Suicidal thoughts and behaviors in adolescents who underwent bariatric surgery

摘要: Abstract Background Extant literature warns of elevated suicide risks in adults postbariatric surgery, making understanding for adolescent patients imperative. Objectives To examine prevalence and predictors/correlates suicidal thoughts behaviors (STBs) adolescents with severe obesity who did/did not undergo bariatric surgery from presurgery/baseline to 4 years postsurgery. Setting Five academic medical centers. Methods Using a prospective observational design, surgical (n = 153; 79% female, 65% white, mean [M]age 17 yr, Mbody mass index[BMI] 52 kg/m2) nonsurgical comparators 70; 80% 54% Mage 16 MBMI 47 completed psychometrically sound assessments at postsurgery 2 (year 4: n 117 [MBMI 38 kg/m2], 56 48 kg/m2]). Results For the group, rates STBs were low [1.3%–4.6%]; year [2.6%–7.9%], similar national base rates. Groups did differ on postsurgical (post-STBs) composite (post-STBs: ideation/plan/attempt; 18 [16%], 10 [18%]; odds ratio .95, P .90). identified within broader (e.g., psychopathology [P Conclusions The present study indicates that undergoing adolescence does heighten (or lower) risk STB engagement across initial after surgery. Suicide before persisted, also newly emerged subgroup poorer psychosocial health.