Suicide Risk and Self-Harm Among Bariatric Surgery Candidates: A Cross-Sectional Study
PSYCHIATRY AND CLINICAL PSYCHOPHARMACOLOGY, cilt.36, sa.5, ss.559-568, 2026 (SCI-Expanded)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 36 Sayı: 5
- Basım Tarihi: 2026
- Doi Numarası: 10.65801/pcp.3543
- Dergi Adı: PSYCHIATRY AND CLINICAL PSYCHOPHARMACOLOGY
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED)
- Sayfa Sayıları: ss.559-568
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet
Özet
Background: This cross-sectional study examined the frequency of lifetime suicidal ideation, suicide attempts, and nonsuicidal self-injury (NSSI), and factors associated with lifetime suicidal ideation among candidates for bariatric surgery. Methods: Seventy consecutive adults referred for psychiatric evaluation before a planned bariatric procedure underwent a DSM-5-based unstructured clinical interview and completed standardized measures of suicide-related behaviors, depressive and anxiety symptoms, eating behavior, and selfinjury. Group comparisons and exploratory multivariable logistic regression analyses were performed. Results: Lifetime suicidal ideation was reported by 22 participants (31.4%), and 11 (15.7%) reported a history of NSSI. Psychiatric disorders were identified in 21 participants (30.0%). In the exploratory (OR, 3.41; 95% CI, 1.03-11.30), and emotional eating (OR per unit increase, 1.73; 95% CI, 1.04-2.87) remained associated with lifetime suicidal ideation. Conclusion: Lifetime suicidal ideation, NSSI, and psychiatric morbidity were common in this singlecenter sample. Unemployment, medical comorbidity, and emotional eating were associated with lifetime suicidal ideation in an exploratory model. These findings support comprehensive psychiatric assessment before bariatric surgery and require confirmation in larger prospective studies.