• Login
    View Item 
    •   Home
    • UMass Chan Faculty and Staff Research and Publications
    • UMass Chan Faculty and Researcher Publications
    • View Item
    •   Home
    • UMass Chan Faculty and Staff Research and Publications
    • UMass Chan Faculty and Researcher Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of eScholarship@UMassChanCommunitiesPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywordsThis CollectionPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywords

    My Account

    LoginRegister

    Help

    AboutSubmission GuidelinesData Deposit PolicySearchingAccessibilityTerms of UseWebsite Migration FAQ

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Screening and Intervention for Suicide Prevention: A Cost-Effectiveness Analysis of the ED-SAFE Interventions

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Dunlap, Laura J.
    Orme, Stephen
    Zarkin, Gary A.
    Arias, Sarah A.
    Miller, Ivan W.
    Camargo, Carlos A. Jr
    Sullivan, Ashley F.
    Allen, Michael H.
    Goldstein, Amy B.
    Manton, Anne P.
    Clark, Robin E.
    Boudreaux, Edwin D
    Show allShow less
    UMass Chan Affiliations
    Department of Emergency Medicine
    Department of Family Medicine and Community Health
    Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2019-08-27
    Keywords
    Cost-effectiveness
    Cost-effectiveness analysis
    Costs
    Intervention
    Screening
    Suicide and self-destructive behavior
    Suicide prevention
    Emergency Medicine
    Health Services Administration
    Mental and Social Health
    Psychiatry
    Psychiatry and Psychology
    Show allShow less
    
    Metadata
    Show full item record
    Link to Full Text
    https://doi.org/10.1176/appi.ps.201800445
    Abstract
    OBJECTIVE: Suicide screening followed by an intervention may identify suicidal individuals and prevent recurring self-harm, but few cost-effectiveness studies have been conducted. This study sought to determine whether the increased costs of implementing screening and intervention in hospital emergency departments (EDs) are justified by improvements in patient outcomes (decreased attempts and deaths by suicide). METHODS: The Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) study recruited participants in eight U.S. EDs between August 2010 and November 2013. The eight sites sequentially implemented two interventions: universal screening added to treatment as usual and universal screening plus a telephone-based intervention delivered over 12 months post-ED visit. This study calculated incremental cost-effectiveness ratios and cost-effectiveness acceptability curves to evaluate screening and suicide outcome measures and costs for the two interventions relative to treatment as usual. Costs were calculated from the provider perspective (e.g., wage and salary data and rental costs for hospital space) per patient and per site. RESULTS: Average per-patient costs to a participating ED of universal screening plus intervention were $1,063 per month, approximately $500 more than universal screening added to treatment as usual. Universal screening plus intervention was more effective in preventing suicides compared with universal screening added to treatment as usual and treatment as usual alone. CONCLUSIONS: Although the choice of universal screening plus intervention depends on the value placed on the outcome by decision makers, results suggest that implementing such suicide prevention measures can lead to significant cost savings.
    Source

    Psychiatr Serv. 2019 Aug 27:appips201800445. doi: 10.1176/appi.ps.201800445. Link to article on publisher's site

    DOI
    10.1176/appi.ps.201800445
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/28492
    PubMed ID
    31451063
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1176/appi.ps.201800445
    Scopus Count
    Collections
    UMass Chan Faculty and Researcher Publications
    Population and Quantitative Health Sciences Publications
    Emergency Medicine Publications

    entitlement

    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Lamar Soutter Library, UMass Chan Medical School | 55 Lake Avenue North | Worcester, MA 01655 USA
    Quick Guide | escholarship@umassmed.edu
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.