Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.


Incidence and determinants of mental health service use after bariatric surgery

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.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Rent or buy this article

Get just this article for as long as you need it


Prices may be subject to local taxes which are calculated during checkout


  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).

    Article  Google Scholar 

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

    Google Scholar 

  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).

    Article  Google Scholar 

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

    Article  PubMed  Google Scholar 

  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).

    Article  Google Scholar 

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

    Article  Google Scholar 

  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).

    Article  Google Scholar 

  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).

    Article  Google Scholar 

  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).

    Article  Google Scholar 

  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).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Sanjeev Sockalingam.

Ethics declarations

Competing interests

The author declares no competing interests.

Rights and permissions

Reprints and Permissions

About this article

Check for updates. 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).

Download citation

  • Published:

  • Issue Date:

  • DOI:

This article is cited by


Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing