AI Article Synopsis
- Studies indicate that dialectical behavior therapy for adolescents (DBT-A) effectively reduces self-harm compared to enhanced usual care (EUC).
- A randomized study of 77 adolescents was conducted to assess the cost-effectiveness of DBT-A over 19 weeks, measuring outcomes related to self-harm and overall functioning.
- Results showed a high likelihood (up to 99.5%) that DBT-A is cost-effective, especially at higher willingness-to-pay thresholds.
Article Abstract
Background: Studies have shown that dialectical behaviour therapy (DBT) is effective in reducing self-harm in adults and adolescents.
Aims: To evaluate the cost-effectiveness of DBT for adolescents (DBT-A) compared to enhanced usual care (EUC).
Methods: In a randomised study, 77 adolescents with repeated self-harm were allocated to 19 weeks of outpatient treatment, either DBT-A ( = 39) or EUC ( = 38). Cost-effective analyses, including estimation of incremental cost-effectiveness ratios, were conducted with self-harm and global functioning (CGAS) as health outcomes.
Results: 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).
Conclusions: Given the data, DBT-A had a high probability of being a cost-effective treatment.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928596 | PMC |
| http://dx.doi.org/10.1186/s13034-018-0227-2 | DOI Listing |
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