{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:14:20Z","timestamp":1790392460848,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,11,19]],"date-time":"2016-11-19T00:00:00Z","timestamp":1479513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004954","name":"Augustinus Fonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004954","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate psychiatric outcomes after bariatric surgery, including suicide, self\u2010harm, psychiatric service use and substance misuse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Retrospective study on a Danish nationwide register\u2010based cohort of 22 451 patients followed for 1 029 736 person\u2010years. Data were analysed utilizing single\u2010 and multi\u2010event Cox regression with non\u2010operated controls with obesity and mirror\u2010image analyses with the operated patient serving as their own controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We showed an increased ratio of self\u2010harm (hazard ratio [<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>] 3.23, <jats:italic>P<\/jats:italic> &lt; 0.001; incidence rate ratio [<jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content>] 1.71, <jats:italic>P<\/jats:italic> &lt; 0.001), psychiatric service use (admissions <jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content> 1.52, <jats:italic>P<\/jats:italic> &lt; 0.001; emergency room visits <jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content> 1.70, <jats:italic>P<\/jats:italic> &lt; 0.001), psychiatric diagnosis (organic psychiatric disorders <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 1.78, <jats:italic>P<\/jats:italic> &lt; 0.001; substance use <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 2.06, <jats:italic>P<\/jats:italic> &lt; 0.001; mood disorders <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 2.66, <jats:italic>P<\/jats:italic> &lt; 0.001; neurotic, stress\u2010related and somatoform disorders <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 2.48, <jats:italic>P<\/jats:italic> &lt; 0.001; behavioural syndromes <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 3.15, <jats:italic>P<\/jats:italic> &lt; 0.001; disorders of personality <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 2.68, <jats:italic>P<\/jats:italic> &lt; 0.001; behavioural and emotional disorders <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 6.43, <jats:italic>P<\/jats:italic> &lt; 0.001), as well as substance misuse utilizing Cox regression as well as mirror\u2010image analyses, as compared to non\u2010operated. We did not find an increased suicide rate (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 1.35, <jats:italic>P<\/jats:italic> = 0.658) among operated as compared to non\u2010operated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study shows that undergoing bariatric surgery is associated with increases in self\u2010harm, psychiatric service use and occurrence of mental disorders.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acps.12669","type":"journal-article","created":{"date-parts":[[2016,11,19]],"date-time":"2016-11-19T08:12:53Z","timestamp":1479543173000},"page":"149-158","source":"Crossref","is-referenced-by-count":48,"title":["Risk of psychiatric disorders, self\u2010harm behaviour and service use associated with bariatric surgery"],"prefix":"10.1111","volume":"135","author":[{"given":"Z.","family":"Kovacs","sequence":"first","affiliation":[{"name":"Unit for Psychiatric Research Department of Psychiatry Aalborg University Hospital Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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