Title |
Cost-effectiveness of dialectical behaviour therapy vs. enhanced usual care in the treatment of adolescents with self-harm
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Published in |
Child and Adolescent Psychiatry and Mental Health, April 2018
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DOI | 10.1186/s13034-018-0227-2 |
Pubmed ID | |
Authors |
Egil Haga, Eline Aas, Berit Grøholt, Anita J. Tørmoen, Lars Mehlum |
Abstract |
Studies have shown that dialectical behaviour therapy (DBT) is effective in reducing self-harm in adults and adolescents. To evaluate the cost-effectiveness of DBT for adolescents (DBT-A) compared to enhanced usual care (EUC). 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. 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). Given the data, DBT-A had a high probability of being a cost-effective treatment. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 115 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 13 | 11% |
Student > Bachelor | 13 | 11% |
Other | 11 | 10% |
Student > Master | 11 | 10% |
Student > Ph. D. Student | 8 | 7% |
Other | 20 | 17% |
Unknown | 39 | 34% |
Readers by discipline | Count | As % |
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Psychology | 39 | 34% |
Social Sciences | 7 | 6% |
Medicine and Dentistry | 6 | 5% |
Nursing and Health Professions | 3 | 3% |
Agricultural and Biological Sciences | 2 | 2% |
Other | 11 | 10% |
Unknown | 47 | 41% |