Predictors of suicidal ideation one-year post-bariatric surgery: Results from the Toronto Bari-Psych Cohort Study.


OBJECTIVE:Previous studies have shown higher rates of death by suicide, suicide attempts, suicidal ideation and non-suicidal self-directed violence (NS-SDV) in bariatric surgery patients. METHODS:Data came from the Toronto Bari-Psych Cohort study of adult patients who underwent bariatric surgery between 2010 and 2016. The MINI International Neuropsychiatric Interview was used to obtain lifetime psychodiagnostic data. Information about lifetime suicidal ideation, suicide attempts, NS-SDV and hospitalizations related to any of these phenomena was collected during clinical interview. Pre-surgery sociodemographic data, lifetime psychiatric disorders, mental health symptoms, mental health treatment, suicidal ideation and surgical complications were covariates. Logistic regression analyses were used to examine the relationship between these variables and suicidal ideation one-year post-surgery. RESULTS:Among a total of 284 participants, 4.2% reported a past suicide attempt and 15.1% reported past suicidal ideation. One-year post-surgery, no suicide attempts were reported. In the multivariate regression model, a history of suicidal ideation was the strongest predictor of suicidal ideation one-year post-surgery (p < 0.01), followed by younger age (p = 0.05). Mental health symptoms decreased from pre to post-surgery. CONCLUSION:One-year post-surgery, a history of suicidal ideation was the strongest predictor of post-surgery suicidal ideation. Results should be interpreted with caution given the short duration of follow-up.


Gen Hosp Psychiatry


Wnuk S,Parvez N,Hawa R,Sockalingam S




Has Abstract


2020-01-01 00:00:00












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    abstract::Psychiatry needs to conduct more rigorously designed empirical research studies to demonstrate its cost-effectiveness, especially since the DRG era is becoming more firmly established. The effectiveness of psychiatric intervention can be evaluated on its abilities to improve physical functioning as well as its improve...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Mitchell WD,Thompson TL 2nd

    更新日期:1985-10-01 00:00:00

  • The use of short message service (SMS) among hospitalized coronary patients.

    abstract:OBJECTIVE:The use of cell phones and short message service (SMS, also called "texting") has become pervasive in Western society and increasingly throughout the world. Despite the importance of this technology in everyday life, little is known about how patients draw on SMS to keep in contact with family and friends dur...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Bergvik S,Wynn R

    更新日期:2012-07-01 00:00:00

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    abstract::Interviews with patients and staff of the New York Hospital Burn Unit in which they discuss their reactions to a variety of unit milieu stresses were videotaped. These were then edited together and played back at staff conference. This intervention increased staff awareness of unit stresses, facilitated discussion abo...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Pauker SL

    更新日期:1986-01-01 00:00:00

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    abstract:OBJECTIVE:To report a rare case of self-inflicted eye injury secondary to obsessive-compulsive disorder (OCD). METHOD:Case report. RESULTS:A 41 year-old patient had significant bilateral visual loss and blunt trauma through touching his ocular cavities due to recurrent doubts regarding their shape and urges to check ...

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    pub_type: 杂志文章


    authors: Torres AR,Domingues Mde S,Shiguematsu AI,Smaira SI

    更新日期:2009-05-01 00:00:00

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    abstract:OBJECTIVE:Missed appointments are associated with poorer health outcomes. We predicted that compared to secure attachment style, fearful and dismissing attachment styles would be associated with greater number of missed primary care visits in patients with diabetes. METHODS:In patients with diabetes from nine health m...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,多中心研究


    authors: Ciechanowski P,Russo J,Katon W,Simon G,Ludman E,Von Korff M,Young B,Lin E

    更新日期:2006-01-01 00:00:00

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    abstract:BACKGROUND:Post-traumatic stress disorder (PTSD) is one of the most prevalent long-term psychiatric diagnoses among survivors of severe acute respiratory syndrome (SARS). OBJECTIVES:The objective of this study was to identify the predictors of chronic PTSD in SARS survivors. DESIGN:PTSD at 30 months after the SARS ou...

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    pub_type: 杂志文章


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    更新日期:2010-11-01 00:00:00

  • Hospital construction and postpartum anxiety.

    abstract:OBJECTIVE:To explore the hypothesis that environmental stress in the form of construction on a postpartum ward may be associated with enhanced maternal anxiety. METHODS:Four hundred twenty-two mothers delivering at a university hospital were screened prior to discharge for anxiety using the State Scale of the State Tr...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Mantz R,Britton JR

    更新日期:2007-11-01 00:00:00

  • Differential diagnosis and treatment of steroid-induced affective syndromes.

    abstract::The differential diagnosis of hypercortisolemia is complex, particularly when the clinician must distinguish Cushing's syndrome (CS) from major depression. The present clinical case history demonstrates that by means of physical and laboratory examinations, the psychiatrist can make the initial differentiation, in con...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审


    authors: Pies R

    更新日期:1995-09-01 00:00:00

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    abstract:BACKGROUND:Oral loading with the delayed release formulation of divalproex sodium is widely used for the treatment of patients with acute mania and produces rapid attainment of therapeutic serum levels. Recently, an extended release formulation of divalproex sodium (divalproex ER) was approved for treatment of migraine...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Miller BP,Perry W,Moutier CY,Robinson SK,Feifel D

    更新日期:2005-05-01 00:00:00

  • Decrease of depression during stroke and amputation rehabilitation.

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    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Schubert DS,Burns R,Paras W,Sioson E

    更新日期:1992-03-01 00:00:00

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    abstract::The psychosocial skills of 24 PGY I medical residents receiving psychiatric training every other week during the internship year were evaluated and compared to a control group of 13 PGY I residents. After the internship year, the psychiatrically trained residents showed an increase in their ability to recognize emotio...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: von Ammon Cavanaugh S,Kennedy S

    更新日期:1986-03-01 00:00:00

  • The treatment effectiveness project. A comparison of the effectiveness of paroxetine, problem-solving therapy, and placebo in the treatment of minor depression and dysthymia in primary care patients: background and research plan.

    abstract::This report describes the background, rationale, and research plan for a comparative treatment trial of the effectiveness of paroxetine, problem-solving therapy (PST-PC), and placebo in the treatment of minor depression and dysthymia in primary care patients. Patients were recruited from a variety of primary care prac...

    journal_title:General hospital psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验,评审


    authors: Barrett JE,Williams JW Jr,Oxman TE,Katon W,Frank E,Hegel MT,Sullivan M,Schulberg HC

    更新日期:1999-07-01 00:00:00

  • Nursing staff development and facility design for medical-psychiatry units.

    abstract::Successful operation of a medical-psychiatry unit requires special considerations in nursing staff development and facility design. This article will discuss in detail issues related to the selection, training, and development of a medical-psychiatry unit nursing staff. Organizational details regarding establishing sc...

    journal_title:General hospital psychiatry

    pub_type: 更正并重新发布的文章,杂志文章


    authors: Cowart T,Stoudemire A

    更新日期:1989-03-01 00:00:00

  • Consultation-liaison psychiatry and the teaching of ethics.

    abstract::Medicine has undergone a technological explosion which presents physicians with an increased need to make difficult ethical decisions. This has been met by an equivalent development in American medical schools of efforts to teach the ethics of medical practice. The courses vary widely from school to school. It is reco...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: McCartney JR

    更新日期:1986-11-01 00:00:00

  • Alan Gregg and the rise of general hospital psychiatry.

    abstract::The authors review the forces that encouraged the entry of psychiatry into the general hospital in the 1930s. Those forces, which included concern about increasing health care costs, pressure to reform medical and psychiatric education, and the growth of dynamic psychiatry and psychosomatic medicine, are described. Th...

    journal_title:General hospital psychiatry

    pub_type: 传,历史文章,杂志文章


    authors: Summergrad P,Hackett TP

    更新日期:1987-11-01 00:00:00

  • Heisenberg in the ER: observation appears to reduce involuntary intramuscular injections in a psychiatric emergency service.

    abstract:INTRODUCTION:Chemical restraint is controversial. Appropriate use is ill-defined and chemical restraint may be overutilized. During the period of an unrelated observational study for patients with acute psychomotor agitation in a psychiatric emergency service, we noticed a significant reduction in the number of involun...

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    pub_type: 杂志文章


    authors: Damsa C,Ikelheimer D,Adam E,Maris S,Andreoli A,Lazignac C,Allen MH

    更新日期:2006-09-01 00:00:00

  • A study of inpatient referral patterns to a general hospital psychiatry unit in India.

    abstract::The pattern of inpatient referral to a general hospital psychiatry department was examined in the present study. The referral rate of 3.6% was higher than those reported by other investigators from India. The majority of the patients had concurrent physical illness. Neurotic depression and alcohol dependence were the ...

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    pub_type: 杂志文章


    authors: Srinivasan K,Babu RK,Appaya P,Subrahmanyam HS

    更新日期:1987-09-01 00:00:00

  • Predicting community tenure in patients with recurrent utilization of a psychiatric emergency service.

    abstract:OBJECTIVE:Factors determining community tenure (CT) between subsequent referrals to a psychiatric emergency room (PER) are only partly understood. We investigated the differential effect of patient and health system characteristics on the CT of patients with a previous referral to a PER. METHOD:Data were collected for...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Bruffaerts R,Sabbe M,Demyttenaere K

    更新日期:2005-07-01 00:00:00

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    abstract::Children (N = 110) hospitalized on a child psychiatric unit improved significantly in psychological functioning at discharge and 1- and 6-months follow-up relative to their functioning at admission. Children who were more impaired at admission made more progress during admission but were more impaired at follow-up tha...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Mayes SD,Krecko VF,Calhoun SL,Vesell HP,Schuch S,Toole WR

    更新日期:2001-09-01 00:00:00

  • Recognizing and managing depression in primary care.

    abstract::Depression is a common disorder in the primary care setting; it is associated with considerable distress and dysfunction. The management of depressed primary care patients can be complicated by the fact that these patients may lack insight into the cause of their symptoms and report only the somatic manifestations of ...

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    pub_type: 杂志文章,评审


    authors: Brody DS,Thompson TL 2nd,Larson DB,Ford DE,Katon WJ,Magruder KM

    更新日期:1995-03-01 00:00:00

  • Perception of a hectic hospital environment at admission relates to acute stress disorder symptoms in myocardial infarction patients.

    abstract:OBJECTIVE:Hospital crowding is a public health problem that may impact on the quality of medical treatment and increase the risk of developing traumatic stress, e.g., after myocardial infarction (MI). This study examines whether subjective appraisal of crowding at hospital admission due to MI is associated with acute s...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Meister RE,Weber T,Princip M,Schnyder U,Barth J,Znoj H,Schmid JP,von Känel R

    更新日期:2016-03-01 00:00:00

  • An ethical argument for a right to mental health care.

    abstract::The author reviews moral arguments supporting a right to medical care, as well as empirical data concerning the effects of mental illness on society, and explores their relevance to a rights-based claim to mental health care. He concludes that there is ample ethical justification for a right to mental health care, giv...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审


    authors: Green SA

    更新日期:2000-01-01 00:00:00

  • The role of psychiatrists in family medicine training.

    abstract::The authors surveyed 356 family medicine residency training directors to determine the role of psychiatrists in family medicine training. Two hundred five responses were received, covering the training experiences of 3696 residents. Psychiatrists were actively involved in the training programs, but their role was circ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Berlin RM,Berenbaum I,Wise TN,Ahmed SW

    更新日期:1983-07-01 00:00:00

  • Hospitalization, depression and dementia in community-dwelling older Americans: findings from the national health and aging trends study.

    abstract:OBJECTIVE:The objective was to estimate the prevalence of both dementia and depression among community-dwelling older Americans and to determine if hospitalization is independently associated with dementia or depression in this population. METHOD:This cross-sectional study utilized data from a nationally representativ...

    journal_title:General hospital psychiatry

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    authors: Davydow DS,Zivin K,Langa KM

    更新日期:2014-03-01 00:00:00

  • Issues in the diagnosis and treatment of adolescents in a general hospital inpatient unit.

    abstract::The treatment of adolescents in a general hospital setting is fraught with difficulty. There are significant limitations to time, space, finances, and the physical plant. There are limitations to the numbers, types, mix of patients with other patients, and the types of treatment available. To deal with these issues, a...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Madow MR

    更新日期:1988-03-01 00:00:00

  • Psychometric properties of a short form of the Center for Epidemiologic Studies Depression (CES-D-10) scale for screening depressive symptoms in healthy community dwelling older adults.

    abstract:BACKGROUND:The 10-item Center for the Epidemiological Studies of Depression Short Form (CES-D-10) is a widely used self-report measure of depression symptomatology. The aim of this study is to investigate the psychometric properties of the CES-D-10 in healthy community dwelling older adults. METHODS:The sample consist...

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    pub_type: 杂志文章


    authors: Mohebbi M,Nguyen V,McNeil JJ,Woods RL,Nelson MR,Shah RC,Storey E,Murray AM,Reid CM,Kirpach B,Wolfe R,Lockery JE,Berk M,ASPREE Investigator Group.

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  • Admission patterns of persistent somatization patients.

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    pub_type: 杂志文章


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  • Models for evaluating teaching in consultation-liaison psychiatry: III. Conclusion-oriented research.

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    journal_title:General hospital psychiatry

    pub_type: 杂志文章


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    pub_type: 杂志文章


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    更新日期:1994-03-01 00:00:00

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    pub_type: 杂志文章


    authors: Hilty DM,Yellowlees PM,Nesbitt TS

    更新日期:2006-09-01 00:00:00