Roizblatt Arturo, Roizblatt Daniel, Soto-Aguilar B Francisca
Departamento de Psiquiatría Oriente, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Departamento de Cirugía, Universidad Andrés Bello, Santiago, Chile.
Rev Med Chil. 2016 Sep;144(9):1171-1176. doi: 10.4067/S0034-98872016000900011.
Bariatric surgery is considered the most effective treatment for severe obesity and its benefits include improvement in medical comorbidities. However, a higher rate of suicides after this type of surgery has been reported. We performed a literature review on the subject, and concluded that the mentioned increase in suicide rates, compared to the general population, is probably caused by conditions that the patient had before surgery, especially psychiatric disorders such as depression or eating disorders. These are risk factors for suicide, and are more common in the population with indication for bariatric surgery. Therefore, it is necessary to thoroughly evaluate these patients before surgery searching for suicide risk factors, deriving them to a mental health professional if necessary and follow their mental health after surgery. Considering that the literature on the topic is inconsistent, further research is needed.
减肥手术被认为是治疗重度肥胖最有效的方法,其益处包括改善合并症。然而,据报道这种手术术后自杀率较高。我们对该主题进行了文献综述,得出结论:与普通人群相比,上述自杀率的上升可能是由患者手术前的状况引起的,尤其是抑郁症或饮食失调等精神疾病。这些是自杀的风险因素,在有减肥手术指征的人群中更为常见。因此,有必要在手术前对这些患者进行全面评估以寻找自杀风险因素,必要时将他们转介给心理健康专业人员,并在术后跟踪他们的心理健康状况。鉴于关于该主题的文献并不一致,还需要进一步研究。