Objective
To estimate the prevalence of suicidal ideation (SI) and compare respondents who endorsed
SI with respondents who denied SI within a national probability sample of women with
bladder pain syndrome or interstitial cystitis (BPS/IC).
Methods
Data were collected as part of the RAND Interstitial Cystitis Epidemiology (RICE)
Study, which screened 146,246 US households to identify adult women who met BPS/IC
symptom criteria. In addition to estimating SI prevalence, women with and without
recent SI were compared based on demographics, depression symptoms, BPS/IC symptoms,
functioning, and treatment.
Results
Of 1019 women with BPS/IC symptoms asked about SI, 11.0% (95% CI = 8.73-13.25) reported
SI in the past 2 weeks. Those with SI were more likely to be younger, unemployed,
unmarried, uninsured, less educated, and of lower income. Women who endorsed SI reported
worse mental health functioning, physical health functioning, and BPS/IC symptoms.
Women with SI were more likely to have received mental health treatment, but did not
differ on whether they had received BPS/IC treatment. Multivariate logistic regression
analyses indicated that severity of BPS/IC symptoms did not independently predict
likelihood of endorsing SI.
Conclusion
Results suggest that BPS/IC severity may not increase the likelihood of SI except
via severity of depression symptoms. Additional work is needed to understand how to
address the increased needs of women with both BPS/IC and SI.
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Article info
Publication history
Published online: June 04, 2012
Accepted:
December 17,
2011
Received:
September 20,
2011
Footnotes
Financial Disclosure: The authors declare that they have no relevant financial interests.
Funding Support: Supported by grant no. U01DK070234-05 from the National Institute of Diabetes and Digestive and Kidney Diseases.
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
ScienceDirect
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- Editorial CommentUrologyVol. 80Issue 2
- PreviewA patient in the IC clinic does not show up for a regular scheduled appointment. Follow-up with the family physician reveals that the patient committed suicide. This is an all too-real scenario for physicians who manage these patients. BPS/IC is not in itself a lethal condition, but patients do die. It turns out that one in ten women with symptoms of BPS/IC report suicidal ideation within the last 2 weeks. One in four of these women reported that they felt that way currently. One in three of these reported a plan to commit suicide.
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- Re: Hepner et al.: Suicidal Ideation Among Patients With Bladder Pain Syndrome/Interstitial Cystitis. (Urology 2012;80:280-285)UrologyVol. 80Issue 4
- PreviewWe appreciate the authors1 for their study concluding that bladder pain syndrome (BPS)/interstitial cystitis (IC) severity may not increase the likelihood of suicidal ideation except via severity of depression symptoms. Here we would like to highlight certain issues related to this study with regard to depression and suicidal ideation (SI) in IC.
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