TY  - JOUR
PY  - 2019//
TI  - Suicidal thoughts and behaviors in adolescents who underwent bariatric surgery
JO  - Surgery for obesity and related diseases
A1  - Zeller, Meg H.
A1  - Reiter-Purtill, Jennifer
A1  - Jenkins, Todd M.
A1  - Kidwell, Katherine M.
A1  - Bensman, Heather E.
A1  - Mitchell, James E.
A1  - Courcoulas, Anita P.
A1  - Inge, Thomas H.
A1  - Ley, Sanita L.
A1  - Gordon, Kathryn H.
A1  - Chaves, Eileen A.
A1  - Washington, Gia A.
A1  - Austin, Heather M.
A1  - Rofey, Dana L.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Extant literature warns of elevated suicide risks in adults postbariatric surgery, making understanding risks for adolescent patients imperative. <br><br>OBJECTIVES: To examine prevalence and predictors/correlates of suicidal thoughts and behaviors (STBs) in adolescents with severe obesity who did/did not undergo bariatric surgery from presurgery/baseline to 4 years postsurgery. SETTING: Five academic medical centers. <br><br>METHODS: Using a prospective observational design, surgical adolescents (n = 153; 79% female, 65% white, mean [M]<sub>age</sub> = 17 yr, M<sub>body mass index[BMI]</sub> = 52 kg/m<sup>2</sup>) and nonsurgical comparators (n = 70; 80% female, 54% white, M<sub>age</sub> = 16 yr, M<sub>BMI</sub> = 47 kg/m<sup>2</sup>) completed psychometrically sound assessments at presurgery/baseline and postsurgery years 2 and 4 (year 4: n = 117 surgical [M<sub>BMI</sub> = 38 kg/m<sup>2</sup>], n = 56 nonsurgical [M<sub>BMI</sub> = 48 kg/m<sup>2</sup>]). <br><br>RESULTS: For the surgical group, rates of STBs were low (year 2 [1.3%-4.6%]; year 4 [2.6%-7.9%], similar to national base rates. Groups did not differ on a year 4 postsurgical STBs (post-STBs) composite (post-STBs: ideation/plan/attempt; n = 18 surgical [16%], n = 10 nonsurgical [18%]; odds ratio =.95, P =.90). For the surgical group, predictors/correlates identified within the broader suicide literature (e.g., psychopathology [P <.01], victimization [P <.05], dysregulation [P <.001], drug use [P <.05], and knowing an attemptor/completer [P <.001]) were significantly associated with post-STBs. Surgery-specific factors (e.g., percent weight loss, weight satisfaction) were nonsignificant. Of those reporting a lifetime attempt history at year 4, only a minority (4/13 surgical, 3/9 nonsurgical) reported a first attempt during the study period. Of 3 decedents (2 surgical, 1 nonsurgical), none were confirmed suicides. <br><br>CONCLUSIONS: The present study indicates that undergoing bariatric surgery in adolescence does not heighten (or lower) risk of STB engagement across the initial 4 years after surgery. Suicide risks present before surgery persisted, and also newly emerged in a subgroup with poorer psychosocial health.<br><br>Copyright © 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1550-7289
UR  - http://dx.doi.org/10.1016/j.soard.2019.12.015
ID  - ref1
ER  -