Incidence and determinants of mental health service use after bariatric surgery

Article metrics

Bariatric surgery results in sustained weight loss and improvement in many obesity-related comorbidities. However, the effects of bariatric surgery on long-term mental health are less clear. A recent longitudinal cohort study shows that patients undergoing bariatric surgery seek mental health services at higher rates after surgery than before surgery and identifies specific risk factors for increased psychiatric service use.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.


  1. 1.

    Nguyen, N. T. & Varela, J. E. Bariatric surgery for obesity and metabolic disorders: state of the art. Nat. Rev. Gastroenterol. Hepatol. 14, 160–169 (2017).

  2. 2.

    Bhatti, J. A. et al. Self-harm emergencies after bariatric surgery: a population-based cohort study. JAMA Surg. 3, 226–232 (2015).

  3. 3.

    Castaneda, D. et al. Risk of suicide and self-harm is increased after bariatric surgery-a systematic review and meta-analysis. Obes. Surg. 29, 322–333 (2019).

  4. 4.

    Morgan, D. J. R., Ho, K. M. & Platell, C. Incidence and determinants of mental health service use after bariatric surgery. JAMA Psychiatry (2019).

  5. 5.

    Herpertz, S. et al. Health-related quality of life and psychological functioning 9 years after restrictive surgical treatment for obesity. Surg. Obes. Relat. Dis. 11, 1361–1370 (2015).

  6. 6.

    Ho, K. et al. The psychosocial effects of perioperative complications after bariatric surgery. Psychosomatics 59, 452–463 (2018).

  7. 7.

    Cohn, I., Raman, J. & Sui, Z. Patient motivations and expectations prior to bariatric surgery: a qualitative systematic review. Obes. Rev. 20, 1608–1618 (2019).

  8. 8.

    Sogg, S., Lauretti, J. & West-Smith, L. Recommendations for the presurgical psychosocial evaluation of bariatric surgery patients. Surg. Obes. Relat. Dis. 12, 731–749 (2016).

  9. 9.

    Mechanick, J. I. et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Surg. Obes. Relat. Dis. 9, 159–191 (2013).

  10. 10.

    Thiara, G. et al. Toronto bariatric interprofessional psychosocial assessment suitability scale: evaluating a new clinical assessment tool for bariatric surgery candidates. Psychosomatics 57, 165–173 (2016).

Download references

Author information

Correspondence to Sanjeev Sockalingam.

Ethics declarations

Competing interests

The author declares no competing interests.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Sockalingam, S. Incidence and determinants of mental health service use after bariatric surgery. Nat Rev Endocrinol 16, 12–13 (2020) doi:10.1038/s41574-019-0292-5

Download citation