BACKGROUND: Although research has been limited, suicidal behavior has commonly been identified as a contraindication for bariatric surgery. The present study aimed to determine the prevalence and correlates of past suicide attempts in a bariatric surgery population at an academic medical center. METHODS: A retrospective chart review, including the demographic and psychosocial variables, was conducted of 1020 consecutive bariatric surgery candidates presenting during a 32-month period. RESULTS: Of the 1020 patients, 115 (11.2%) self-reported ≥ 1 previous suicide attempt. The patients with a positive suicide history were significantly younger (mean 42.9 ± 11.0 years), less educated (mean 13.4 ± 2.4 years), had a greater body mass index (mean 52.3 ± 11.6 kg/m(2)), and were more predominantly single (32.2% versus 20.9%), female (90.4% versus 74.8%), and receiving disability (45.2% versus 21.8%) compared with patients without a suicide history. A positive suicide history was also significantly associated with a history of psychiatric hospitalization, outpatient psychotherapy and/or psychotropic medication, sexual abuse, and substance abuse. CONCLUSION: Assessing suicide history is an important aspect of the bariatric preoperative assessment. Additional research is needed to evaluate the effects of suicide history on the postoperative outcomes and adherence.
BACKGROUND: Although research has been limited, suicidal behavior has commonly been identified as a contraindication for bariatric surgery. The present study aimed to determine the prevalence and correlates of past suicide attempts in a bariatric surgery population at an academic medical center. METHODS: A retrospective chart review, including the demographic and psychosocial variables, was conducted of 1020 consecutive bariatric surgery candidates presenting during a 32-month period. RESULTS: Of the 1020 patients, 115 (11.2%) self-reported ≥ 1 previous suicide attempt. The patients with a positive suicide history were significantly younger (mean 42.9 ± 11.0 years), less educated (mean 13.4 ± 2.4 years), had a greater body mass index (mean 52.3 ± 11.6 kg/m(2)), and were more predominantly single (32.2% versus 20.9%), female (90.4% versus 74.8%), and receiving disability (45.2% versus 21.8%) compared with patients without a suicide history. A positive suicide history was also significantly associated with a history of psychiatric hospitalization, outpatient psychotherapy and/or psychotropic medication, sexual abuse, and substance abuse. CONCLUSION: Assessing suicide history is an important aspect of the bariatric preoperative assessment. Additional research is needed to evaluate the effects of suicide history on the postoperative outcomes and adherence.
Authors: Jeanne McPhee; Eve Khlyavich Freidl; Julia Eicher; Jeffrey L Zitsman; Michael J Devlin; Tom Hildebrandt; Robyn Sysko Journal: Eur Eat Disord Rev Date: 2015-09-17
Authors: Michelle R Lent; Elizabeth Avakoff; Nicholas Hope; David S Festinger; Christopher D Still; Adam M Cook; Anthony T Petrick; Peter N Benotti; G Craig Wood Journal: Obes Surg Date: 2018-11 Impact factor: 4.129
Authors: Kathryn H Gordon; Wendy C King; Gretchen E White; Steven H Belle; Anita P Courcoulas; Faith E Ebel; Scott G Engel; Dave R Flum; Marcelo W Hinojosa; Alfons Pomp; Walter J Pories; Dino Spaniolas; Bruce M Wolfe; Susan Z Yanovski; James E Mitchell Journal: Surg Obes Relat Dis Date: 2018-12-06 Impact factor: 4.734
Authors: Jacob G Mabey; Ronette L Kolotkin; Ross D Crosby; Sheila E Crowell; Steven C Hunt; Lance E Davidson Journal: Surg Obes Relat Dis Date: 2020-08-31 Impact factor: 4.734