Evidence map›Paper›PMID 37758538›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2023

Suicide attempts after bariatric surgery: comparison to a nonsurgical cohort of individuals with severe obesity.

Lisa R Miller-Matero, Hsueh-Han Yeh, Brian K Ahmedani, Rebecca C Rossom, Melissa L Harry, Yihe G Daida, Karen J Coleman

Open access · greenAbstract read
In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.8field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 15 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Lisa R Miller-MateroBehavioral Health, Henry Ford Health, Detroit, Michigan; Center for Health Policy and Health Services Research, Henry Ford Health, Detroit, Michigan. Electronic address: Lmatero1@hfhs.org.
Hsueh-Han YehCenter for Health Policy and Health Services Research, Henry Ford Health, Detroit, Michigan.
Brian K AhmedaniBehavioral Health, Henry Ford Health, Detroit, Michigan; Center for Health Policy and Health Services Research, Henry Ford Health, Detroit, Michigan.
Rebecca C RossomHealthPartners Institute, Bloomington, Minnesota.
Melissa L HarryEssentia Institute of Rural Health, Duluth, Minnesota.
Yihe G DaidaKaiser Permanente Hawaii, Honolulu, Hawaii.
Karen J ColemanKaiser Permanente Southern California, Irvine, California; Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California.
Henry Ford Health System · USKaiser Permanente · USEssentia Health · USHealthPartners · US

Funding

Whose Depression Are We Measuring?: Considering the role of place on Black women’s depression outcomesU19MH121738 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2019 to 2023
$10.6M
NIMH NIH HHS U19 MH121738
6 · The paper itself

Abstract

backgroundThe rate of suicide is higher among individuals following bariatric surgery compared with the general population; however, it is not clear whether risk is associated with bariatric surgery beyond having severe obesity.

objectiveTo compare the risk of a suicide attempt among those who had bariatric surgery versus a nonsurgical cohort with severe obesity.

settingAggregate count data were collected from 5 healthcare systems.

methodsIndividuals were identified in the surgical cohort if they underwent bariatric surgery between 2009 and 2017 (n = 35,522) and then were compared with a cohort of individuals with severe obesity who never had bariatric surgery (n = 691,752). Suicide attempts were identified after study enrollment date using International Classification of Diseases, Ninth and Tenth Editions (ICD-9 and ICD-10) diagnosis codes from 2009 to 2021.

resultsThe relative risk of a suicide attempt was 64% higher in the cohort with bariatric surgery than that of the nonsurgical cohort (2.2% versus 1.3%; relative risk = 1.64; 95% CI, 1.53-1.76). Within the cohort with bariatric surgery, suicide attempts were more common among the 18- to 39-year age group (P < .001), women (P = .002), Hawaiian-Pacific Islanders (P < .001), those with Medicaid insurance (P < .001), and those with a documented mental health condition at baseline (in the previous 2 years; P < .001).

conclusionsThe relative risk of suicide attempts was higher among those who underwent bariatric surgery compared with a nonsurgical cohort, though absolute risk remained low. Providers should be aware of this increased risk. Screening for suicide risk after bariatric surgery may be useful to identify high-risk individuals.

Indexed as

Bariatric SurgeryObesity, MorbidFemaleHumansObesityRiskSuicide, AttemptedBariatric surgeryMental healthSevere obesitySuicide attemptsSuicide risk

Identifiers

PMID37758538
PMCPMC10843496
OpenAlexW4386314799

What OpenQuestion holds

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Registered trials

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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.