ALCOHOL/DRUG ABUSE AND SUICIDAL TENDENCY BEFORE AND AFTER GASTRIC BYPASS SURGERY
Maria Bergström*1,2, Anna Maksinen3, Jorge Arroyo Vázquez1,2, Per-Ola Park1,2
1Dept of Surgery, South Älvsborg Hospital, Boras, Västra Gotaland, Sweden; 2University of Gothemburg, Gothenburg, Västra Gotaland, Sweden; 3Dept of psychatry, South Älvsborg Hospital, Boras, Västra Gotaland, Sweden
Introduction
Many studies concerning individuals seeking bariatric surgery indicate a higher prevalence of psychiatric disorder in this population, both before and after surgery, however results are not conclusive. The aim of this study was to investigate changes in psychiatric health after gastric bypass surgery.
Methods
Patients within the catchment area of the department of psychiatry of the South Alvsborg Hospital, operated with gastric bypass surgery during 2011-2012, were identified through the Scandinavian quality registry (SOReg). Patients files were examined and psychiatric diagnoses and alcohol/drug abuse were recorded preoperatively and with a follow-up-time of 5 years.
Results
A total of 148 operated patients were identified. 48 of these patients had been in contact with the psychiatric department before or after surgery. Seven patients, all female, had attempted suicide preoperatively, but none of them made an attempt postoperatively. Five patients without a previously known suicidal ideation attempted suicide postoperatively, 4 men 1 woman. Four patients with a preoperative history of alcohol abuse were identified, all female. These individuals did not seem to abuse alcohol/drugs postoperatively. Postoperatively 9 patients with alcohol/drug abuse were identified, 3 men and 6 women. None of them had a former history of abuse. 4/5 of the patient attempting suicide postoperatively, 3 men 1 woman, also had a postoperatively emerging alcohol/drug abuse.
Conclusion
Preoperatively known alcohol/drug abuse or suicidal attempts do not seem to predispose for postoperative abusive problems or suicidal behavior. Preoperative identification of individuals prone to alcohol/drug abuse or suicidal attempts appears challenging.
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