Dataset Information

A longitudinal examination of suicide-related thoughts and behaviors among bariatric surgery patients.

ABSTRACT:

Background

Past research suggests self-harm/suicidality are more common among adults who have undergone bariatric surgery than the general population.

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.

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).

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/m². 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).

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.

SUBMITTER: Gordon KH

PROVIDER: S-EPMC6481310 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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Publications

A longitudinal examination of suicide-related thoughts and behaviors among bariatric surgery patients.

Gordon Kathryn H KH King Wendy C WC White Gretchen E GE Belle Steven H SH Courcoulas Anita P AP Ebel Faith E FE Engel Scott G SG Flum Dave R DR Hinojosa Marcelo W MW Pomp Alfons A Pories Walter J WJ Spaniolas Dino D Wolfe Bruce M BM Yanovski Susan Z SZ Mitchell James E JE

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery 20181206 2

<h4>Background</h4>Past research suggests self-harm/suicidality are more common among adults who have undergone bariatric surgery than the general population.<h4>Objectives</h4>To compare prevalence of self-harm/suicidal ideation over time and identify presurgery risk factors for postsurgery self-harm/suicidal ideation.<h4>Setting</h4>The Longitudinal Assessment of Bariatric Surgery-2 is a cohort study with presurgery and annual postsurgery assessments conducted at 10 U.S. hospitals.<h4>Methods< ...[more]

PMID: 31010651

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Project description:BackgroundDespite alarming increases in suicide deaths among preadolescent children, knowledge of the precipitants of suicide risk and the characteristics of children who seek treatment for suicidality is limited. This study's purpose is to describe children (ages 6-12) hospitalized for suicide-related concerns and compare demographic and diagnostic differences between children and adolescent (ages 13-18) patients.MethodsThis retrospective study analyzed medical records of 502 children and adolescents ages 6-18 admitted for suicide-related risk to one psychiatric inpatient hospital in southeastern United States between 2015 and 2018.ResultsPatients were predominantly White (63.5%), female (64.5%), and non-Hispanic/Latino (85.1%). We conducted descriptive analyses and a series of logistic regressions comparing children and adolescents with data extracted from discharge summaries, (i.e. primary reasons for admission, environmental stressors, and diagnostic categories). Common environmental stressors included school (63.2%) and family (60.7%), and the most common diagnosis included depressive disorders. Compared to adolescents, children were more likely to be Black (OR = 1.99), male (OR = 1.94), and receive neurodevelopmental disorder (aOR = 3.0) or trauma and stress-related disorder (aOR = 2.6) diagnoses, but less likely to be diagnosed with a depressive disorder (aOR = 0.4). Across both age-groups, Black patients were more likely to be diagnosed with neurodevelopmental disorders and less likely to receive internalizing disorder diagnoses.ConclusionsCharacteristics of children hospitalized for suicide-related risk are relatively similar to characteristics of children dying by suicide. Compared to adolescents, hospitalized children are more likely to be Black, male, and have a neurodevelopmental disorder diagnosis. Proactively identifying and providing strengths-based supports for Black boys and families appear critical for suicide prevention in children.

Dataset Information

A longitudinal examination of suicide-related thoughts and behaviors among bariatric surgery patients.

Background

Objectives

Setting

Methods

Results

Conclusions

Publications

A longitudinal examination of suicide-related thoughts and behaviors among bariatric surgery patients.

Similar Datasets

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