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Selbstschädigung und Suizidalität vor und nach Adipositaschirurgie

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Psychosoziale Aspekte der Adipositas-Chirurgie

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Zusammenfassung

Bisherige Untersuchungen von Patienten vor Adipositaschirurgie haben gezeigt, dass mehr als die Hälfte im Laufe ihres Lebens bereits direktes oder indirektes selbstschädigendes Verhalten angewendet haben. Allerdings scheint sich die Lebenszeitprävalenz von Selbstschädigung bei Patienten vor Adipositaschirurgie nicht von der bei anderen Personen mit Adipositas Grad 2/3 zu unterscheiden. Aktuelle Studienergebnisse legen eine Zunahme selbstschädigender Verhaltensweisen, einschließlich Suizidversuche, nach Adipositaschirurgie nahe. Die meisten Längsschnittbefunde zu Selbstschädigung und Suiziden rekurrieren auf Gesundheitsregisterangaben zu stationären Aufnahmen, Notfalleinsätzen oder anderen medizinischen Behandlungen. Die tatsächliche Inzidenz von selbstschädigenden postoperativen Verhaltensweisen wurde noch nicht systematisch gemessen. Gleichwohl verdeutlichen die bisherigen Befunde die Notwendigkeit einer geschärften Wahrnehmung von selbstschädigenden Verhaltensweisen und Suizidalität bei Patienten vor und nach Adipositaschirurgie.

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Literatur

  • Adams TD, Gress RE, Smith SC, Halverson RC, Simper SC, Rosamond WD, Lamonte MJ, Stroup AM, Hunt SC (2007) Long-term mortality after gastric bypass surgery. N Engl J Med 357:753–761

    Article  CAS  Google Scholar 

  • APA (2013) Diagnostic and Statistical Manual of mental disorders, 5. Aufl. American Psychiatric Press, Washington DC

    Google Scholar 

  • Backman O, Stockeld D, Rasmussen F, Naslund E, Marsk R (2016) Alcohol and substance abuse, depression and suicide attempts after Roux-en-Y gastric bypass surgery. Br J Surg 103:1336–1342

    Article  CAS  Google Scholar 

  • Bhatti JA, Nathens AB, Thiruchelvam D, Grantcharov T, Goldstein BI, Redelmeier DA (2016) Self-harm emergencies after bariatric surgery: A population-based cohort study. JAMA Surg 151:226–232

    Article  Google Scholar 

  • Brickman LJ, Ammerman BA, Look AE, Berman ME, McCloskey MS (2014) The relationship between non-suicidal self-injury and borderline personality disorder symptoms in a college sample. Borderline Personal Disord Emot Dysregul 1:14

    Article  Google Scholar 

  • Cipriano A, Cella S, Cotrufo P (2017) Nonsuicidal self-injury: A systematic review. Front Psychol 8:1946

    Article  Google Scholar 

  • Claes L, Vandereycken W (2007) Self-injurious behavior: differential diagnosis and functional differentiation. Compr Psychiatry 48:137–144

    Article  Google Scholar 

  • Claes L, Vandereycken W (2012) Schmerzen gegen den Schmerz. Patmos Verlag, Ostfildern

    Google Scholar 

  • Fischer G, Ameis N, Parzer P, Plener PL, Groschwitz R, Vonderlin E, Kolch M, Brunner R, Kaess M (2014) The German version of the self-injurious thoughts and behaviors interview (SITBI-G): a tool to assess non-suicidal self-injury and suicidal behavior disorder. BMC Psychiatry 14:265

    Article  Google Scholar 

  • Goldfeder LB, Ren CJ, Gill JR (2006) Fatal complications of bariatric surgery. Obes Surg 16:1050–1056

    Article  Google Scholar 

  • Gribsholt SB, Svensson E, Richelsen B, Raundahl U, Sorensen HT, Thomsen RW (2018) Rate of acute hospital admissions before and after Roux-en-Y gastric bypass surgery: A population-based cohort study. Ann Surg 267:319–325

    Article  Google Scholar 

  • Gribsholt SB, Thomsen RW, Svensson E, Richelsen B (2017) Overall and cause-specific mortality after Roux-en-Y gastric bypass surgery: a nationwide cohort study. Surg Obes Relat Dis 13:581–587

    Article  Google Scholar 

  • Hawton K, Zahl D, Weatherall R (2003) Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital. Br J Psychiatry 182:537–542

    Article  Google Scholar 

  • Herpertz S, Müller A, Burgmer R, Crosby RD, de Zwaan M, Legenbauer T (2015) Health-related quality of life and psychological functioning 9 years after restrictive surgical treatment for obesity. Surg Obes Relat Dis 11:1361–1370

    Article  Google Scholar 

  • Ivezaj V, Grilo CM (2015) When mood worsens after gastric bypass surgery: characterization of bariatric patients with increases in depressive symptoms following surgery. Obes Surg 25:423–429

    Article  Google Scholar 

  • Jacobson CM, Muehlenkamp JJ, Miller AL, Turner JB (2008) Psychiatric impairment among adolescents engaging in different types of deliberate self-harm. J Clin Child Adolesc Psychol 37:363–375

    Article  Google Scholar 

  • Klonsky ED (2007) The functions of deliberate self-injury: a review of the evidence. Clin Psychol Rev 27:226–239

    Article  Google Scholar 

  • Klonsky ED, Muehlenkamp JJ (2007) Self-injury: a research review for the practitioner. J Clin Psychol 63:1045–1056

    Article  Google Scholar 

  • Kovacs Z, Valentin JB, Nielsen RE (2017) Risk of psychiatric disorders, self-harm behaviour and service use associated with bariatric surgery. Acta Psychiatr Scand 135:149–158

    Article  CAS  Google Scholar 

  • Kraus A, Valerius G, Seifritz E, Ruf M, Bremner JD, Bohus M, Schmahl C (2010) Script-driven imagery of self-injurious behavior in patients with borderline personality disorder: a pilot FMRI study. Acta Psychiatr Scand 121:41–51

    Article  CAS  Google Scholar 

  • Lagerros YT, Brandt L, Hedberg J, Sundbom M, Boden R (2017) Suicide, self-harm, and depression after gastric bypass surgery: a nationwide cohort study. Ann Surg 265:235–243

    Article  Google Scholar 

  • Marsk R, Naslund E, Freedman J, Tynelius P, Rasmussen F (2010) Bariatric surgery reduces mortality in Swedish men. Br J Surg 97:877–883

    Article  CAS  Google Scholar 

  • Mitchell JE, Crosby R, de Zwaan M, Engel S, Roerig J, Steffen K, Gordon KH, Karr T, Lavender J, Wonderlich S (2013) Possible risk factors for increased suicide following bariatric surgery. Obesity (Silver Spring) 21:665–672

    Article  Google Scholar 

  • Mitchell JE, King WC, Chen JY, Devlin MJ, Flum D, Garcia L, Inabet W, Pender JR, Kalarchian MA, Khandelwal S, Marcus MD, Schrope B, Strain G, Wolfe B, Yanovski S (2014) Course of depressive symptoms and treatment in the longitudinal assessment of bariatric surgery (LABS-2) study. Obesity (Silver Spring) 22:1799–1806

    Article  Google Scholar 

  • Morgan DJ, Ho KM (2016) Deliberate self-harm following bariatric surgery. JAMA Surg 151:584–585)

    Google Scholar 

  • Morgan DJ, Ho KM (2017) Incidence and risk factors for deliberate self-harm, mental illness, and suicide following bariatric surgery: A State-wide Population-based Linked-data Cohort Study. Ann Surg 265:244–252

    Article  Google Scholar 

  • Müller A, Claes L, Smits D, Brahler E, de Zwaan M (2016) Prevalence and correlates of self-harm in the German general population. PLoS One 11:e0157928

    Article  Google Scholar 

  • Müller A, Claes L, Smits D, Schag K, Zwaan M de (2018) Lifetime self-harm behaviors are not more prevalent in bariatric surgery candidates than in community controls with obesity. Obes Facts (im Druck)

    Google Scholar 

  • Nock MK, Holmberg EB, Photos VI, Michel BD (2007) Self-Injurious Thoughts and Behaviors Interview: development, reliability, and validity in an adolescent sample. Psychol Assess 19:309–317

    Article  Google Scholar 

  • Omalu BI, Ives DG, Buhari AM, Lindner JL, Schauer PR, Wecht CH, Kuller LH (2007) Death rates and causes of death after bariatric surgery for Pennsylvania residents, 1995 to 2004. Arch Surg 142:923–928 (discussion 929)

    Google Scholar 

  • Peterhänsel C, Petroff D, Klinitzke G, Kersting A, Wagner B (2013) Risk of completed suicide after bariatric surgery: a systematic review. Obes Rev 14:369–382

    Article  Google Scholar 

  • Plener PL, Libal G, Keller F, Fegert JM, Muehlenkamp JJ (2009) An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. Psychol Med 39:1549–1558

    Article  CAS  Google Scholar 

  • Plener PL, Kapusta ND, Brunner R, Kaess M (2014) Nicht-suizidales selbstverletzendes Verhalten (NSSV) und Suizidale Verhaltensstörung (SVS) im DSM-5. Z KinderJugendpsychiatr Psychother 42:405–413

    Article  Google Scholar 

  • Plener PL, Allroggen M, Kapusta ND, Brahler E, Fegert JM, Groschwitz RC (2016) The prevalence of Nonsuicidal Self-Injury (NSSI) in a representative sample of the German population. BMC Psychiatry 16:353

    Article  Google Scholar 

  • Rieber N, Giel KE, Meile T, Enck P, Zipfel S, Teufel M (2013) Psychological dimensions after laparoscopic sleeve gastrectomy: reduced mental burden, improved eating behavior, and ongoing need for cognitive eating control. Surg Obes Relat Dis 9:569–573

    Article  Google Scholar 

  • Sansone RA, Wiederman MW, Sansone LA (1998) The Self-Harm Inventory (SHI): development of a scale for identifying self-destructive behaviors and borderline personality disorder. J Clin Psychol 54:973–983

    Article  CAS  Google Scholar 

  • Sansone RA, Wiederman MW, Schumacher DF, Routsong-Weichers L (2008) The prevalence of self-harm behaviors among a sample of gastric surgery candidates. J Psychosom Res 65:441–444

    Article  Google Scholar 

  • Schmahl C, Herpertz SC, Bertsch K, Ende G, Flor H, Kirsch P, Lis S, Meyer-Lindenberg A, Rietschel M, Schneider M, Spanagel R, Treede RD, Bohus M (2014) Mechanisms of disturbed emotion processing and social interaction in borderline personality disorder: state of knowledge and research agenda of the German Clinical Research Unit. Borderline Personal Disord Emot Dysregul 1:12

    Article  Google Scholar 

  • Steffen KJ, Engel SG, Pollert GA, Li C, Mitchell JE (2013) Blood alcohol concentrations rise rapidly and dramatically after Roux-en-Y gastric bypass. Surg Obes Relat Dis 9:470–473

    Article  Google Scholar 

  • Tindle HA, Omalu B, Courcoulas A, Marcus M, Hammers J, Kuller LH (2010) Risk of suicide after long-term follow-up from bariatric surgery. Am J Med 123:1036–1042

    Article  Google Scholar 

  • Zetterqvist M (2015) The DSM-5 diagnosis of nonsuicidal self-injury disorder: a review of the empirical literature. Child Adolesc Psychiatry Ment Health 9:31

    Article  Google Scholar 

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Authors and Affiliations

  1. Klinik für Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover, Hannover, Deutschland

    Astrid Müller & Marek Lescher

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  1. Astrid Müller
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  2. Marek Lescher
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Correspondence to Astrid Müller .

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Editors and Affiliations

  1. Klinik für Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover, Hannover, Deutschland

    Martina de Zwaan

  2. Klinik für Psychosomatische Medizin und Psychotherapie, LWL-Universitätsklinikum der Ruhr-Universität Bochum, Bochum, Deutschland

    Stephan Herpertz

  3. Abteilung für Psychosomatische Medizin und Psychotherapie, Medizinische Universitätsklinik Tübingen, Tübingen, Deutschland

    Stephan Zipfel

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Müller, A., Lescher, M. (2022). Selbstschädigung und Suizidalität vor und nach Adipositaschirurgie. In: de Zwaan, M., Herpertz, S., Zipfel, S. (eds) Psychosoziale Aspekte der Adipositas-Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-65556-6_11

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  • DOI: https://doi.org/10.1007/978-3-662-65556-6_11

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