TY  - JOUR
PY  - 2022//
TI  - Cost-effectiveness of media reporting guidelines for the prevention of suicide
JO  - Suicide and life-threatening behavior
A1  - Flego, Anna
A1  - Reifels, Lennart
A1  - Mihalopoulos, Cathrine
A1  - Bandara, Piumee
A1  - Page, Andrew
A1  - Fox, Tina
A1  - Skehan, Jaelea
A1  - Hill, Nicole T. M.
A1  - Krysinska, Karolina
A1  - Andriessen, Karl
A1  - Schlichthorst, Marisa
A1  - Pirkis, Jane
A1  - Le, Long Khanh-Dao
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: Media 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. <br><br>METHOD: We 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. <br><br>RESULTS: The 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. <br><br>CONCLUSION: Mindframe was found to be cost-saving, and therefore, worthy of investment and inclusion as part of national suicide prevention strategies.<p />  <p>Language: en</p>
LA  - en
SN  - 0363-0234
UR  - http://dx.doi.org/10.1111/sltb.12902
ID  - ref1
ER  -