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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![]() |
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