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Table 3 Health care consumption and related costs (in Euro, 2019) and visits 1 year before, during, and 1 year after treatment

From: A pilot study of the impact of an integrated individual- and family therapy model for self-harming adolescents on overall healthcare consumption

 

Treatment

Before treatment

After treatment

Difference between before and after treatment

sig

Mean (SD)

Median (min, max)

Mean (SD)

Median (min, max)

Mean (SD)

Median (min, max)

Mean (SE)

Median (min, max)

(Location shift 95% CI)

 

Intervention costs, study participants, n = 25

5293 (2031)

4436 (3512; 12307)

       

>.05

Intervention costs, drop-outs, n = 24

5802 (2515)

4338 (2351; 10479)

       

Intervention costs, responder YSR, n = 18

5277 (2128)

4526 (3515;8694)

       

>.05

Intervention costs, non-responder YSR, n = 7

5334 (1915)

4235 (3515;8694)

       

Intervention costs, responder DSHI-9r, n = 8

6826 (2878)

6840 (3741;12307)

       

.057

Intervention costs, non-responder DSHI-9r, n = 17

4572 (916)

4235 (3515;6800)

       

Health care consumption, n = 25

          

Hospital care

          

Inpatient care

          

Psychiatry

          

Visits

0.36 (0.64)

0 (0; 2)

0.32 (0.63)

0 (0; 2)

0.28 (0.54)

0 (0; 2)

−0.04 (0.16)

0 (−2; 2)

(−4.5e-5; 3.9e-6)

>.05

Costs

1865 (5046)

0 (0; 24,269)

1293 (2634)

0 (0; 8742)

1942 (5543)

0 (0; 27,162)

649 (1248)

0 (− 8071; 27162)

(− 3.5e-6; 1.4e-6)

>.05

Other medical specialities

Visits

0.12 (0.33)

0 (0; 1)

0.32 (0.56)

0 (0; 2)

0.08 (0.28)

0 (0; 1)

−0.24 (0.13)

0 (−2; 1)

(− 2.1e-5; 8.3–5)

>.05

Costs

219 (607)

0 (0; 2046)

557 (1019)

0 (0; 3496)

177 (632)

0 (0; 2742)

−379 (256)

0 (− 3496; 2742)

(− 2.3e-6; 2.7e-6)

>.05

Outpatient care

 Psychiatry

  Doctor

          

  Visits

1.48 (1.33)

1 (0; 5)

3.16 (2.87)

2 (0; 11)

2.84 (3.12)

0 (0; 11)

−0.32 (2.95)

0 (−5; 8)

(−1; 2)

>.05

  Costs

555 (498)

383 (0; 1915)

1164 (1026)

766 (0; 3619)

1000 (1087)

766 (0; 3925)

− 164 (207)

0 (− 1869; 2776)

(− 383; 766)

>.05

 Psychologist

  Visits

1.00 (1.68)

0 (0; 6)

5.60 (7.26)

3 (0; 28)

8.32 (14.53)

0 (0; 57)

2.72 (2.89)

−2 (−25; 48)

(− 1; 3)

>.05

  Costs

272 (438)

0 (0; 1632)

1620 (2140)

707 (0; 7797)

1656 (3009)

0 (0; 13,560)

36 (625)

− 380 (− 6819; 10624)

(−7.8e-6; 761)

>.05

 Other professionals e.g. psychiatric nurses

  Visits

6.48 (17.96)

2 (0; 91)

15.00 (22.50)

5 (0; 105)

13.28 (19.07)

7 (0; 68)

−1.72 (5.51)

0 (−97; 63)

(−5; 5)

>.05

  Costs

959 (2653)

211 (0; 13,374)

2173 (3090)

740 (0; 12,860)

2043 (2866)

932 (0; 9159)

−130 (778)

0 (−11,528; 8450)

(−682; 709)

>.05

Other medical specialities

 Doctor

  Visits

0.96 (1.02)

1 (0; 3)

2.32 (2.87)

1 (0; 9)

1.40 (1.66)

1 (0; 7)

−0.92 (0.58)

0 (−8; 6)

(−3.8e-5; 1)

>.05

  Costs

368 (391)

383 (0; 1149)

849 (1058)

383 (0; 3448)

413 (418)

383 (0; 1533)

−436 (197)

0 (− 3065; 766)

(−4.3e-6; 383)

>.05

 Other professionals e.g. nurses

  Visits

0.88 (2.74)

0 (0; 13)

1.40 (2.55)

0 (0; 9)

2.32 (4.13)

0 (0; 18)

0.92 (0.71)

0 (−6; 13)

(−1.0; 1.8e-5)

>.05

  Costs

156 (541)

0 (0; 2665)

238 (511)

0 (0; 1989)

404 (857)

0 (0; 3968)

166 (140)

0 (− 1326; 2884)

(−46; 4.7e-6)

>.05

Total hospital visits

11.28 (19.35)

7 (0; 100)

28.12 (27.58)

20 (0; 119)

28.52 (27.50)

15 (0; 88)

0.40 (6.86)

−2 (−104; 61)

(−10; 11)

>.05

Total hospital costs

4395 (6368)

2051 (0; 28841)

7895 (6632)

6416 (0; 25684)

7632 (9789)

5667 (0; 48340)

−263 (2211)

− 1128 (− 18,900; 39798)

(− 1961; 4590)

>.05

Primary care

 Doctor

  Visits

1.88(2.47)

1 (0; 11)

1.92 (2.69)

0 (0; 10)

2.24 (2.33)

1 (0; 8)

0.32 (0.70)

0 (−10; 7)

(−1.0; 4.3e-5)

>.05

  Costs

448 (622)

273 (0; 3011)

364 (483)

0 (0; 1490)

469 (463)

274 (0; 1662)

105 (133)

0 (− 1337; 1662)

(−274; 1.1e-06)

>.05

 Other professionals e.g. nurses and psychologists

  Visits

3.32(4.33)

2 (0; 21)

3.04 (4.09)

1 (0; 16)

4.04 (3.75)

3 (0; 12)

1.00 (0.82)

1 (−12; 9)

(−3.0; 5.0e-5)

>.05

 Costs

524 (619)

432 (0; 2322)

461 (733)

211 (0; 3099)

603 (630)

474 (0; 2169)

142 (165)

183 (− 2416; 1728)

(− 474; 11)

>.05

Total primary care visits

5.20 (5.40)

4 (0; 24)

4.96 (6.37)

3 (0; 26)

6.28 (4.88)

6 (0; 19)

1.32 (1.43)

1 (−22; 16)

(−5; 1)

>.05

Total primary care costs

973 (926)

777 (0; 3905)

821 (1053)

484 (0; 4436)

1074 (905)

1102 (0; 3831)

253 (284)

244 (− 3754; 3391)

(−840; 69)

>.05

Total visits

16.48 (23.33)

10 (1; 124)

33.08 (29.90)

25 (2; 129)

34.80 (26.99)

22 (4; 89)

1.72 (7.05)

0 (−107; 59)

(−15; 10)

>.05

Total health care costs

5367 (6504)

2704 (383; 29,546)

8716 (6947)

7681 (484; 26941)

8705 (9684)

7342 (809; 48340)

− 11 (2211)

− 1977 (− 19,010; 39283)

(−2653; 4450)

>.05

Medication consumption (costs), n = 25

 Psychiatry

  

231 (265)

172 (0; 1058)

518 (431)

410 (0; 1488)

287 (98)

274 (− 699; 1462)

(− 481; −30)

<.05

 Central stimulants

  

120 (199)

0 (0; 744)

301 (382)

0 (0; 1266)

181 (78)

0 (− 525; 1266)

(− 314; 6.2e-5)

>.05

 Other psychiatric drugs e.g. antipsychotics

  

111 (131)

68 (0; 533)

217 (339)

93 (0; 1488)

106 (69)

2 (− 174; 1462)

(−93; 26)

>.05

 Other non-psychiatric drugs e.g. antibiotics

  

49 (77)

15 (0; 335)

63 (76)

31 (0; 240)

14 (21)

13 (− 311; 240)

(−31; 7)

>.05

Total medication costs

  

284 (274)

213 (0; 1058)

579 (442)

454 (0; 1577)

305 (103)

253 (− 604; 1509)

(−474; −47)

<.01

  1. YSR youth self report, DSHI-9r deliberate self-harm inventory, sig significance, SD standard deviation, SE standard error, CI confidence interrval