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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

SO460

Cost-effectiveness of a remote primary care and psychiatry model (MAP-PSI) for depression among young people living in rural and Indigenous communities

COST-EFFECTIVENESS OF THE REMOTE PRIMARY CARE AND PSYCHIATRY MODEL (MAP-PSI) FOR DEPRESSION IN YOUTH LIVING IN RURAL AND INDIGENOUS COMMUNITIES.

The remotely delivered MAP-PSI model was found to be a cost-effective option that reduces school absenteeism and suicide attempts compared with usual community care.

The aim of the study was to estimate the cost-effectiveness ratio of the remote Primary Care and Psychiatry Model (MAP-PSI), implemented in a rural municipality in Mexico, compared with usual community care. Adolescents and young adults aged 15 to 25 who received care between November 2023 and November 2024 were analyzed. Effectiveness measures included care-seeking behavior, school absences averted, suicide attempts averted, and suicides averted; direct and indirect costs and incremental cost-effectiveness ratios (ICERs) were calculated, and deterministic sensitivity analyses were conducted. Of the 1,057 participants, 932 (88.2%) completed screening; the mean age was 16.63 ± 1.53 years (standard deviation, SD), and 60.51% of participants were female. MAP-PSI served 932 young people, compared with only 16 receiving usual community care; the model was associated with 12,195 school absence days averted at an incremental cost of US$7.84 per absence day averted. Model projections indicated that the expected number of suicide attempts decreased from 13 to 4, representing 9 attempts averted, with an ICER of US$10,622.10 per attempt averted. The cost table reported costs of US$87,606.40 and US$6,738.95 per attempt for usual community care, US$183,205.26 and US$45,801.31 per attempt for MAP-PSI, and US$367,758.34 and US$183,879.17 per attempt for psychiatric hospital care; the ICER for hospital care compared with usual care was US$25,468.36. Sensitivity analyses showed that ICER values increased substantially in conservative scenarios assuming lower intervention effectiveness. The authors consider MAP-PSI a cost-effective strategy for reducing suicidal behavior and school absenteeism among young people with depressive symptoms in rural and Indigenous communities.

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