title: Direct and indirect cost of attempted suicide in a general hospital: cost-of-illness study.
abstract: OBJECTIVE
  Knowledge of socioeconomic impact of attempted suicide may sensitize managers regarding prevention strategies. There are no published data on this in Brazil. The aim here was to describe the direct and indirect costs of care of hospitalized cases of attempted suicide and compare these with the costs of acute coronary syndrome cases.
  
  
  METHODS
  Cost-of-illness study at a public university hospital in Brazil.
  
  
  METHODS
  The costs of care of 17 patients hospitalized due to attempted suicide were compared with those of 17 acute coronary syndrome cases at the same hospital, over the same period. The direct costs were the summation of the hospital and out-of-hospital costs resulting from the event, determined from the medical records. The indirect costs were estimated through the human capital lost. The Mann-Whitney test and analysis of covariance (ANCOVA) with transformation adjusted for age were used for comparisons.
  
  
  RESULTS
  The average costs per episode of attempted suicide were: direct cost, US$ 6168.65; indirect cost, US$ 688.08; and total cost, US$ 7163.75. Comparative analysis showed a difference between the indirect costs to family members, with significantly higher costs in the attempted suicide group (P = 0.0022).
  
  
  CONCLUSIONS
  The cost of care relating to attempted suicide is high and the indirect cost to family members reinforces the idea that suicidal behavior not only affects the individual but also his social environment.
authors.affiliation: Department of Medical Psychology and Psychiatry, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.
authors.forename: Sara Maria Teixeira
authors.initials: SM
authors.lastname: Sgobin
authors.affiliation: Department of Medical Psychology and Psychiatry, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.
authors.forename: Ana Luisa Marques
authors.initials: AL
authors.lastname: Traballi
authors.affiliation: Department of Medical Psychology and Psychiatry, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.
authors.forename: Neury José
authors.initials: NJ
authors.lastname: Botega
authors.affiliation: Department of Cardiology, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.
authors.forename: Otávio Rizi
authors.initials: OR
authors.lastname: Coelho
mesh_terms: D054058:Acute Coronary Syndrome / Q000191:economics; D000328:Adult; D000367:Age Factors; D001938:Brazil; D017281:Cost of Illness; D005260:Female; D017048:Health Care Costs; D006760:Hospitalization / Q000191:economics; D006769:Hospitals, General / Q000191:economics; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D018709:Statistics, Nonparametric; D013406:Suicide, Attempted / Q000191:economics*