Mental Health Screening as the Standard of Care in Pediatric Inflammatory Bowel Disease

Butwicka and colleagues 1 have published a fascinating, landmark cohort study in this issue of JAMA Pediatrics assessing the prevalence of psychiatric diagnoses and symptoms among children with inflammatory bowel disease (IBD) in Sweden.The authors used a rigorous design that compared a cohort of more than 6000 pediatric patients with IBD with hundreds of thousands of healthy controls, as well as a separate cohort comprising the patients' own siblings who did not have IBD.Butwicka et al 1 computed hazard ratios for any psychiatric disorder, as well as for multiple specific disorders, and found a hazard ratio of 1.6 for any psychiatric diagnosis when comparing