R was completed by 1540 participants; 2217 completed the BDI-1 pre- and postsurgery. Over 75% of participants were female, with a median age of 46 years and body mass index of 45.9 kg/m<sup>2</sup>. Approximately one fourth of participants (395/1534) reported a presurgery history of suicidal thoughts or behavior (SBQ-R). The prevalence of self-harm/suicidal ideation (BDI-1) was 5.3% (95% confidence interval [CI], 3.7-6.8) presurgery and 3.8% (95% CI, 2.5-5.1) at year 1 postsurgery (P = .06). Prevalence increased over time postsurgery to 6.6% (95% CI, 4.6-8.6) at year 5 (P = .001) but was not significantly different than presurgery (P = .12). <br><br>CONCLUSIONS: A large cohort of adults with severe obesity who underwent bariatric surgery had a prevalence of self-harm/suicidal ideation that may have decreased in the first postoperative year but increased over time to presurgery levels, suggesting screening for self-harm/suicidality is warranted throughout long-term postoperative care. Several risk factors were identified that may help with enhanced monitoring.<br><br>Copyright © 2018 American Society for Bariatric Surgery. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1550-7289
UR  - http://dx.doi.org/10.1016/j.soard.2018.12.001
ID  - ref1
ER  -