WHAT'S KNOWN ON THIS SUBJECT:Violence is a leading cause of death. The emergency department (ED) can prevent violence through proven interventions; however, these interventions are not broadly implemented. There is little evidence to inform decision-makers of the costs associated with preventing violence.
WHAT THIS STUDY ADDS:We report the costs of a brief violence prevention intervention in the ED. We highlight the economic impact of implementation, showing that brief interventions in the ED are an inexpensive way the health care system can prevent violence in adolescents. 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 multiway 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. Multiway 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. Pediatrics 2014;133:448-453