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Cost-effectiveness analysis of a home-based social work intervention for children and adolescents who have deliberately poisoned themselves: Results of a randomised controlled trial

  • Sarah Byford (a1), Richard Harrington (a2), David Torgerson (a1), Michael Kerfoot (a3), Elizabeth Dyer (a4), Val Harrington (a3), Adrine Woodham (a3), Julia Gill (a3) and Faye McNiven (a3)...

Abstract

Background

Little evidence exists regarding the effectiveness or cost-effectiveness of alternative treatment services in the field of child and adolescent psychiatry.

Aims

To assess the cost-effectiveness of a home-based social work intervention for young people who have deliberately poisoned themselves.

Method

Children aged ⩽16 years, referred to child mental health teams with a diagnosis of deliberate self-poisoning were randomly allocated to either routine care (n=77) or routine care plus the social work intervention (n=85). Clinical and resource-use data were assessed over six months from the date of trial entry.

Results

No significant differences were found between the two groups in terms of the main outcome measures or costs. In a sub-group of children without major depression, suicidal ideation was significantly lower in the intervention group at the six-month follow-up (P=0.01), with no significant differences in cost.

Conclusions

A family-based social work intervention for children and adolescents who have deliberately poisoned themselves is as cost-effective as routine care alone.

Copyright

Corresponding author

Sarah Byford, Centre for Health Economics, University of York, York YOI 5DD. Fax: 01904 433644; e-mail: sb33@york.ac.uk

Footnotes

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Declaration of interest

Research supported by the Department of Health, London.

Footnotes

References

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Bland, M. (1995) An Introduction to Medical Statistics. Oxford: Oxford University Press.
Drummond, M. F. (1980) Principles of Economic Appraisal in Health Care. Oxford: Oxford University Press.
Goldberg, D. (1978) General Health Questionnaire. Windsor: NFER-Nelson.
Harrington, R., Kerfoot, M., Dyer, E., et al (1998) Randomized trial of a home based family intervention for children who have deliberately poisoned themselves. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 512518.
Hawton, K. (1989) Controlled studies of psychosocial intervention following attempted suicide. In Current Research on Suicide and Parasuicide (eds Platt, S. D. & Kreitman, N.), pp. 180195. Edinburgh: Edinburgh University Press.
Kazdin, A. E., Rodgers, A. & Colbus, D. (1986) The hopelessness scale for children: psychometric characteristics and concurrent validity. Journal of Consulting and Clinical Psychology, 54, 241245.
Kerfoot, M. (1988) Deliberate self-poisoning in childhood and early adolescence. Journal of Child Psychology and Psychiatry, 29, 335343.
Kerfoot, M., Harrington, R. & Dyer, E. (1995) Brief home-based intervention with young suicide attempters and their families. Journal of Adolescence, 18, 557568.
Kerfoot, M., Dyer, E., Harrington, V., et al (1994) Correlates and short-term course of self-poisoning in adolescents. British Journal of Psychiatry, 168, 3842.
Knapp, M. (1997) Economic evaluations and interventions for children and adolescents with mental health problems. Journal of Child Psychology and Psychiatry, 38, 325.
Kurtz, Z., Thornes, R. & Wolkind, S. (1994) Services for the Mental Health of Children and young People in England: A Review. London: South Thames Regional Health Authority.
Macdonald, G. (1997) Social work: beyond control? In Non-Random Reflections on Health Services Research (eds Maynard, A. & Chalmers, I.), pp. 122146. London: BMJ Publishing.
Miller, I. V., Epstein, N. B., Bishop, D. S., et al (1985) The McMaster Family Assessment Device: reliability and validity. Journal of Marital and Family Therapy, 11, 345356.
Netten, A. & Dennett, J. (1994) Unit Costs of Health and Social Care. University of Kent. Canterbury: Personal Social Services Research Unit.
Parliamentary Select Committee (1997) Number 4: Mental Health Services for Children. London: HMSO.
Puig-Antich, J. & Chambers, W. (1978) The Schedule for Affective Disorders and Schizophrenia for School-Aged Children. New York: New York State Psychiatric Institute.
Reynolds, W. M. (1988) Suicidal Ideation Questionnaire. Professional Manual. Odessa, FL: Psychological Assessment Resources.
Rutter, M. & Quinton, D. (1984) Parental psychiatric disorder: effects on children. Psychological Medicine, 14, 853880.
Sadowski, C. & Kelly, M. L. (1991) Social problem solving in suicidal adolescents. Journal of Consulting and Clinical Psychology, 61, 121127.
Wood, A. J., Harrington, R. C. & Moore, A. (1996) Controlled trial of a brief cognitive-behavioural intervention in adolescent patients with depressive disorders. Journal of Child Psychology and Psychiatry, 37, 737746.

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Cost-effectiveness analysis of a home-based social work intervention for children and adolescents who have deliberately poisoned themselves: Results of a randomised controlled trial

  • Sarah Byford (a1), Richard Harrington (a2), David Torgerson (a1), Michael Kerfoot (a3), Elizabeth Dyer (a4), Val Harrington (a3), Adrine Woodham (a3), Julia Gill (a3) and Faye McNiven (a3)...
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