TY  - JOUR
PY  - 2023//
TI  - Suicide attempts after bariatric surgery: comparison to a nonsurgical cohort of individuals with severe obesity
JO  - Surgery for obesity and related diseases
A1  - Miller-Matero, Lisa R.
A1  - Yeh, Hsueh-Han
A1  - Ahmedani, Brian K.
A1  - Rossom, Rebecca C.
A1  - Harry, Melissa L.
A1  - Daida, Yihe G.
A1  - Coleman, Karen J.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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. <br><br>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. <br><br>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. <br><br>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). <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 1550-7289
UR  - http://dx.doi.org/10.1016/j.soard.2023.08.013
ID  - ref1
ER  -