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Table 4 Description of Markov model used in the included studies

From: Cost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluations

No

Authors, Year

Health states used in the Markov model

Utility values

Anxiety & PTSD

 1

Gospodarevskaya E. & Segal L., 2012 [26]

Nine health states

No PTSD/No depression

PTSD only

Depression only

PTSD/Depression

Death from suicide general population

Death from suicide PTSD/depression

Death from suicide depression

Death from suicide PTSD

Death from other causes

No PTSD/No depression (population norm)

10–30 year olds 0.87

30–40 year olds 0.85

PTSD only 0.61 (0.43–0.79)

PTSD + depression 0.53 (0.37–0.69)

Depression only 0.46 (0.32–0.60)

(A paper from the first author with 2007 Australian National Survey of Mental Health and Wellbeing, Gospodarevskaya E., 2013. The 2007 Australian National Survey of Mental Health and Wellbeing collected data using generic preference-based instrument AQoL-4D).

 2

Shearer J. et al., 2018 [31]

Two health states

PTSD

PTSD free

Not reported separately. Instead reported how the calculations were done for the trial arms.

Utility values obtained by mapping parent-completed Strengths and Difficulties Questionnaire (SDQ) scores on to the Child Health Utility index 9D (CHU-9D) using a published mapping algorithm

 3

Mavranezouli I. et al., 2020 [32]

Two health states

PTSD

No PTSD

Base-case analysis

PTSD – 3-month 0.170 No-PTSD – 3-month 0.218

Secondary analysis

PTSD – 3-month 0.185 No-PTSD – 3-month 0.193

Utility data from Gospodarevskaya (2013) and Shearer et al. (2018)

Depression

 4

Mihalopoulos C. et al., 2012 [28]

Two health states

Depressed

Non depressed

Not applicable as the outcome is DALYs averted

 5

Lee YY. et al., 2017 [29]

Three health states

Healthy

Depression

Dead

Not applicable as the outcome is DALYs averted

 6

Ssegonja R. et al., 2020 [35]

Six health states

Healthy

Sub-syndromal depression

Depressed

Remission

Recovered

Dead

Utility values from published papers (Kolovos et al., 2017 [39], Burstrom et al., 2001 [40], and Burstrom et al., 2006 [41] - utility values based on EQ-5D

Healthy 0.89 (0.78–0.95) (Burstrom et al., 2001, Burstrom et al., 2006)

Subthreshold depression 0.62 (0.58–0.62) (Kolovos et al., 2017b)

Depressed 0.39 (0.35–0.43) (Kolovos et al., 2017b; utility values based on EQ-5D)

Remission 0.70 (0.67–0.73) (Kolovos et al., 2017b)

Recovered 0.89 (0.78–0.95) (Burstrom et al., 2001, Burstrom et al., 2006)

Dead 0.00 (0.00–0.00)

Anorexia nervosa

 7

Le LK-D. et al., 2017 [30]

Three health states

People with anorexia

Recovery

Death

Not applicable as the outcome is DALYs averted

Other mental health conditions

 8

Cottrell DJ. et al., 2018 [33]

Three health states

Self-harm (SH)

No self-harm (noSH)

Death

Utility values obtained using EQ-5D within the study.

Health state utilities in treatment as usual arm

6 months- SH 0.760 (SE 0.161)

12 months- SH 0.751 (SE 0.187)

noSH 0.784 (SE 0.180)

Death 0

18 months- SH 0.754 (SE 0.033)

noSH 0.808 (SE 0.157)

Death 0

Health state utilities in family therapy arm

6 months- SH 0.799 (SE 0.178)

12 months- SH 0.793 (SE 0.184)

noSH 0.813 (SE 0.194)

Death 0

18 months- SH 0.732 (SE 0.239)

noSH 0.823 (SE 0.179)

Death 0

 9

Freriks RD. et al., 2019 [37]

Three health states

No delinquency

Minor to moderate delinquency

Serious delinquency

Not applicable as the outcome is life-years of serious delinquent behavior prevented

  1. DALYs Disability-adjusted life years, PTSD post traumatic stress disorder, QALYs Quality adjusted life years