{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T10:09:44Z","timestamp":1788862184767,"version":"build-2803163510"},"reference-count":115,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Reviews"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Metabolic and bariatric surgery (MBS) effectively manages severe obesity but may lead to psychological complications such as completed suicides and suicide attempts. This review aimed to analyze suicide and self\u2010harm incidence post\u2010MBS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched MEDLINE, EMBASE, PsycINFO, and the Cochrane Library databases on August 16, 2022, for longitudinal studies with incidence data on suicide following MBS. We performed a single proportion meta\u2010analysis on the incidence of outcomes and assessed the certainty of evidence using the GRADE approach. The review was registered with PROSPERO (CRD42022352137).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighty\u2010four studies were included. The meta\u2010analysis showed an incidence of 230.64 suicides per 100,000 participants (95% CI: 167.51 to 317.49) in pooled individual\u2010level data and an incidence of 43.02 suicides per 100,000 person\u2010years (95% CI: 32.49 to 56.97) in pooled person\u2010year data. Evidence was low certainty or very low certainty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The average suicide incidence (231 per 100,000 people) in people with obesity who underwent MBS significantly exceeded the 2019 WHO global estimate for the general population (nine per 100,000 people). These findings underscore the need to incorporate structured psychological screening and follow\u2010up into the perioperative management process of MBS, as patient mental health may play a pivotal role in postoperative adherence and long\u2010term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/obr.70129","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T14:19:56Z","timestamp":1773757196000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Incidence of Suicide Following Metabolic and Bariatric Surgery: A Prognosis Systematic Review and Meta\u2010Analysis of Longitudinal Studies"],"prefix":"10.1111","volume":"27","author":[{"given":"Li\u2010Feng","family":"Shang","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery Xi'an Daxing Hospital Affiliated to Yan'an University  Xi'an 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