dc.contributor.author |
Ahern, Susan |
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dc.contributor.author |
Burke, Lee-Ann |
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dc.contributor.author |
McElroy, Brendan |
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dc.contributor.author |
Corcoran, Paul |
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dc.contributor.author |
McMahon, Elaine M. |
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dc.contributor.author |
Keeley, Helen |
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dc.contributor.author |
Carli, Vladimir |
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dc.contributor.author |
Wasserman, Camilla |
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dc.contributor.author |
Hoven, Christina W. |
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dc.contributor.author |
Sarchiapone, Marco |
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dc.contributor.author |
Apter, Alan |
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dc.contributor.author |
Balazs, Judit |
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dc.contributor.author |
Banzer, Raphaela |
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dc.contributor.author |
Bobes, Julio |
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dc.contributor.author |
Brunner, Romuald |
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dc.contributor.author |
Cosman, Doina |
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dc.contributor.author |
Haring, Christian |
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dc.contributor.author |
Kaess, Michael |
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dc.contributor.author |
Kahn, Jean-Pierre |
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dc.contributor.author |
Kereszteny, Agnes |
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dc.contributor.author |
Postuvan, Vita |
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dc.contributor.author |
Sáiz, Pilar A. |
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dc.contributor.author |
Varnik, Peeter |
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dc.contributor.author |
Wasserman, Danuta |
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dc.date.accessioned |
2018-03-13T15:34:19Z |
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dc.date.available |
2018-03-13T15:34:19Z |
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dc.date.issued |
2018-02-14 |
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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 |
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dc.identifier.startpage |
1 |
en |
dc.identifier.startpage |
1295 |
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dc.identifier.endpage |
10 |
en |
dc.identifier.endpage |
1304 |
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dc.identifier.issn |
1435-165X |
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dc.identifier.uri |
http://hdl.handle.net/10468/5621 |
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dc.identifier.doi |
10.1007/s00787-018-1120-5 |
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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. |
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dc.format.mimetype |
application/pdf |
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dc.language.iso |
en |
en |
dc.publisher |
Springer Verlag |
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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 |
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dc.subject |
Suicide attempt |
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dc.subject |
Suicidal ideation |
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dc.subject |
Prevention |
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dc.subject |
Intervention |
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dc.subject |
Adolescents |
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dc.subject |
School |
en |
dc.subject |
Cost-effectiveness |
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dc.title |
A cost-effectiveness analysis of school-based suicide prevention programmes |
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dc.type |
Article (peer-reviewed) |
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dc.internal.authorcontactother |
Susan Ahern, Oral Health Services Research Centre, University College Cork, Ireland, +353 21 4903000 Email: susan.ahern@ucc.ie |
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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. |
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dc.check.date |
2019-02-14 |
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dc.description.version |
Accepted Version |
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dc.description.status |
Peer reviewed |
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dc.identifier.journaltitle |
European Child & Adolescent Psychiatry |
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dc.internal.copyrightchecked |
!!CORA!! |
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dc.internal.IRISemailaddress |
susan.ahern@ucc.ie |
en |
dc.internal.IRISemailaddress |
e.mcmahon@ucc.ie |
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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 |