Suicide Risk Prediction Models Could Be Cost-Effective
THURSDAY, March 25, 2021 -- With sufficient accuracy, statistical suicide risk prediction models could provide good health economic value in the United States, according to a study published online March 17 in JAMA Psychiatry.
Eric L. Ross, M.D., from McLean Hospital in Belmont, Massachusetts, and colleagues sought to identify the accuracy threshold that a suicide risk prediction method must attain to cost-effectively target a suicide risk reduction intervention to high-risk individuals. The model incorporated published data on suicide epidemiology, the health care and societal costs of suicide, and the costs and efficacy of suicide risk reduction interventions (active contact and follow-up [ACF], annual health care cost, $96; and cognitive behavioral therapy [CBT], annual health care cost, $1,088).
The researchers found that with a specificity of 95 percent and a sensitivity of 25 percent, primary care-based suicide risk prediction could reduce suicide death rates by 0.5 per 100,000 person-years (if used to target ACF) or 1.6 per 100,000 person-years (if used to target CBT). From the health care sector perspective, cost-effectiveness was achieved with a specificity of 95 percent and a sensitivity of ≥17.0 percent if used to target ACF or ≥35.7 percent if used to target CBT. Additionally, ACF required positive predictive (PP) values of 0.8 percent for predicting suicide attempt and 0.07 percent for predicting suicide death to achieve cost-effectiveness, and CBT required PP values of 1.7 percent for suicide attempt and 0.2 percent for suicide death.
"Several existing suicide risk prediction models exceed the accuracy thresholds identified in this analysis and thus may warrant pilot implementation in U.S. health care systems," the authors write.
One author disclosed financial ties to the pharmaceutical industry.
© 2021 HealthDay. All rights reserved.
Posted: March 2021
Read this next
WEDNESDAY, April 21, 2021 -- In high-income and upper-middle-income countries, suicide numbers remained unchanged or declined in the early months of the pandemic versus the...
WEDNESDAY, April 21, 2021 -- Specific cognitive deficits in childhood are distinctively associated with different mental health disorders, like borderline personality disorder,...
FRIDAY, April 16, 2021 -- People with a severe mental illness (SMI) are more likely to die following a heart attack than those without a psychiatric diagnosis, according to a...
More News Resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our Newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.