Borderline personality disorder: resource utilisation costs in Ireland

Show simple item record Bourke, Jane Murphy, Aileen Flynn, Daniel Kells, Mary Joyce, Mary Hurley, Justin 2018-10-12T12:00:29Z 2018-10-12T12:00:29Z 2018-07-16
dc.identifier.citation Bourke, J., Murphy, A., Flynn, D., Kells, M., Joyce, M. and Hurley, J. (2018) 'Borderline personality disorder: resource utilisation costs in Ireland', Irish Journal of Psychological Medicine, pp. 1-8. doi: 10.1017/ipm.2018.30 en
dc.identifier.startpage 1 en
dc.identifier.endpage 8 en
dc.identifier.issn 0790-9667
dc.identifier.doi 10.1017/ipm.2018.30
dc.description.abstract Objectives: Borderline personality disorder (BPD) is characterised by recurring crises, hospitalisations, self-harm, suicide attempts, addictions, episodes of depression, anxiety and aggression and lost productivity. The objective of this study is to determine the use of direct health care resources by persons with BPD in Ireland and the corresponding costs. Methods: This prevalence-based micro-costing study was undertaken on a sample of 196 individuals with BPD attending publicly funded mental health services in Ireland. All health care costs were assessed using a resource utilisation questionnaire completed by mental health practitioners. A probabilistic sensitivity analysis, using a Monte Carlo simulation, was performed to examine uncertainty. Results: Total direct healthcare cost per individual was €10 844 annually (ranging from 5228 to 20 609). Based on a prevalence of 1% and an adult population (18–65 years) of 2.87 million, we derived that there were 28 725 individuals with BPD in Ireland. Total yearly cost of illness was calculated to be up to €311.5 million. Conclusions: There is a dearth of data on health care resource use and costs of community mental health services in Ireland. The absence of this data is a considerable constraint to research and decision-making in the area of community mental health services. This paper contributes to the limited literature on resource use and costs in community mental health services in Ireland. The absence of productivity loss data (e.g. absenteeism and presenteeism), non-health care costs (e.g. addiction treatment), and indirect costs (e.g. informal care) from study participants is a limitation of this study. en
dc.description.sponsorship Health Service Executive, Ireland (National Office for Suicide Prevention) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Cambridge University Press (CUP) en
dc.rights © College of Psychiatrists of Ireland 2018 en
dc.subject Cost analysis en
dc.subject Borderline personality disorder en
dc.subject Community settings en
dc.subject Public health service en
dc.title Borderline personality disorder: resource utilisation costs in Ireland en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Jane Bourke, Economics, University College Cork, Cork, Ireland. +353-21-490-3000 Email: en
dc.internal.availability Full text available en Access to this article is restricted until 6 months after publication by request of the publisher. en 2019-01-16 2018-10-12T11:54:53Z
dc.description.version Accepted Version en
dc.internal.rssid 456735091
dc.description.status Peer reviewed en
dc.identifier.journaltitle Irish Journal of Psychological Medicine en
dc.internal.copyrightchecked No !!CORA!! en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress en
dc.internal.IRISemailaddress en

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