Mental health service use up after bariatric surgery

Mental health service use up after bariatric surgery

(HealthDay)—There is an increase in mental health service presentations after bariatric surgery, according to a study published online Sept. 25 in JAMA Psychiatry.

David J.R. Morgan, M.B.B.S., from the St. John of God Subiaco Hospital in Perth, Australia, and colleagues examined the correlation of with the incidence of outpatient, emergency department, and inpatient mental health service use in a longitudinal cohort study. Data were reviewed for all 24,766 patients undergoing index bariatric surgery over a 10-year period (January 2007 through December 2016).

The researchers found that 16.1 percent of patients used at least one mental health service, with 35.2, 25.8, and 39 percent presenting only before surgery, before and after surgery, and only after surgery, respectively. Psychiatric illness presentations increased after bariatric surgery (outpatient clinic attendance, emergency department attendance, psychiatric hospitalization: incidence rate ratios [IRRs], 2.3, 3.0, 3.0, respectively). In addition, deliberate self-harm presentations to an increased fivefold after surgery (IRR, 4.7); 9.6 percent of postoperative deaths were due to suicide. The most associated with subsequent mental health presentation after surgery were complications after bariatric surgery requiring further , and a history of mental health service provision before surgery.

"Our findings question the hypothesis that weight reduction by bariatric surgery will improve mental health in patients with obesity," the authors write.

Explore further

Bariatric surgery up in patients with end-stage kidney disease

More information: Abstract/Full Text (subscription or payment may be required)
Journal information: JAMA Psychiatry

Copyright © 2019 HealthDay. All rights reserved.

Citation: Mental health service use up after bariatric surgery (2019, September 27) retrieved 8 August 2020 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Feedback to editors

User comments