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Implementing Suicide Prevention Programs: Costs and Potential Life Years Saved in Canada
Helen-Maria Vasiliadis1, Alain Lesage, Eric Latimer
1Centre de recherche - Hopital Charles-Le Moyne Campus de Longueuil - Universite de Sherbrooke, 150 Place Charles LeMoyne - Bureau 200 Longueuil (QC) J4K 0A8, Canada, helen-maria.vasiliadis@usherbrooke.ca.
The Journal of Mental Health Policy and Economics
|October 17, 2015
Summary
Implementing population-level suicide prevention programs in Canada is cost-effective. These initiatives, including depression treatment and high-risk individual follow-up, offer significant cost savings by averting deaths and reducing disability.
Area of Science:
- Public Health
- Health Economics
- Mental Health Services Research
Background:
- Limited understanding of the population-level costs and effectiveness of suicide prevention programs.
- Suicide represents a significant public health burden with substantial economic impact.
Purpose of the Study:
- To determine the costs associated with suicide deaths in Quebec.
- To evaluate the cost-effectiveness of adapting the European Nuremberg Alliance against Depression (NAD) trial to a Canadian context.
- To assess the impact of adding four community-based suicide prevention strategies.
Main Methods:
- Prospective value implementation study design.
- Utilized published data and Canadian decision-maker interviews.
- Assessed costs from healthcare system and societal perspectives using Friction Cost Method (FCM) and Human Capital Approach (HCA).
- Calculated Incremental Cost-Effectiveness Ratio (ICER) per life year saved.
Main Results:
- Annual cost for implementing suicide prevention programs in Quebec estimated at CAD23,982,293.
- Key cost drivers included follow-up for suicide attempt survivors (39%) and psychotherapy for bereaved individuals (34%).
- The ICER was approximately CAD3,979 per life year saved.
Conclusions:
- Population-level suicide prevention programs, like the NAD trial adaptation, are cost-effective in Canada.
- Community mental health initiatives focusing on depression awareness, treatment, and high-risk individual follow-up yield significant cost savings.
- Further research is needed to determine the specificity, synergy, and optimal population subgroups for multi-modal suicide prevention programs.
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