Evidence map›Paper›PMID 36106404›Full record

ArticleSuicide & life-threatening behavior2022

Cost-effectiveness of media reporting guidelines for the prevention of suicide.

Anna Flego, Lennart Reifels, Cathrine Mihalopoulos, Piumee Bandara, Andrew Page, Tina Fox, Jaelea Skehan, Nicole T M Hill, Karolina Krysinska, Karl Andriessen and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Suicide & life-threatening behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Developing Language and Image Use Guidance for Communicating About Suicide, Mental Health Concerns and Alcohol and Other Drug Concerns: An Australian Delphi Study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. 'Fair and balanced?': quality of suicide-related reporting on major US cable news networks.The British journal of psychiatry : the journal of mental science · 2025
    Article
  8. Article
  9. Observational
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Anna FlegoCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Australia.ORCID 0000-0001-7409-8192
Lennart ReifelsCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Australia.ORCID 0000-0001-7844-5163
Cathrine MihalopoulosHealth Economics Division, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Piumee BandaraTranslational Health Research Institute, Western Sydney University, NSW, Australia.
Andrew PageTranslational Health Research Institute, Western Sydney University, NSW, Australia.
Tina FoxEverymind, NSW, Australia.
Jaelea SkehanEverymind, NSW, Australia.
Nicole T M HillTelethon Kids Institute, Western Australia.
Karolina KrysinskaCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Australia.ORCID 0000-0002-7033-6904
Karl AndriessenCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Australia.ORCID 0000-0002-3107-1114
Marisa SchlichthorstCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Australia.
Jane PirkisCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Australia.ORCID 0000-0002-2538-4472
Long Khanh-Dao LeHealth Economics Division, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
The University of Melbourne · AUData61 · AUMonash Health · AUTranslational Research Institute · AUThe Kids Research Institute Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMedia guidelines for the responsible reporting of suicide are a recognized universal suicide prevention intervention. While implemented in numerous countries, including Australia, little is known about whether they are cost-effective. We aimed to determine the cost-effectiveness of Mindframe, the national initiative implementing media guidelines in Australia.

methodWe conducted a modelled economic evaluation (5-year time-horizon) incorporating two types of economic analysis: (i) return-on-investment (ROI) comparing estimated cost savings from the intervention to the total intervention cost, and (ii) cost-effectiveness analysis comparing the net intervention costs to health outcomes: suicide deaths prevented and quality-adjusted life-years (QALYs). We also included uncertainty analyses to propagate parameter uncertainty and sensitivity analyses to test the robustness of the model outputs to changes in input parameters and assumptions.

resultsThe estimated ROI ratio for the main analysis was 94:1 (95% uncertainty interval [UI]: 37 to 170). The intervention was associated with cost savings of A$596M (95% UI: A$228M to A$1,081M), 139 (95% UI: 55 to 252) suicides prevented and 107 (95% UI: 42 to 192) QALYs gained. The intervention was dominant, or cost-saving, compared with no intervention with results being robust to sensitivity analysis but varying based on the conservativeness of the parameters entered.

conclusionMindframe was found to be cost-saving, and therefore, worthy of investment and inclusion as part of national suicide prevention strategies.

Indexed as

Suicide PreventionAustraliaCost-Benefit AnalysisHumansQuality-Adjusted Life Yearscost-effectivenesseconomic evaluationmedia guidelinespublic healthsuicide prevention

Identifiers

PMID36106404
PMCPMC9825953
OpenAlexW4295905007

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.