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

摘要: 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 ideation. Setting The Longitudinal Assessment Bariatric Surgery-2 is a cohort study with annual assessments conducted at 10 U.S. hospitals. Methods Adults severe obesity undergoing between March 2006 April 2009 (n = 2458). Five-year follow-up reported. Self-reported history suicidality assessed retrospectively via Suicide Behavior Questionnaire-Revised (SBQ-R) self-reported prospectively Beck Depression Inventory-Version 1 (BDI-1). Results SBQ-R was completed by 1540 participants; 2217 BDI-1 pre- postsurgery. Over 75% participants were female, median age 46 years body mass index 45.9 kg/m2. Approximately one fourth (395/1534) reported suicidal thoughts or behavior (SBQ-R). (BDI-1) 5.3% (95% confidence interval [CI], 3.7–6.8) 3.8% CI, 2.5–5.1) year (P = .06). Prevalence increased to 6.6% 4.6–8.6) 5 (P = .001) but not significantly different (P = .12). Conclusions A large underwent had that may decreased in first postoperative levels, suggesting screening warranted throughout long-term care. Several identified help enhanced monitoring.