• Bibtex: @haga2018
  • Bibliography: Haga, E., Aas, E., Grøholt, B., Tørmoen, A. J., & Mehlum, L. (2018). Cost-effectiveness of dialectical behaviour therapy vs. Enhanced usual care in the treatment of adolescents with self-harm. Child and Adolescent Psychiatry and Mental Health, 12(1), 22. https://doi.org/10.1186/s13034-018-0227-2

Example citation

DBT-A leads to long-term cost savings compared to treatment as usual due to fewer inpatient and emergency visits

My notes

  • n = 77
  • Lifetime Parasuicide Count interview and CGAS were health outcomes
  • Costs were therapy sessions, use of other health services, and medication
  • DBT-A incurred higher treatment costs €2981 (95% CI -4666 to 10629), the treatment costs for DBT-A were €15850
  • €-10787 difference during follow-up, the TAU group had higher costs because of two very long inpatient stays.
    • Because of this, DBT-A is associated with higher efficacy and less cost, which is counter intuitive.

“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).”


Studies have shown that dialectical behaviour therapy (DBT) is effective in reducing self-harm in adults and adolescents. PDF: haga_2018_cost-effectiveness_of_dialectical_behaviour_therapy_vs._enhanced_usual_care_in.pdf