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

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dc.contributor.author Ahern, Susan
dc.contributor.author Burke, Lee-Ann
dc.contributor.author McElroy, Brendan
dc.contributor.author Corcoran, Paul
dc.contributor.author McMahon, Elaine M.
dc.contributor.author Keeley, Helen
dc.contributor.author Carli, Vladimir
dc.contributor.author Wasserman, Camilla
dc.contributor.author Hoven, Christina W.
dc.contributor.author Sarchiapone, Marco
dc.contributor.author Apter, Alan
dc.contributor.author Balazs, Judit
dc.contributor.author Banzer, Raphaela
dc.contributor.author Bobes, Julio
dc.contributor.author Brunner, Romuald
dc.contributor.author Cosman, Doina
dc.contributor.author Haring, Christian
dc.contributor.author Kaess, Michael
dc.contributor.author Kahn, Jean-Pierre
dc.contributor.author Kereszteny, Agnes
dc.contributor.author Postuvan, Vita
dc.contributor.author Sáiz, Pilar A.
dc.contributor.author Varnik, Peeter
dc.contributor.author Wasserman, Danuta
dc.date.accessioned 2018-03-13T15:34:19Z
dc.date.available 2018-03-13T15:34:19Z
dc.date.issued 2018-02-14
dc.identifier.citation Ahern, S., Burke, L.-A., McElroy, B., Corcoran, P., McMahon, E. M., Keeley, H., Carli, V., Wasserman, C., Hoven, C. W., Sarchiapone, M., Apter, A., Balazs, J., Banzer, R., Bobes, J., Brunner, R., Cosman, D., Haring, C., Kaess, M., Kahn, J.-P., Kereszteny, A., Postuvan, V., Sáiz, P. A., Varnik, P. and Wasserman, D. (2018) 'A cost-effectiveness analysis of school-based suicide prevention programmes', European Child & Adolescent Psychiatry, 27, pp. 1295-1304, doi:10.1007/s00787-018-1120-5 en
dc.identifier.volume 27
dc.identifier.startpage 1 en
dc.identifier.startpage 1295
dc.identifier.endpage 10 en
dc.identifier.endpage 1304
dc.identifier.issn 1435-165X
dc.identifier.uri http://hdl.handle.net/10468/5621
dc.identifier.doi 10.1007/s00787-018-1120-5
dc.description.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. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Springer Verlag en
dc.rights © Springer-Verlag GmbH Germany, part of Springer Nature 2018. This is a post-peer-review, pre-copyedit version of an article published in European Child & Adolescent Psychiatry. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00787-018-1120-5 en
dc.subject Suicide attempt en
dc.subject Suicidal ideation en
dc.subject Prevention en
dc.subject Intervention en
dc.subject Adolescents en
dc.subject School en
dc.subject Cost-effectiveness en
dc.title A cost-effectiveness analysis of school-based suicide prevention programmes en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Susan Ahern, Oral Health Services Research Centre, University College Cork, Ireland, +353 21 4903000 Email: susan.ahern@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2019-02-14
dc.description.version Accepted Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle European Child & Adolescent Psychiatry en
dc.internal.copyrightchecked !!CORA!! en
dc.internal.IRISemailaddress susan.ahern@ucc.ie en
dc.internal.IRISemailaddress e.mcmahon@ucc.ie en
dc.relation.project info:eu-repo/grantAgreement/EC/FP7::SP1::HEALTH/223091/EU/Saving and Empowering Young Lives in Europe: Promote health through prevention of risk-taking and self-destructive behaviors/SEYLE en

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