Observational studyCanadian journal of psychiatry. Revue canadienne de psychiatrie2021
Cost-effectiveness of a Contact Intervention and a Psychotherapeutic Program for Post-discharge Suicide Prevention.
Observational study in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07422090 (Prevention of Suicidal Behavior Through Therapeutic Interventions Guided by Digital Phenotype and Pharmacogenetics), which is not on this map. Cited by 9 papers, 3 of them syntheses that pooled it.
What it found
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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.
Prevention of Suicidal Behavior Through Therapeutic Interventions Guided by Digital Phenotype and Pharmacogenetics: The SMARTomicS Study Protocol
Who cites it
9 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Economic evaluations of preventive interventions for self-harm and suicide: a systematic review.Psychological medicine · 2026Pooled it
- Synchronous remote-based interventions for suicidal behaviour prevention: a systematic review and meta-analyses of clinical trials.BMJ open · 2025Pooled it
- Modelling in economic evaluation of mental health prevention: current status and quality of studies.BMC health services research · 2022Pooled it
- Article
- Methodologies Employed in Economic Evaluation of Suicide Prevention Interventions: A Scoping Review.Administration and policy in mental health · 2026Article
- Can a local low-budget intervention make a difference to suicide rates? Evaluating the effectiveness of the Barnet (London) suicide prevention campaign using real-time suspected suicide data.BMC public health · 2025Article
- Protocol for the economic evaluation of paraprofessional-led case management and two brief culture-informed suicide prevention interventions for American Indian youth.Research square · 2024Article
- Suicide Interventions in Spain and Japan: A Comparative Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Cost-Effectiveness of a Multi-Disciplinary Emergency Consultation System for Suicide Attempts by Drug Overdose in Young People and Adult Populations.Frontiers in public health · 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
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the cost-effectiveness of 2 strategies for post-discharge suicide prevention, an Enhanced Contact intervention based on repeated in-person and telephone contacts, and an individual 2-month long problem-solving Psychotherapy program, in comparison to facilitated access to outpatient care following a suicide attempt.
methodsWe conducted a cost-effectiveness analysis based on a decision tree between January and December 2019. Comparative effectiveness estimates were obtained from an observational study conducted between 2013 and 2017 in Madrid, Spain. Electronic health care records documented resource use (including extra-hospital emergency care, mortality, inpatient admission, and disability leave). Direct cost data were derived from Madrid's official list of public health care prices. Indirect cost data were derived from Spain's National Institute of Statistics.
resultsBoth augmentation strategies were more cost-effective than a single priority outpatient appointment considering reasonable thresholds of willingness to pay. Under the base-case scenario, Enhanced Contact and Psychotherapy incurred, respectively, €2,340 and 6,260 per averted attempt, compared to a single priority appointment. Deterministic and probabilistic sensitivity analyses showed both augmentation strategies to remain cost-effective under several scenarios. Enhanced Contact was slightly cost minimizing in comparison to Psychotherapy (base-case scenario: €-196 per averted attempt).
conclusionsTwo post-discharge suicide prevention strategies based on Enhanced Contact and Psychotherapy were cost-effective in comparison to a single priority appointment. Increasing contacts between suicide attempters and mental health-care providers was slightly cost minimizing compared to psychotherapy.
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