Training mental health professionals in suicide practice guideline adherence: Cost-effectiveness analysis alongside a randomized controlled trial

摘要: BACKGROUND: There is a lack of information on the cost-effectiveness suicide prevention interventions. The current study examines multifaceted structured intervention aiming to improve adherence national practice guideline in comparison with usual implementation. METHODS: In condition, professionals psychiatric departments were trained using an e-learning supported Train-the-Trainer program. Newly admitted suicidal patients assessed as soon their department was and at 3 months follow-up. primary outcome improvement ideation. Missing cost effect data imputed multiple imputation. Cost-effectiveness planes plotted, acceptability curves estimated. RESULTS: For total group (n=566), no ideation or costs found. subgroup depressed (n=154, intervention=75, control=79), mean level decreased 2.7 extra points but this not statistically significant. subgroup, may be considered cost-effective implementation if society willing pay≥€ 6100 per unit scale extra. LIMITATIONS: Considering outcomes, we had almost cases that complete, heavily relied statistical techniques impute missing data. Also, diagnoses derived from clinical interviews. CONCLUSIONS: We presented first randomized trial (trial registration: Netherlands Trial Register (NTR3092 www.trialregister.nl)) mental health care. might for make substantial investments. Language: en