A link between irritable bowel syndrome (IBS) and psychiatric illness
is well recognized. The authors set out To establish whether a group w
ith a risk of poor outcome IBS could be identified at presentation to
a general hospital clinic in a prospective series of 70 subjects. Pote
ntial risk factors showed no correlation with IBS outcome at 6-9 month
s. There was a high rate of persistent mental illness. Clinicians offe
ring specialist cal-e for IBS should consult with psychiatric services
to provide assessment irrespective of IBS outcome if major psychopath
ology is not to be neglected.