Home > A cost-effectiveness analysis of school-based suicide prevention programmes.

Ahern, Susan and Burke, Lee-Ann and McElroy, Brendan and Corcoran, Paul and McMahon, Elaine M and Keeley, Helen and Carli, Vladimir and Wasserman, Camilla and Hoven, Christina W and Sarchiapone, Marco and Apter, Alan and Balazs, Judit and Banzer, Raphaela and Bobes, Julio and Brunner, Romuald and Cosman, Doina and Haring, Christian and Kaess, Michael and Kahn, Jean-Pierre and Kereszteny, Agnes (2018) A cost-effectiveness analysis of school-based suicide prevention programmes. European Child & Adolescent Psychiatry , 27 , (10) , pp. 1295-1304.

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.


Item Type:Article
Date:2018
Page Range:pp. 1295-1304
Publisher:Springer
Volume:27
Number:10
EndNote:View
Related URLs:
Subjects:J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School based prevention
J Health care, prevention and rehabilitation > Health related prevention > Health information and education > Suicide prevention
L Social psychology and related concepts > Social context > School context
N Communication, information and education > Education and training > Educational institution > School
T Demographic characteristics > Adolescent / youth (teenager / young person)
T Demographic characteristics > Student (secondary level)
VA Geographic area > Europe
VA Geographic area > Europe > Ireland

Repository Staff Only: item control page