Citation

Haga E, Aas E, Grøholt B, Tørmoen AJ, Mehlum L. Child Adolesc. Psychiatry Ment. Health 2018; 12: e22.

Affiliation

1National Centre for Suicide Research and Prevention, University of Oslo, Sognsvannsveien 21, Bygg 12, 0372 Oslo, Norway.

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.1186/s13034-018-0227-2

PMID

29743941

PMCID

PMC5928596

Abstract

BACKGROUND: Studies have shown that dialectical behaviour therapy (DBT) is effective in reducing self-harm in adults and adolescents. AIMS: To evaluate the cost-effectiveness of DBT for adolescents (DBT-A) compared to enhanced usual care (EUC).

METHODS: In a randomised study, 77 adolescents with repeated self-harm were allocated to 19 weeks of outpatient treatment, either DBT-A (n = 39) or EUC (n = 38). Cost-effective analyses, including estimation of incremental cost-effectiveness ratios, were conducted with self-harm and global functioning (CGAS) as health outcomes.

RESULTS: Using self-harm as effect outcome measure, the probability of DBT being cost-effective compared to EUC increased with increasing willingness to pay up to a ceiling of 99.5% (threshold of € 1400), while with CGAS as effect outcome measure, this ceiling was 94.9% (threshold of € 1600).

CONCLUSIONS: Given the data, DBT-A had a high probability of being a cost-effective treatment.

Language: en

Keywords

Cost-effectiveness; Longitudinal; Psychotherapy; Randomised trial; Self-harm