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A cost-effectiveness analysis of school-based suicide prevention programmes.

Susan Ahern1, Lee-Ann Burke2, Brendan McElroy2

  • 1Centre for Policy Studies, Cork University Business School, University College Cork, Cork, Ireland. susan.ahern@ucc.ie.

European Child & Adolescent Psychiatry
|February 15, 2018
PubMed
Summary
This summary is machine-generated.

The Youth Aware of Mental Health (YAM) program is the most cost-effective school-based intervention for preventing suicide attempts and severe suicidal ideation in young people. This analysis supports YAM

Keywords:
AdolescentsCost-effectivenessInterventionPreventionSchoolSuicidal ideationSuicide attempt

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Area of Science:

  • Public Health
  • Mental Health Research
  • Health Economics

Background:

  • Suicide is a leading global cause of death in youth.
  • School-based suicide prevention programs show emerging effectiveness.
  • Cost-effectiveness analysis is crucial for evaluating interventions.

Purpose of the Study:

  • To conduct a full cost-effectiveness analysis (CEA) of the Saving and Empowering Young Lives in Europe (SEYLE) trial.
  • To compare the cost-effectiveness of three school-based suicide prevention interventions against a control group.
  • To identify the most cost-effective intervention for reducing suicide attempts and severe suicidal ideation.

Main Methods:

  • A payer's perspective cost-effectiveness analysis was performed.
  • Three interventions, including Youth Aware of Mental Health (YAM), were modeled over 12 months.
  • Incremental Cost-Effectiveness Ratios (ICERs) and cost per Quality Adjusted Life Year (QALY) were calculated.
  • Cost-effectiveness acceptability curves and net monetary benefit analysis were used to assess uncertainty.

Main Results:

  • The Youth Aware of Mental Health (YAM) program demonstrated the lowest incremental cost per 1% point reduction in incident suicide attempts and severe suicidal ideation.
  • ICERs for YAM were €34.83 (suicide attempt) and €45.42 (severe suicidal ideation).
  • Cost per QALY gained for YAM was €47,017 (suicide attempt) and €48,216 (severe suicidal ideation).
  • Probabilities of YAM being cost-effective were 39% at €47,000 willingness to pay for suicide attempt and 43% at €48,000 for severe suicidal ideation.

Conclusions:

  • The Youth Aware of Mental Health (YAM) program is the most cost-effective intervention among those evaluated in the SEYLE trial.
  • YAM effectively reduces both suicide attempts and severe suicidal ideation in a cost-effective manner.
  • These findings support the implementation of YAM in school settings for youth suicide prevention.