Jeanne McPhee1,2, Eve Khlyavich Freidl2,3, Julia Eicher4, Jeffrey L Zitsman4, Michael J Devlin1,2, Tom Hildebrandt5, Robyn Sysko5. 1. Columbia Centre for Eating Disorders, Division of Clinical Therapeutics, New York State Psychiatric Institute, NY, USA. 2. Department of Psychiatry, College of Physicians and Surgeons of Columbia University, NY, USA. 3. Columbia University Clinic for Anxiety and Related Disorders, Division of Child Psychiatry, College of Physicians and Surgeons of Columbia University, NY, USA. 4. Centre for Adolescent Bariatric Surgery, Department of Surgery, Columbia University Medical Centre, NY, USA. 5. Eating and Weight Disorders Programme, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, NY, USA.
Abstract
OBJECTIVE: This study examined the prevalence and correlates of suicidal ideation and behaviour (SI/B) among adolescents receiving bariatric surgery. METHOD: Charts of 206 adolescents receiving bariatric surgery were reviewed. Cases with SI/B (current/lifetime reported at baseline or event occurring in the programme n = 31, 15%) were case matched on gender, age and surgery type to 31 adolescents reporting current or past psychiatric treatment and 31 adolescents denying lifetime SI/B or psychiatric treatment. RESULTS: Before surgery, adolescents with SI/B reported significantly lower total levels of health-related quality of life (p = 0.01) and greater depressive symptoms (p = 0.004) in comparison with candidates who never received psychiatric treatment. No significant differences were found between groups for the change in depressive symptoms or body mass index following surgery. CONCLUSIONS: As in studies of adults, a notable subset of adolescents receiving bariatric surgery indicated pre-operative or post-operative SI/B. It is critical that clinicians evaluate and monitor adolescent patients undergoing bariatric surgery for risk of SI/B.
OBJECTIVE: This study examined the prevalence and correlates of suicidal ideation and behaviour (SI/B) among adolescents receiving bariatric surgery. METHOD: Charts of 206 adolescents receiving bariatric surgery were reviewed. Cases with SI/B (current/lifetime reported at baseline or event occurring in the programme n = 31, 15%) were case matched on gender, age and surgery type to 31 adolescents reporting current or past psychiatric treatment and 31 adolescents denying lifetime SI/B or psychiatric treatment. RESULTS: Before surgery, adolescents with SI/B reported significantly lower total levels of health-related quality of life (p = 0.01) and greater depressive symptoms (p = 0.004) in comparison with candidates who never received psychiatric treatment. No significant differences were found between groups for the change in depressive symptoms or body mass index following surgery. CONCLUSIONS: As in studies of adults, a notable subset of adolescents receiving bariatric surgery indicated pre-operative or post-operative SI/B. It is critical that clinicians evaluate and monitor adolescent patients undergoing bariatric surgery for risk of SI/B.
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