自杀未遂短期干预计划 (ASSIP) 的成本效益估计
Max Lelie1, Riet Parmentier1, Eva de Jaegere2
1Department of Public Health, Vrije Universiteit Brussel, Brussels, Belgium.
Expert review of pharmacoeconomics & outcomes research
|April 26, 2025
概括
自杀未遂短期干预计划 (ASSIP) 是一个具有成本效益的战略,用于减少弗兰德斯的自杀未遂. 这种干预既节省了医疗保健成本,也节省了社会开支,为经济和健康带来了显著的好处.
科学领域:
- 卫生经济学 卫生经济学
- 心理健康服务研究 心理健康服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 患有自杀尝试史的患者面临重复尝试的风险明显更高.
- 有效的干预措施对于减轻这种风险和降低相关的医疗负担至关重要.
研究的目的:
- 与通常的治疗相比,对自杀未遂短期干预计划 (ASSIP) 进行成本效益分析.
- 评估ASSIP在佛兰德人群中的经济影响和成本效益.
主要方法:
- 一个封闭队列马尔科夫模型模拟了20年时间内发生的自杀事件,这些患者之前曾尝试过自杀.
- 从社会和医疗保健的角度估计了增量成本效益比率 (ICER).
- 一个"临界点"情景评估了随着时间的推移治疗效率回归的影响.
主要成果:
- 从社会角度来看,ASSIP被确定为占主导地位的战略.
- 从医疗保健的角度来看,ASSIP以1,133欧元 (10年) 和304欧元 (20年) 的ICER证明了成本效益.
- 即使有效率下降了82.7%,ASSIP仍然具有成本效益,每QALY的门为44,000欧元.
结论:
- 在佛兰德地区,ASSIP是一个具有成本效益的干预措施,可以节省医疗保健和社会成本.
- 在十年内,ASSIP的实施为经济和健康带来了巨大的好处,这代表了对心理健康护理的宝贵投资.
- 这些发现支持采用ASSIP来改善自杀风险较高的人的治疗结果.
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