Evidence map›Paper›PMID 32035828›Full record

Observational studySurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2020

Suicidal thoughts and behaviors in adolescents who underwent bariatric surgery.

Meg H Zeller, Jennifer Reiter-Purtill, Todd M Jenkins, Katherine M Kidwell, Heather E Bensman, James E Mitchell, Anita P Courcoulas, Thomas H Inge, Sanita L Ley, Kathryn H Gordon and 4 more

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00474318 (Teen-Longitudinal Assessment of Bariatric Surgery), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00474318 completednot on this map

Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Research Project

TypeobservationalSponsorAnn & Robert H Lurie Children's Hospital of ChicagoRan2007 to 2024Enrolled250ConditionsObesity
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. The Incidence of Suicide Following Metabolic and Bariatric Surgery: A Prognosis Systematic Review and Meta-Analysis of Longitudinal Studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Article
  3. Psychosocial outcomes after adolescent metabolic and bariatric surgery: a narrative review of the literature.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
    Review
  4. Article
  5. Article
  6. Marijuana, e-cigarette, and tobacco product use in young adults who underwent pediatric bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2023
    Observational
  7. Ethics of Bariatric Surgery in Adolescence and Its Implications for Clinical Practice.International journal of environmental research and public health · 2023
    Review
  8. Review
  9. Article
  10. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 1 country.

Meg H ZellerDepartment of Pediatrics, University of Cincinnati, Cincinnati, Ohio; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Electronic address: Meg.Zeller@cchmc.org.
Jennifer Reiter-PurtillDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Todd M JenkinsDivision of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Katherine M KidwellDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Heather E BensmanDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
James E MitchellSanford Health, Fargo, North Dakota.
Anita P CourcoulasDivision of Minimally Invasive Bariatric Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Thomas H IngeDepartment of Pediatric Surgery, Children's Hospital Colorado, Aurora, Colorado.
Sanita L LeyDepartment of Pediatrics, University of Cincinnati, Cincinnati, Ohio; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Kathryn H GordonSanford Health, Fargo, North Dakota.
Eileen A ChavesDepartment of Psychiatry and Behavioral Health, Nationwide Children's Hospital Medical Center, Columbus, Ohio.
Gia A WashingtonDepartment of Psychology, Texas Children's Hospital, Houston, Texas.
Heather M AustinDepartment of Pediatrics, Children's of Alabama, Birmingham, Alabama.
Dana L RofeyDepartment of Pediatrics, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Cincinnati Children's Hospital Medical Center · USSanford Health · USUniversity of Pittsburgh Medical Center · USChildren's Hospital Colorado · USChildren's of Alabama · USNationwide Children's Hospital · USTexas Children's Hospital · USUniversity of Cincinnati · US

Funding

Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Research ProjectUM1DK072493 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI INGE, THOMAS HARRIS · 2011 to 2020
$10.5M
Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) renewalUM1DK095710 · NIDDK · UNIVERSITY OF CINCINNATI · PI JENKINS, TODD M, XIE, CHANGCHUN · 2011 to 2020
$9.4M
Adolescent Bariatrics: Assessing Health Benefits & RisksU01DK072493 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI INGE, THOMAS HARRIS · 2006 to 2010
$8.7M
Adolescent Bariatric Surgery: Weight and Psychosocial Risk in Young AdulthoodR01DK080020 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI JENKINS, TODD M, ZELLER, MARGARET H · 2008 to 2023
$7.7M
Research Training in Child Behavior and NutritionT32DK063929 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI SCOTT W POWERS, MARGARET H ZELLER · 2003 to 2026
$6.0M
Tracking Adolescents After Bariatric Surgery: Substance, HIV and Suicide RisksR01DA033415 · NIDA · CINCINNATI CHILDRENS HOSP MED CTR · PI ZELLER, MARGARET H · 2012 to 2016
$2.1M
NIDA NIH HHS R01 DA033415NIDDK NIH HHS R01 DK080020NIDDK NIH HHS T32 DK063929NIDDK NIH HHS U01 DK072493NIDDK NIH HHS UM1 DK072493NIDDK NIH HHS UM1 DK095710
6 · The paper itself

Abstract

backgroundExtant literature warns of elevated suicide risks in adults postbariatric surgery, making understanding risks for adolescent patients imperative.

objectivesTo examine prevalence and predictors/correlates of suicidal thoughts and behaviors (STBs) in adolescents with severe obesity who did/did not undergo bariatric surgery from presurgery/baseline to 4 years postsurgery.

settingFive academic medical centers.

methodsUsing a prospective observational design, surgical adolescents (n = 153; 79% female, 65% white, mean [M]

resultsFor the surgical group, rates of STBs were low (year 2 [1.3%-4.6%]; year 4 [2.6%-7.9%], similar to national base rates. Groups did not differ on a year 4 postsurgical STBs (post-STBs) composite (post-STBs: ideation/plan/attempt; n = 18 surgical [16%], n = 10 nonsurgical [18%]; odds ratio = .95, P = .90). For the surgical group, predictors/correlates identified within the broader suicide literature (e.g., psychopathology [P < .01], victimization [P < .05], dysregulation [P < .001], drug use [P < .05], and knowing an attemptor/completer [P < .001]) were significantly associated with post-STBs. Surgery-specific factors (e.g., percent weight loss, weight satisfaction) were nonsignificant. Of those reporting a lifetime attempt history at year 4, only a minority (4/13 surgical, 3/9 nonsurgical) reported a first attempt during the study period. Of 3 decedents (2 surgical, 1 nonsurgical), none were confirmed suicides.

conclusionsThe present study indicates that undergoing bariatric surgery in adolescence does not heighten (or lower) risk of STB engagement across the initial 4 years after surgery. Suicide risks present before surgery persisted, and also newly emerged in a subgroup with poorer psychosocial health.

Indexed as

Bariatric SurgeryObesity, MorbidSuicideAdolescentAdultFemaleHumansMalePsychopathologySuicidal IdeationAdolescentBariatric surgerySuicidal behaviorSuicideYoung adult

Identifiers

PMID32035828
PMCPMC7362685
OpenAlexW2998556470

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.