[YSPNetwork] FYI article: Cost-Effectiveness of Suicide Prevention - an economic analysis for prevention in MH programs
donna.noonan at state.or.us
Fri Nov 4 17:21:05 PDT 2011
An article of interest:
Cost-Effectiveness of Suicide Prevention
Mihalopoulos, C., Vos, T., Pirkis, J., & Carter, R. (2011). The economic analysis of prevention in mental health programs. Annual Review of Clinical Psychology, 7, 169-201.
An economic analysis conducted in Australia suggests that some suicide prevention interventions can be very cost-effective. The research team highlighted two approaches as being worthy of special mention: (1) problem-solving therapy for people who have deliberately harmed themselves and (2) screening children and adolescents for depression and providing mental health services for young people showing symptoms of depression. The researchers noted that both of these interventions "are well evaluated, and importantly, have evidence of both efficacy and effectiveness - that is, evidence that they work under routine health service conditions as well as evidence in controlled experimental conditions. Hence both are recommended for widespread adoption."
The team also recommended responsible media reporting of suicide. While the evidence for the effectiveness of media guidelines is not as strong as the evidence in support of problem-solving therapy and screening children and adolescents, it is extremely inexpensive, noted the researchers. The low cost of the intervention implies that it need only prevent a small number of suicides each year to be cost-effective.
The researchers also recommended interventions that screened adults for minor depression, as well as treating youth at "ultra-high risk of psychosis," based on the cost-effectiveness of these two approaches. However, the researchers pointed out that implementation of both these interventions should be rigorously evaluated, since the evidence of their effectiveness is not nearly as strong as that for problem-solving therapy and screening children and adolescents.
A parenting intervention for childhood anxiety was also found to be very cost-effective, but did not receive an unqualified recommendation because the evidence base was limited to one study.
There was no evidence that providing patients with emergency contact cards after a suicide attempt was effective at preventing suicides. There was some evidence that gun ownership legislation with an associated buy-back program was effective. However, this strategy was not found to be cost-effective. The research was conducted as part of the Assessing Cost-Effectiveness (ACE) in Prevention study, which was designed to understand the comparative cost-effectiveness of prevention measures addressing non-communicable diseases in Australia. This study included 11 interventions for the prevention of mental disorders, including those designed to prevent adult depression, postnatal depression, childhood/adolescent depression, psychosis, childhood anxiety, and suicide.
Link to Abstract<http://www.ncbi.nlm.nih.gov/pubmed/21443447>
Donna G Noonan, MPH, CHES
Youth Suicide Prevention Coordinator
Oregon Public Health Division
800 NE Oregon, Ste 772
Portland, OR 97232
Join the Youth Suicide Prevention Network listserv at http://listsmart.osl.state.or.us/mailman/listinfo/yspnetwork
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