AN ECONOMIC EVALUATION OF A PSYCHOEDUCATIONAL SUICIDE INTERVENTION PROGRAMME
Author(s)
O'Sullivan M1, Murphy A2, Bourke J2
1University College cork, Cork, Ireland, 2University College Cork, Cork, Ireland
OBJECTIVES: The Eden Programme is a psycho-educational programme targeting people who have attempted suicide or experienced suicidal ideation. The programme, developed by an Irish charity, Suicide or Survive. A licensed Eden programme is being rolled out on a pilot basis in Ireland. This study’s objective is to undertake a cost-effectiveness analysis of the Eden Programme from the perspective of the Ireland’s health care provider. METHODS: Researchers identified all relevant resources and utilised a combination of micro-costing and gross costing to measure resources. A net cost per programme and per participant were calculated, accounting for the current maximum intake for an Eden Programme (n=14). To measure effectiveness, average BDI scores from pre-and post-Eden Programme surveys were used. BDI scores were mapped onto the EQ5D-3L using an algorithm developed by Grochtdreis et al., (2016). To account for uncertainty, a Monte Carlo simulation was used to do a probabilistic sensitivity analyses. A cost-effectiveness ratio was used to determine the probability of the programme being cost-effective compared to usual care. RESULTS: Preliminary results indicate an improvement in average BDI scores from baseline to end of programme. Mapping these scores onto the EQ5D-3L showed utility improvement. As the Eden programme is a complement to usual care,there are additional costs. In addition, scenario analyses reveal that should economies of scale (e.g. dual-site training) be realised, there is the potential for cost savings. There is a less than 60%. Probability of cost effectiveness of the Eden programme compared with usual care CONCLUSIONS: As a therapeutic area, mental health has long been underfunded. As decision makers increase funding for programmes in mental health, it is important to ensure that resource allocation decisions are appropriate. One means of informing such decisions is to conduct economic evaluations to determine if the additional benefits are worth the additional cost.
Conference/Value in Health Info
2017-11, ISPOR Europe 2017, Glasgow, Scotland
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PMH33
Topic
Economic Evaluation
Topic Subcategory
Cost-comparison, Effectiveness, Utility, Benefit Analysis
Disease
Mental Health