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SO072

Counting what we leave uncounted: the hidden cost of trauma to society

COUNTING WHAT WE DON’T COUNT: THE HIDDEN PRICE OF TRAUMA FOR SOCIETY

Cost modelling based on Israeli data indicates that the societal burden of trauma consists largely of indirect costs outside the treatment budget, and that every 1 unit invested in mental health yields a return of 4 units.

The aim is to calculate the direct, indirect and macroeconomic consequences of trauma by considering it not only as an individual clinical phenomenon but also as a socioeconomic burden at the societal level. The costing model developed by Dawson et al. in 2024 (BMJ Open) was adapted to the Israeli context using local statistics, and a five-year projection was produced using the NATAL calculation model. The poster reported that 625,000 people were psychologically affected, that the total five-year cost following 7 October was NIS 500 billion (200 billion in direct costs and 300 billion in indirect costs), that 74% of direct costs were attributable to employment loss, and that 80,000 people were at high risk of losing their jobs. The prevalence of post-traumatic stress disorder rose from 16.2% before 7 October to 29.8% afterwards; the global prevalence was reported as 3.9%. Four channels of indirect costs not reflected in the treatment budget were presented: road traffic accidents (a 21.6% increase in road deaths in 2024, from 361 in 2023 to 439 in 2024), domestic violence (a 65% increase in referrals to the Ministry of Welfare between October 2023 and April 2024), addiction (a 180% increase in the use of sedatives and sleeping medication, from 3.8% to 9.5%), and chronic disease (a 35% increase in severe myocardial infarctions between October and December 2023 compared with 2022). The return on investment was reported as 4 units for every 1 unit invested (WHO, 2016). In conclusion, rehabilitation was framed as an investment rather than an expense; recommendations included multiyear budgeting based on measurable indicators, trauma-informed practice in workplaces, hospitals and schools, and continuous measurement of return to work and recovery in productivity.

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