Borderline personality disorder: resource utilisation costs in Ireland

Simple item page
dc.contributor.authorBourke, Jane
dc.contributor.authorMurphy, Aileen
dc.contributor.authorFlynn, Daniel
dc.contributor.authorKells, Mary
dc.contributor.authorJoyce, Mary
dc.contributor.authorHurley, Justin
dc.date.accessioned2018-10-12T12:00:29Z
dc.date.available2018-10-12T12:00:29Z
dc.date.issued2018-07-16
dc.date.updated2018-10-12T11:54:53Z
dc.description.abstractObjectives: 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.sponsorshipHealth Service Executive, Ireland (National Office for Suicide Prevention)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationBourke, 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.2018.30en
dc.identifier.doi10.1017/ipm.2018.30
dc.identifier.endpage8en
dc.identifier.issn0790-9667
dc.identifier.journaltitleIrish Journal of Psychological Medicineen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/7005
dc.language.isoenen
dc.publisherCambridge University Press (CUP)en
dc.relation.urihttps://www.cambridge.org/core/article/borderline-personality-disorder-resource-utilisation-costs-in-ireland/81C08CF07460E2A32AFCBAC914917171
dc.rights© College of Psychiatrists of Ireland 2018en
dc.subjectCost analysisen
dc.subjectBorderline personality disorderen
dc.subjectCommunity settingsen
dc.subjectPublic health serviceen
dc.titleBorderline personality disorder: resource utilisation costs in Irelanden
dc.typeArticle (peer-reviewed)en
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
6504_IJPM_manuscript_RR_May_2018.pdf
Size:
119.72 KB
Format:
Adobe Portable Document Format
Description:
Accepted version
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Economics - Journal Articles
National Suicide Research Foundation - Journal Articles