TY  - JOUR
PY  - 2018//
TI  - Cost-effectiveness of dialectical behaviour therapy vs. enhanced usual care in the treatment of adolescents with self-harm
JO  - Child and adolescent psychiatry and mental health
A1  - Haga, Egil
A1  - Aas, Eline
A1  - Grøholt, Berit
A1  - Tørmoen, Anita J.
A1  - Mehlum, Lars
SP  - e22
EP  - e22
VL  - 12
IS  - 
N2  - 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). <br><br>METHODS: In a randomised study, 77 adolescents with repeated self-harm were allocated to 19 weeks of outpatient treatment, either DBT-A (<i>n</i> = 39) or EUC (<i>n</i> = 38). Cost-effective analyses, including estimation of incremental cost-effectiveness ratios, were conducted with self-harm and global functioning (CGAS) as health outcomes. <br><br>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). <br><br>CONCLUSIONS: Given the data, DBT-A had a high probability of being a cost-effective treatment.<p />  <p>Language: en</p>
LA  - en
SN  - 1753-2000
UR  - http://dx.doi.org/10.1186/s13034-018-0227-2
ID  - ref1
ER  -