Suicidal ideation in patients with irritable bowel syndrome

Vivien Miller, Louise Hopkins, Peter J. Whorwell

    Research output: Contribution to journalArticlepeer-review


    Background & Aims: Irritable bowel syndrome (IBS) traditionally is considered as more of a nuisance than having especially serious consequences. However, this is not the picture witnessed in tertiary care where we have encountered some tragic cases, prompting an assessment of suicidal ideation in such patients. Methods: One hundred follow-up, tertiary care IBS (tIBS) patients were compared with 100 secondary IBS (sIBS), 100 primary IBS (pIBS) care patients, and 100 patients with active inflammatory bowel disease (IBD). Patients were asked if they had either seriously contemplated or attempted suicide specifically because of their bowel problem as opposed to other issues. The hospital anxiety depression score was recorded, as were other clinical details on all patients. Results: A total of 38% of tIBS patients had contemplated suicide because of their symptoms compared with 16% and 4% in the sIBS and pIBS groups (tIBS vs. sIBS vs. pIBS, P =. 002, P
    Original languageEnglish
    Pages (from-to)1064-1068
    Number of pages4
    JournalClinical Gastroenterology and Hepatology
    Issue number12
    Publication statusPublished - Dec 2004


    • Adolescent
    • Adult
    • Aged
    • Aged, 80 and over
    • psychology: Anxiety
    • Comparative Study
    • psychology: Depression
    • Female
    • Humans
    • Internal-External Control
    • psychology: Irritable Bowel Syndrome
    • Logistic Models
    • Male
    • Middle Aged
    • Questionnaires
    • Severity of Illness Index
    • psychology: Suicide
    • statistics & numerical data: Suicide, Attempted


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