国家自杀重复企图预防计划的结果和成本效益
Yves Gallien1, Sandrine Broussouloux1, Alice Demesmaeker2
1Santé Publique France, French National Public Health Agency, Saint Maurice, France.
JAMA network open
|August 6, 2025
概括
简短接触干预措施在自杀未遂 (SA) 后的个体中显著减少了38%的自杀再尝试 (SR). 这项公共卫生计划也显示出对投资的积极回报,使其成为预防自杀的具有成本效益的战略.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 卫生经济学 卫生经济学
背景情况:
- 自杀企图 (SA) 是一个重大的公共卫生挑战,其后的自杀重试 (SR) 率很高,特别是在出院后.
- 短期接触干预 (BCI) 旨在通过出院后的随访来减轻SR风险.
- 从2015年到2017年,法国实施了一项全国性的BCI计划.
研究的目的:
- 评估全国短期接触干预 (BCI) 计划在退院后12个月内减少再次自杀企图 (SR) 的有效性.
- 评估BCI计划的成本效益.
主要方法:
- 这是一项回顾性多中心队列研究,利用法国全国范围的医疗保险和急诊室数据.
- 暴露 (BCI计划参与者) 和未暴露个体 (2015-2017) 的1:1倾向性得分匹配.
- 12个月的生存和成本效益分析的随访.
主要成果:
- 接触BCI计划与38%的SR风险降低有关 (调整后危险比率[aHR],0.62).
- 风险降低在具有和没有先前的SA史的个体中是一致的,在女性参与者中明显更大.
- 该计划的投资回报率为2.06欧元,相当于每支出的欧元.
结论:
- 全国范围内的简短接触干预计划有效地减少了再次尝试自杀的情况.
- 这种干预提供了有利的经济结果,代表了预防自杀的成本效益高的战略.
- 研究结果支持更广泛地实施此类干预措施,以应对自杀的公共卫生负担.
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