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Pediatrics. 2014 Mar;133(3):448-53. doi: 10.1542/peds.2013-1615. Epub 2014 Feb 10.

Cost analysis of youth violence prevention.

Author information

1
Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California;

Abstract

BACKGROUND AND OBJECTIVE:

Effective violence interventions are not widely implemented, and there is little information about the cost of violence interventions. Our goal is to report the cost of a brief intervention delivered in the emergency department that reduces violence among 14- to 18-year-olds.

METHODS:

Primary outcomes were total costs of implementation and the cost per violent event or violence consequence averted. We used primary and secondary data sources to derive the costs to implement a brief motivational interviewing intervention and to identify the number of self-reported violent events (eg, severe peer aggression, peer victimization) or violence consequences averted. One-way and multi-way sensitivity analyses were performed.

RESULTS:

Total fixed and variable annual costs were estimated at $71,784. If implemented, 4208 violent events or consequences could be prevented, costing $17.06 per event or consequence averted. Multi-way sensitivity analysis accounting for variable intervention efficacy and different cost estimates resulted in a range of $3.63 to $54.96 per event or consequence averted.

CONCLUSIONS:

Our estimates show that the cost to prevent an episode of youth violence or its consequences is less than the cost of placing an intravenous line and should not present a significant barrier to implementation.

KEYWORDS:

cost analysis; value; violence; violence prevention

PMID:
24515518
PMCID:
PMC3934329
DOI:
10.1542/peds.2013-1615
[Indexed for MEDLINE]
Free PMC Article
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