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

Abstract:

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.

journal_name

Gen Hosp Psychiatry

authors

Wnuk S,Parvez N,Hawa R,Sockalingam S

doi

10.1016/j.genhosppsych.2018.11.007

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

39-45

eissn

0163-8343

issn

1873-7714

pii

S0163-8343(18)30074-4

journal_volume

63

pub_type

杂志文章
  • Preoperative predictors of delirium after cardiac surgery: a preliminary study.

    abstract::Preoperative risk factors of postoperative delirium were evaluated in 260 patients admitted for open heart surgery. The incidence of delirium was 11.5%. Independent predictors included cognitive impairment, atrial fibrillation, a history of peripheral vascular disease major depression and advanced age. Aforementioned ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2006.08.007

    authors: Kazmierski J,Kowman M,Banach M,Pawelczyk T,Okonski P,Iwaszkiewicz A,Zaslonka J,Sobow T,Kloszewska I

    更新日期:2006-11-01 00:00:00

  • The influence of gender, patient volume and time on clinical diagnostic decision making in psychiatric emergency services.

    abstract:OBJECTIVE:We investigated the effects of limited time and high patient pressures on the role of gender and other nonpsychiatric factors in diagnostic decision making in psychiatric emergency services (PES). METHODS:We reviewed the records of 1236 adult psychiatric patients treated by 75 clinicians (e.g., psychiatrists...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2007.08.008

    authors: Muroff JR,Jackson JS,Mowbray CT,Himle JA

    更新日期:2007-11-01 00:00:00

  • Managing Medicare reimbursement on medical-psychiatry units.

    abstract::Many general hospitals are confronting issues of financial strain precipitated to a large extent by Medicare payment reductions. The viability of psychiatry programs within general hospitals more than ever depends upon some demonstration of their financial as well as clinical contribution. The aim of this study is to ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(91)90035-u

    authors: Goldberg RJ,Simundson S

    更新日期:1991-09-01 00:00:00

  • Introduction: research at the interface of medicine and psychiatry.

    abstract::Linkages between psychiatry and other medical specialties have become increasingly evident over the past decade. Reinstatement of the medical internship for psychiatric trainees, expansion of psychiatric liaison services, growth of general hospital psychiatric units, determination of the extensive role served by nonps...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:

    authors: Pardes H

    更新日期:1983-07-01 00:00:00

  • The reactions to research participation questionnaires for children and for parents (RRPQ-C and RRPQ-P).

    abstract::Systematic assessment of the effect of clinical research studies on child and parent participants has been limited. Such assessment could provide an empirical basis for the ethical conduct of research, assisting investigators and institutional review boards in balancing the need for sound research with the need to pro...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0163-8343(02)00200-1

    authors: Kassam-Adams N,Newman E

    更新日期:2002-09-01 00:00:00

  • Physical symptom attributions: a defining characteristic of somatoform disorders?

    abstract:OBJECTIVES:We examined whether primary care patients were more likely to perceive a current health problem as 'physical illness only' as opposed to entailing psychological difficulties if they had a comorbid somatoform disorder compared to patients who had (a) both comorbid somatoform disorder and anxiety/depression or...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.genhosppsych.2015.01.002

    authors: Frostholm L,Ørnbøl E,Fink PK

    更新日期:2015-03-01 00:00:00

  • The psychiatrist as a "presence": possible effects on emergency room staff attitudes.

    abstract::In this preliminary study, the experimental presence of a consulting psychiatrist at medical rounds was instituted in a busy city hospital emergency room. The psychiatrist was instructed only to respond to questions on psychiatric topics. Students were asked to record data from the discussions which occurred both with...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(84)90063-x

    authors: Melinek M,Bluestone H,Steinmuller R

    更新日期:1984-01-01 00:00:00

  • Inpatient suicide in a general hospital.

    abstract:OBJECTIVES:This study aimed to compare the characteristics of psychiatric and nonpsychiatric suicidal inpatients in one general hospital and examine the predictors of completed suicide in the patients with suicidal acts during hospitalization. METHODS:One hundred ten study subjects were identified by the adverse event...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2008.12.008

    authors: Cheng IC,Hu FC,Tseng MC

    更新日期:2009-03-01 00:00:00

  • Piracetam treatment in patients with cognitive impairment.

    abstract::Piracetam is a cognitive-enhancing agent that is used for the treatment of cognitive impairments of various etiologies. Little is known about its side effect profile, especially in those with psychiatric illness. We herewith present two cases with cognitive impairment who had contrasting responses to piracetam. One of...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2012.05.009

    authors: Rao MG,Holla B,Varambally S,Raveendranathan D,Venkatasubramanian G,Gangadhar BN

    更新日期:2013-07-01 00:00:00

  • Healthcare utilization among patients with psychiatric hospitalization admitted through the emergency department (ED): A claims-based study.

    abstract:OBJECTIVE:To characterize the US national level healthcare utilization patterns of patients with commercial insurance plans before and after a psychiatric hospitalization admitted through the emergency department (ED) using insurance claims data. METHOD:We identified 34,250 patients from multiple commercial health ins...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2020.10.001

    authors: Xi W,Banerjee S,Penfold RB,Simon GE,Alexopoulos GS,Pathak J

    更新日期:2020-01-01 00:00:00

  • A retrospective study of self-inflicted burns.

    abstract::A study was conducted of all 51 patients admitted on 64 occasions with self-inflicted burns to the Welsh Regional Burns Unit between January 1979 and January 1991. Two different groups of patients were identified, namely, patients who attempted suicide and patients with self-mutilative behavior. Their differences on a...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(92)90007-w

    authors: Sonneborn CK,Vanstraelen PM

    更新日期:1992-11-01 00:00:00

  • Economic aspects of patterns of mental health care: cost variation by setting.

    abstract::The paper examines the evidence regarding the extent to which differences exist in health and mental health status of psychiatric patients treated in the specialty mental health, general medical, and informal care sectors. Differences in types of patients treated in the three sectors are important to identify since th...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(90)90032-8

    authors: Frank RG,Kamlet MS

    更新日期:1990-01-01 00:00:00

  • Impulse control disorders in frontotemporal dementia: spectrum of symptoms and response to treatment.

    abstract:OBJECTIVE:To describe a patient with behavioral variant frontotemporal dementia (bvFTD) presenting with impulse control disorders (ICDs) which responded to fluvoxamine and topiramate. CASE REPORT:A 64-year-old woman was affected by several ICDs. At disease onset, she suffered from impulsive smoking and overeating whic...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2014.06.005

    authors: Pompanin S,Jelcic N,Cecchin D,Cagnin A

    更新日期:2014-11-01 00:00:00

  • "Well it's like someone at the other end cares about you." A qualitative study exploring the views of users and providers of care of contact-based interventions following self-harm.

    abstract:OBJECTIVE:We investigated the views of service users and staff regarding contact-based interventions (e.g., letters, telephone calls or crisis cards) following self-harm. METHOD:Self-harm patients recently discharged from an emergency department were selected using purposive sampling (n=11). Clinical staff from releva...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2011.01.009

    authors: Cooper J,Hunter C,Owen-Smith A,Gunnell D,Donovan J,Hawton K,Kapur N

    更新日期:2011-03-01 00:00:00

  • The impaired physician: a medical and social dilemma.

    abstract::Psychological and emotional impairment among physicians represents a serious, widespread, and difficult problem. For unclear reasons, it has been problematic to effectively identify and treat this group of professionals whose performance is so intimately associated with the health and wellbeing of the general populati...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(82)90044-5

    authors: Arana GW

    更新日期:1982-07-01 00:00:00

  • Resiliency is independently associated with greater quality of life among informal caregivers to neuroscience intensive care unit patients.

    abstract:OBJECTIVE:Every year, millions of Americans become informal caregivers to loved ones admitted to Neuroscience Intensive Care Units (Neuro-ICU), and face challenges to Quality of Life (QoL). This study sought to identify associations between resiliency, distress, and caregiver QoL at time of Neuro-ICU admission. METHOD...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2018.02.012

    authors: Zale EL,Heinhuis TJ,Tehan T,Salgueiro D,Rosand J,Vranceanu AM

    更新日期:2018-01-01 00:00:00

  • Manifest psychosis in neurosyphilis.

    abstract:INTRODUCTION:Recent surveys have assessed a remarkable increase in the prevalence of infectious syphilis. If left untreated, 30% of patients may develop tertiary syphilis, which can manifest as neurosyphilis. CASE REPORT:The authors present a case of an acute psychosis during and after pregnancy in a 37-year-old woman...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/j.genhosppsych.2008.09.010

    authors: Friedrich F,Geusau A,Greisenegger S,Ossege M,Aigner M

    更新日期:2009-07-01 00:00:00

  • Factors associated with unplanned discharge from psychiatric day treatment programs. A multicenter study.

    abstract::This study describes and evaluates the adequacy of sociodemographic and clinical descriptors as potential predictors of unplanned discharge from and completion of psychiatric day treatment programs. A 2-year retrospective chart review was completed on all patients (N = 327) attending three university-affiliated day tr...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0163-8343(97)00052-2

    authors: Gillis K,Russell VR,Busby K

    更新日期:1997-09-01 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

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2013.11.008

    authors: Davydow DS,Zivin K,Langa KM

    更新日期:2014-03-01 00:00:00

  • Introduction of a smartphone based behavioral intervention for migraine in the emergency department.

    abstract:OBJECTIVE:To determine whether a smartphone application (app) with an electronic headache diary and a progressive muscle relaxation (PMR) intervention is feasible and acceptable to people presenting to the Emergency Department (ED) with migraine. METHODS:This single arm prospective study assessed feasibility by actual...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2020.12.009

    authors: Minen MT,Friedman BW,Adhikari S,Corner S,Powers SW,Seng EK,Grudzen C,Lipton RB

    更新日期:2021-01-08 00:00:00

  • Predictability of the one-year course of depression and generalized anxiety in primary care.

    abstract::Several predictors of the course of depression and generalized anxiety have been identified. Whether these predictors provide a solid basis for primary care physicians (PCPs) to give an accurate prognosis remains unclear. A parallel study showed modest agreement between PCP prognosis and observed course (kappa< or = 0...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0163-8343(02)00183-4

    authors: van den Brink RH,Ormel J,Tiemens BG,Smit A,Jenner JA,van der Meer K,van Os TW

    更新日期:2002-05-01 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...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2006.06.001

    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

  • 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

    doi:10.1016/0163-8343(86)90021-6

    authors: McCartney JR

    更新日期:1986-11-01 00:00:00

  • Recognition of emotional distress in physically healthy primary care patients who perceive poor physical health.

    abstract::This study examines the recognition and treatment of emotional distress in physically healthy primary care patients who perceive themselves to be in fair or poor physical health. Patients (N = 892) from three private primary care practices completed a mental health screening form prior to their medical visit which inc...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(95)00023-k

    authors: Olfson M,Gilbert T,Weissman M,Blacklow RS,Broadhead WE

    更新日期:1995-05-01 00:00:00

  • Communication between psychosomatic C-L consultants and general practitioners in a German health care system.

    abstract::A randomized and prospective study examined the effects of intensive communication between treatment providers on physician behavior and patient care using a representative sample of patients referred to a German psychosomatic consultation-liaison (C-L) service (1998-1999). Sixty-seven patients were grouped (ICD-10) a...

    journal_title:General hospital psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.genhosppsych.2004.08.005

    authors: de Cruppé W,Hennch C,Buchholz C,Müller A,Eich W,Herzog W

    更新日期:2005-01-01 00:00:00

  • Screening indexes in DSM-III-R somatization disorder.

    abstract::A sample of 196 general medical patients with multiple unexplained somatic complaints was used to compare the performance (sensitivity and specificity) and positive and negative predictive values for the published screening indexes for somatization disorder. This study shows similar performances for both the DSM-III-R...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(90)90072-k

    authors: Smith GR Jr,Brown FW

    更新日期:1990-05-01 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

    doi:10.1016/0163-8343(87)90054-5

    authors: Summergrad P,Hackett TP

    更新日期:1987-11-01 00:00:00

  • Pain insensitivity in schizophrenia. Case report and review of the literature.

    abstract::We describe a schizophrenic man whose lack of pain and related objective signs of a perforated small bowel led to a delay in diagnosis and surgical intervention. A review of the literature suggests that both psychodynamic and specific biologic factors can produce atypical presentations in psychotic patients with illne...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(90)90050-m

    authors: Rosenthal SH,Porter KA,Coffey B

    更新日期:1990-09-01 00:00:00

  • Successful use of ECT in post-stroke depression.

    abstract::Post-stroke depression is a potentially persistent complication of stroke. Electroconvulsive therapy (ECT) is an effective treatment for depression, but with limited data regarding safety in stroke patients. We report the case of a 30-year-old woman with a history of stroke and antiphospholipid syndrome, who became de...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2011.08.006

    authors: Harmandayan M,Romanowicz M,Sola C

    更新日期:2012-01-01 00:00:00

  • Psychopathology, depression and dissociative experiences in patients with lichen simplex chronicus.

    abstract:OBJECTIVE:Psychogenic factors may play a contributory role in the development or persistence of lichen simplex chronicus (LSC). The objective of this study was to evaluate the psychiatric profile of patients with LSC including depression and dissociative experiences. METHOD:Dermatology outpatients with a LSC (n=30) we...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2007.01.006

    authors: Konuk N,Koca R,Atik L,Muhtar S,Atasoy N,Bostanci B

    更新日期:2007-05-01 00:00:00