Evidence map›Paper›PMID 39134834›Full record

ArticleObesity surgery2024

Self-Harm Before and Six Months After Obesity Surgery.

Tobias A Thomas, Katja Tilk, Katharina Klassen, Melanie Pommnitz, Ruth Wunder, Julian W Mall, Hinrich Köhler, Martina de Zwaan, Günther Meyer, Thomas P Hüttl and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Tobias A ThomasDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hanover, Germany. Thomas.Tobias@mh-hannover.de.ORCID 0000-0002-4665-7011
Katja TilkDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hanover, Germany.
Katharina KlassenDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hanover, Germany.
Melanie PommnitzDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hanover, Germany.
Ruth WunderDepartment of General, Visceral, and Bariatric Surgery, DRK Krankenhaus Clementinenhaus, Lützerodestr. 1, 30161, Hanover, Germany.
Julian W MallDepartment of General, Visceral, and Bariatric Surgery, KRH Nordstadt, Haltenhoffstr. 41, 30167, Hanover, Germany.
Hinrich KöhlerDepartment of General, Visceral, and Bariatric Surgery, Herzogin Elisabeth Hospital, Leipziger Straße 24, 38124, Brunswick, Germany.
Martina de ZwaanDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hanover, Germany.
Günther MeyerDepartment of General, Visceral, and Bariatric Surgery, AMC-WolfartKlinik, Waldstraße 7, 82166, Gräfelfing, Germany.
Thomas P HüttlDepartment of General, Visceral, and Bariatric Surgery, Dr. Lubos Kliniken Bogenhausen, Denninger Str. 44, 81679, Munich, Germany.
Astrid MüllerDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hanover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrevious research on obesity surgery (OS) showed that patients do not only experience weight loss but also improvements in certain mental health outcomes (e.g., depression) after OS. However, self-harm behaviors might increase after OS. Regarding self-harm, the literature is mostly limited to studies using data from hospital or emergency room charts. This longitudinal study examined self-reported self-harm behaviors and potential psychopathological correlates before and after OS. MATERIALS AND

methodsPre-surgery patients (N = 220) filled out a set of questionnaires before and approximately six months after OS. Self-harm behaviors were captured with the Self-Harm Inventory. The assessments further included standardized instruments to measure symptoms of depression, anxiety, eating disorders, alcohol use, and suicidal ideations.

resultsAny self-harm was reported by 24.6% before and by 25.0% after OS. No differences in the number of self-harm behaviors or prevalence of any self-harm before and after OS were found. Overall, 11.4% experienced self-harm behaviors at both times. A subset showed self-harm behaviors only before (13.2%) OS and another subset only after OS (13.6%). These two groups were about the same size. Self-harm behaviors showed strong associations with psychopathology after OS, especially with depression and suicidal ideation.

conclusionNo increase in self-harm behaviors after OS emerged. Still, a subgroup showed self-harm behaviors after OS closely linked to further psychopathology. This mirrors the need to implement screening for self-harm before and after OS into OS care. Further studies with longer follow up periods are needed to extend these findings.

Indexed as

Bariatric SurgeryDepressionObesity, MorbidSelf-Injurious BehaviorSuicidal IdeationAdultAnxietyFeeding and Eating DisordersFemaleHumansLongitudinal StudiesMaleMiddle AgedPrevalenceSurveys and QuestionnairesWeight LossAlcohol useAnxietyDepressionEating pathologyObesity surgerySelf-harm

Identifiers

PMID39134834
PMCPMC11481644

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.