接受减肥手术的青少年中的自杀意念与行为：一项病例对照研究。
Suicidal Ideation and Behaviours Among Adolescents Receiving Bariatric Surgery: A Case-Control Study.
作者信息
McPhee Jeanne, Khlyavich Freidl Eve, Eicher Julia, Zitsman Jeffrey L, Devlin Michael J, Hildebrandt Tom, Sysko Robyn
机构信息
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.
出版信息
Eur Eat Disord Rev. 2015 Nov;23(6):517-23. doi: 10.1002/erv.2406. Epub 2015 Sep 17.
OBJECTIVE
This study examined the prevalence and correlates of suicidal ideation and behaviour (SI/B) among adolescents receiving bariatric surgery.
METHOD
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.
目的
本研究调查了接受减肥手术的青少年中自杀意念和行为（SI/B）的发生率及其相关因素。
方法
回顾了206例接受减肥手术的青少年的病历。将有SI/B的病例（在基线时报告的当前/终生情况或在项目中发生的事件，n = 31，15%）按性别、年龄和手术类型与31例报告当前或过去接受过精神科治疗的青少年以及31例否认有终生SI/B或精神科治疗的青少年进行病例匹配。
结果
与从未接受过精神科治疗的候选人相比，术前有SI/B的青少年报告的与健康相关的生活质量总体水平显著较低（p = 0.01），抑郁症状更严重（p = 0.004）。两组在术后抑郁症状或体重指数的变化方面未发现显著差异。
结论
与成人研究一样，接受减肥手术的青少年中有相当一部分人在术前或术后存在SI/B。临床医生评估和监测接受减肥手术的青少年患者是否有SI/B风险至关重要。
Zotero 插件