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Comment & Response |

Deliberate Self-harm Following Bariatric Surgery

David J. R. Morgan, MBBS, FACEM, FCICM1; Kwok M. Ho, MBBS, FCICM, FANZCA, PhD1,2
[+] Author Affiliations
1Department of Intensive Care Medicine, St John of God Hospital Subiaco, Perth, Western Australia, Australia
2School of Population Health, University of Western Australia, Perth, Western Australia, Australia
JAMA Surg. 2016;151(6):584-585. doi:10.1001/jamasurg.2015.5123.
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To the Editor We read with interest the recently published article by Bhatti et al,1 not the least because of the wide media coverage that this article has received around the world since its release.26 By the very nature of it being a retrospective, observational study that has been more commonly reported in the media as a relative (>50%) rather than an absolute (1.3 events per 1000 patient-years) difference, we are concerned about the potential implications of this study1 for both health care policy makers and the lay public without further evidence.

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Correspondence

March 1, 2016
Junaid A. Bhatti, MBBS, MSc, PhD; Avery B. Nathens, MD, PhD, FRCSC; Deva Thiruchelvam, MSc; Teodor Grantcharov, MD, PhD; Benjamin I. Goldstein, MD, PhD, FRCPC; Donald A. Redelmeier, MD, MSHSR, FRCPC
1Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada2Department of Surgery, University of Toronto, Toronto, Ontario, Canada3Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
1Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada2Department of Surgery, University of Toronto, Toronto, Ontario, Canada3Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada4Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
3Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
5Department of Surgery, St Michael’s Hospital, Toronto, Ontario, Canada6Li Ka Shing Knowledge Institute, Toronto, Ontario, Canada
7Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
JAMA Surg. 2016;151(3):226-232. doi:10.1001/jamasurg.2015.3414.
June 1, 2016
Xiulu Ruan, MD; Katherine Bydalek, MSN, FNP-BC, PhD; Srinivas Chiravuri, MD
1Department of Anesthesiology, Louisiana State University Health Science Center, New Orleans
2College of Nursing, University of South Alabama, Mobile
3Department of Anesthesiology, University of Michigan Health System, Back and Pain Center, Ann Arbor
JAMA Surg. 2016;151(6):585. doi:10.1001/jamasurg.2015.5129.
June 1, 2016
Junaid A. Bhatti, MBBS, MSc, PhD; Avery B. Nathens, MD, PhD, FRCSC; Donald A. Redelmeier, MD, MSHSR, FRCPC
1Sunnybrook Research Institute, Toronto, Ontario, Canada2Department of Surgery, University of Toronto, Toronto, Ontario, Canada3Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
1Sunnybrook Research Institute, Toronto, Ontario, Canada2Department of Surgery, University of Toronto, Toronto, Ontario, Canada3Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada4Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
JAMA Surg. 2016;151(6):585-586. doi:10.1001/jamasurg.2015.5126.
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