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Comment & Response |

Deliberate Self-harm Following Bariatric Surgery

Xiulu Ruan, MD1; Katherine Bydalek, MSN, FNP-BC, PhD2; Srinivas Chiravuri, MD3
[+] Author Affiliations
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.
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To the Editor We read with interest the article by Bhatti and colleagues1 published in JAMA Surgery. The authors conducted a longitudinal cohort analysis to compare self-harm behavior 3 years before and 3 years after bariatric surgery. They found that the number of self-harm emergencies significantly increased after surgery and that the most common self-harm mechanism was an intentional overdose. Bhatti and colleagues1 suggest screening for suicide risk during follow-up among patients who have undergone bariatric surgery.

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March 1, 2016
Amir A. Ghaferi, MD, MS; Carol Lindsay-Westphal, PhD
1Ann Arbor Veterans Administration Healthcare System, Ann Arbor, Michigan2Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor3Department of Surgery, University of Michigan, Ann Arbor
1Ann Arbor Veterans Administration Healthcare System, Ann Arbor, Michigan4Department of Psychiatry, University of Michigan, Ann Arbor
JAMA Surg. 2016;151(3):232-233. doi:10.1001/jamasurg.2015.3396.
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
David J. R. Morgan, MBBS, FACEM, FCICM; Kwok M. Ho, MBBS, FCICM, FANZCA, PhD
1Department of Intensive Care Medicine, St John of God Hospital Subiaco, Perth, Western Australia, Australia
1Department of Intensive Care Medicine, St John of God Hospital Subiaco, Perth, Western Australia, Australia2School of Population Health, University of Western Australia, Perth, Western Australia, Australia
JAMA Surg. 2016;151(6):584-585. doi:10.1001/jamasurg.2015.5123.
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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