ArticleEuropean child & adolescent psychiatry2018
A cost-effectiveness analysis of school-based suicide prevention programmes.
Article in European child & adolescent psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Economic evaluations of preventive interventions for self-harm and suicide: a systematic review.Psychological medicine · 2026Pooled it
- Prevention of self-harm and suicide in young people up to the age of 25 in education settings.The Cochrane database of systematic reviews · 2024Pooled it
- Educational agents and institutions called into action in suicide prevention, intervention, and postvention.Frontiers in psychology · 2023Pooled it
- Research Review: The effect of school-based suicide prevention on suicidal ideation and suicide attempts and the role of intervention and contextual factors among adolescents: a meta-analysis and meta-regression.Journal of child psychology and psychiatry, and allied disciplines · 2022Pooled it
- Cost-effectiveness evidence of mental health prevention and promotion interventions: A systematic review of economic evaluations.PLoS medicine · 2021Pooled it
- Economic Evaluations of Public Health Interventions to Improve Mental Health and Prevent Suicidal Thoughts and Behaviours: A Systematic Literature Review.Administration and policy in mental health · 2021Pooled it
- Treatment compliance and risk and protective factors for suicide ideation to completed suicide in adolescents: a systematic review.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)Pooled it
- Trial
- A video-feedback parenting intervention to prevent enduring behaviour problems in at-risk children aged 12-36 months: the Healthy Start, Happy Start RCT.Health technology assessment (Winchester, England) · 2021Trial
- Analysis of health infrastructure and suicide rates in Brazil: a nationwide ecological spatial-temporal study, 2009-2023.Lancet regional health. Americas · 2026Article
- Mental health of children and young people in the WHO Europe region.The Lancet regional health. Europe · 2025Review
- Economic loss attributable to premature deaths and morbidity among adolescents in India and its states.BMC medicine · 2025Article
- The cost-effectiveness of school-based interventions for chronic diseases: a systematic review.Cost effectiveness and resource allocation : C/E · 2024Review
- Pharmacist gatekeeper interventions for suicide prevention: how evidence from developed countries support their role in low- and middle-income countries.Frontiers in psychiatry · 2024Review
- Reasons for living and depressive symptomatology in young adults with and without suicide attempts: a moderated mediation approach.Frontiers in psychiatry · 2024Article
- School-based socio-emotional learning programs to prevent depression, anxiety and suicide among adolescents: a global cost-effectiveness analysis.Epidemiology and psychiatric sciences · 2023Article
- Simulation Models for Suicide Prevention: A Survey of the State-of-the-Art.Computers (Basel, Switzerland) · 2023Article
- Injury Prevention Activities in US Schools, School Health Policies and Practices Survey 2014.The Journal of school health · 2022Article
- The global return on investment from preventing and treating adolescent mental disorders and suicide: a modelling study.BMJ global health · 2022Article
- Net benefit separation and the determination curve: A probabilistic framework for cost-effectiveness estimation.Statistical methods in medical research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
24 authors.
Funding
Abstract
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.
Indexed as
Identifiers
29442231What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.