A cost-effectiveness analysis of school-based suicide prevention programmes.
Eur Child Adolesc Psychiatry
; 27(10): 1295-1304, 2018 Oct.
Article
em En
| MEDLINE
| ID: mdl-29442231
ABSTRACT
Suicide is one of the leading causes of death among young people globally. In light of emerging evidence supporting the effectiveness of school-based suicide prevention programmes, an analysis of cost-effectiveness is required. We aimed to conduct a full cost-effectiveness analysis (CEA) of the large pan-European school-based RCT, Saving and Empowering Young Lives in Europe (SEYLE). The health outcomes of interest were suicide attempt and severe suicidal ideation with suicide plans. Adopting a payer's perspective, three suicide prevention interventions were modelled with a Control over a 12-month time period. Incremental cost-effectiveness ratios (ICERs) indicate that the Youth Aware of Mental Health (YAM) programme has the lowest incremental cost per 1% point reduction in incident for both outcomes and per quality adjusted life year (QALY) gained versus the Control. The ICERs reported for YAM were 34.83 and 45.42 per 1% point reduction in incident suicide attempt and incident severe suicidal ideation, respectively, and a cost per QALY gained of 47,017 for suicide attempt and 48,216 for severe suicidal ideation. Cost-effectiveness acceptability curves were used to examine uncertainty in the QALY analysis, where cost-effectiveness probabilities were calculated using net monetary benefit analysis incorporating a two-stage bootstrapping technique. For suicide attempt, the probability that YAM was cost-effective at a willingness to pay of 47,000 was 39%. For severe suicidal ideation, the probability that YAM was cost-effective at a willingness to pay of 48,000 was 43%. This CEA supports YAM as the most cost-effective of the SEYLE interventions in preventing both a suicide attempt and severe suicidal ideation.Trial registration number DRKS00000214.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Serviços de Saúde Escolar
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Tentativa de Suicídio
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Análise Custo-Benefício
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Ideação Suicida
Tipo de estudo:
Evaluation_studies
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Health_economic_evaluation
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Prognostic_studies
Limite:
Adolescent
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article