title: Suicidal Ideation and Behaviours Among Adolescents Receiving Bariatric Surgery: A Case-Control Study.
abstract: OBJECTIVE
  This study examined the prevalence and correlates of suicidal ideation and behaviour (SI/B) among adolescents receiving bariatric surgery.
  
  
  METHODS
  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.
authors.affiliation: Columbia Centre for Eating Disorders, Division of Clinical Therapeutics, New York State Psychiatric Institute, NY, USA.|Department of Psychiatry, College of Physicians and Surgeons of Columbia University, NY, USA.
authors.forename: Jeanne
authors.initials: J
authors.lastname: McPhee
authors.affiliation: Department of Psychiatry, College of Physicians and Surgeons of Columbia University, NY, USA.|Columbia University Clinic for Anxiety and Related Disorders, Division of Child Psychiatry, College of Physicians and Surgeons of Columbia University, NY, USA.
authors.forename: Eve
authors.initials: E
authors.lastname: Khlyavich Freidl
authors.affiliation: Centre for Adolescent Bariatric Surgery, Department of Surgery, Columbia University Medical Centre, NY, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Eicher
authors.affiliation: Centre for Adolescent Bariatric Surgery, Department of Surgery, Columbia University Medical Centre, NY, USA.
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Zitsman
authors.affiliation: Columbia Centre for Eating Disorders, Division of Clinical Therapeutics, New York State Psychiatric Institute, NY, USA.|Department of Psychiatry, College of Physicians and Surgeons of Columbia University, NY, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Devlin
authors.affiliation: Eating and Weight Disorders Programme, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, NY, USA.
authors.forename: Tom
authors.initials: T
authors.lastname: Hildebrandt
authors.affiliation: Eating and Weight Disorders Programme, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, NY, USA.
authors.forename: Robyn
authors.initials: R
authors.lastname: Sysko
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D050110:Bariatric Surgery / Q000523:psychology*; D015992:Body Mass Index; D016022:Case-Control Studies; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D011788:Quality of Life; D012307:Risk Factors; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology*
keywords: adolescent; bariatric surgery; suicide