ArticlePsychiatric services (Washington, D.C.)2018
Modeling the Cost-Effectiveness of Interventions to Reduce Suicide Risk Among Hospital Emergency Department Patients.
Article in Psychiatric services (Washington, D.C.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Economic evaluations of preventive interventions for self-harm and suicide: a systematic review.Psychological medicine · 2026Pooled it
- Modelling in economic evaluation of mental health prevention: current status and quality of studies.BMC health services research · 2022Pooled it
- Cost-effectiveness evidence of mental health prevention and promotion interventions: A systematic review of economic evaluations.PLoS medicine · 2021Pooled it
- Artificial Intelligence and Suicide Prevention: A Systematic Review of Machine Learning Investigations.International journal of environmental research and public health · 2020Pooled it
- Suicide during Transition of Care: a Review of Targeted Interventions.The Psychiatric quarterly · 2020Pooled it
- Treatment Adherence and Recurrence of Suicidal Behaviour in a Cohort of Suicide Attempters in a Nurse-Led Suicide Prevention Programme.Journal of psychiatric and mental health nursing · 2026Article
- Study protocol for a type I hybrid effectiveness trial of strategies to prevent suicide attempts among adults recently released from jail.Contemporary clinical trials · 2026Article
- Methodologies Employed in Economic Evaluation of Suicide Prevention Interventions: A Scoping Review.Administration and policy in mental health · 2026Article
- Machine Learning Model for Predicting Suicide Risks Among Patients With Posttraumatic Stress Disorder Who Received Opioids.Depression and anxiety · 2026Article
- Exploring the Impact of the Caring Contacts Intervention on the Stress and Distress of Veterans and Service Members: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Article
- Partnering with Policymakers to Design Suicide Care Research: Maximizing Impact in Adolescent Mental Health Policy.Evidence-based practice in child and adolescent mental health · 2025Article
- Bridging the gap: a qualitative study of providers' perceptions of a partnered crisis follow-up program for suicidal patients post-emergency department discharge.BMC psychiatry · 2023Article
- Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol.BMC health services research · 2023Article
- Modelling the cost-effectiveness of brief aftercare interventions following hospital-treated self-harm.BJPsych open · 2023Article
- ReachCare Mobile Apps for Patients Experiencing Suicidality in the Emergency Department: Development and Usability Testing Using Mixed Methods.JMIR formative research · 2023Article
- Cost-effectiveness of implementing a suicide prediction tool (OxMIS) in severe mental illness: Economic modeling study.European psychiatry : the journal of the Association of European Psychiatrists · 2022Article
- The actual, long-term cost of intentional injury care among a cohort of Maryland Medicaid recipients.The journal of trauma and acute care surgery · 2022Article
- Article
- Integrating local health departments to reduce suicide-related emergency department visits among people with substance use disorders - Evidence from the state of Maryland.Preventive medicine · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveThis study estimated the expected cost-effectiveness and population impact of outpatient interventions to reduce suicide risk among patients presenting to general hospital emergency departments (EDs), compared with usual care. Several such interventions have been found efficacious, but none is yet widespread, and the cost-effectiveness of population-based implementation is unknown.
methodsModeled cost-effectiveness analysis compared three ED-initiated suicide prevention interventions previously found to be efficacious-follow-up via postcards or caring letters, follow-up via telephone outreach, and suicide-focused cognitive-behavioral therapy (CBT)-with usual care. Primary outcomes were treatment costs, suicides, and life-years saved, evaluated over the year after the index ED visit.
resultsCompared with usual care, adding postcards improved outcomes and reduced costs. Adding telephone outreach and suicide-focused CBT, respectively, improved outcomes at a mean incremental cost of $4,300 and $18,800 per life-year saved, respectively. Monte Carlo simulation (1,000 repetitions) revealed the chance of incremental cost-effectiveness to be a certainty for all three interventions, assuming societal willingness to pay ≥$50,000 per life-year. These main findings were robust to various sensitivity analyses, including conservative assumptions about effect size and incremental costs. Population impact was limited by low sensitivity of detecting ED patients' suicide risk, and health care delivery inefficiencies.
conclusionsThe highly favorable cost-effectiveness found for each outpatient intervention provides a strong basis for widespread implementation of any or all of the interventions. The estimated population benefits of doing so would be enhanced by increasing the sensitivity of suicide risk detection among individuals presenting to general hospital EDs.
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