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The British Journal of Psychiatry 174: 56-62 (1999)
© 1999 The Royal College of Psychiatrists

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

S Byford, R Harrington, D Torgerson, M Kerfoot, E Dyer, V Harrington, A Woodham, J Gill and F McNiven
Centre for Health Economics, University of York. sb33@york.ac.uk

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 < or = 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.


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