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Increase in psychiatric illness presentations after bariatric surgery

Researchers from Australia have reported an increase in mental health service presentations after bariatric surgery, particularly among those who had prior psychiatric illnesses or developed surgical complications requiring further surgery.

Low absolute risk of bariatric surgery and suicide

Bariatric surgery patients should undergo a thorough pre-operative psychiatric history assessment and be provided with information about increased risk of self-harm following surgery, according to researchers from Sweden who assessed the risk of suicide and self-harm after bariatric surgery compared with non-surgical obesity treatment. The investigators also called for post-operative surveillance with particular attention to mental health.

Bariatric surgery increases risk of self-harm and depression

Patients with a history of depression run a high risk of severe post-operative depression after gastric bypass surgery, according to a study from the from Karolinska Institutet, Sweden, published in the Annals of Surgery, who examined the frequency of hospitalisation for depression, self-harm and suicide after surgery using data from the Swedish National Patient Register, the Swedish Prescribed Drug Register and the Cause of Death Registry.

Gastric bypass surgery can improve psychiatric behaviours

Bariatric surgery can results in improvements in patients’ psychiatric behaviours such as eating behaviours, mood disorders and body image, although the mechanism as to why is not clear, according to a study by Portuguese researchers. Published in the Archives of Clinical Psychiatry (São Paulo), the paper ‘A psychiatric perspective view of bariatric surgery patients’, states that despite these improvements clinicians should be aware that a risk of suicide and substance abuse (especially alcohol) after gastric bypass surgery remain in some patients.

Risk of self-harm increases after bariatric surgery

A study of a large group of adults who underwent bariatric surgery finds had an increased risk for self-harm emergencies after the surgery, according to a study, ‘Self-harm Emergencies After Bariatric Surgery. A Population-Based Cohort Study.’, published in JAMA Surgery.

Study links bariatric surgery and suicide risk

Bariatric patients are at an increased risk of suicide after their surgery, according to the findings of a new systematic review. The paper, published in Obesity Reviews, estimated that bariatric patients were four times more likely to commit suicide than the general population.

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