Table 2.
Non-dominated solutions for the hunter New England and central coast primary health network (HNECC PHN).
Intervention scenario | Suicides (% reduction) | ED presentations (% reduction) | Disengagements (% reduction) | ||||
---|---|---|---|---|---|---|---|
0 | Business as usual (no interventions) | 1778 | 155,901 | 544,972 | |||
a | Family psychoeducation, post-attempt care, safety planning, social connectedness | 1532 | (13.8) | 143,266 | (8.1) | 501,191 | (8.0) |
b | Acute care services, family psychoeducation, post-attempt care, safety planning | 1534 | (13.7) | 138,444 | (11.2) | 506,134 | (7.1) |
c | Family psychoeducation, post-attempt care, safety planning, safe space services | 1543 | (13.2) | 141,327 | (9.3) | 505,835 | (7.2) |
d | Family psychoeducation, post-attempt care, safety planning, CMHC services capacity increase | 1544 | (13.2) | 143,114 | (8.2) | 496,362 | (8.9) |
e | Acute care services, family psychoeducation, post-attempt care, social connectedness | 1566 | (11.9) | 138,145 | (11.4) | 501,555 | (8.0) |
f | Family psychoeducation, post-attempt care, safe space services, social connectedness | 1576 | (11.4) | 141,079 | (9.5) | 501,267 | (8.0) |
g | Family psychoeducation, post-attempt care, social connectedness, CMHC services capacity increase | 1578 | (11.2) | 142,842 | (8.4) | 491,787 | (9.8) |
h | Acute care services, family psychoeducation, post-attempt care, CMHC services capacity increase | 1578 | (11.2) | 138,001 | (11.5) | 496,730 | (8.9) |
i | Family psychoeducation, post-attempt care, safe space services, CMHC services capacity increase | 1588 | (10.7) | 140,963 | (9.6) | 496,443 | (8.9) |
j | Acute care services, family psychoeducation, safety planning, social connectedness | 1619 | (8.9) | 137,991 | (11.5) | 494,169 | (9.3) |
k | Family psychoeducation, safety planning, safe space services, social connectedness | 1629 | (8.4) | 140,891 | (9.6) | 493,829 | (9.4) |
l | Family psychoeducation, safety planning, social connectedness, CMHC services capacity increase | 1630 | (8.3) | 142,641 | (8.5) | 484,337 | (11.1) |
m | Acute care services, family psychoeducation, safety planning, CMHC services capacity | 1632 | (8.2) | 137,852 | (11.6) | 489,305 | (10.2) |
n | Family psychoeducation, safety planning, safe space services, CMHC services capacity increase | 1642 | (7.6) | 140,782 | (9.7) | 488,964 | (10.3) |
o | Acute care services, family psychoeducation, social connectedness, CMHC services capacity increase | 1667 | (6.2) | 137,573 | (11.8) | 484,531 | (11.1) |
p | Family psychoeducation, safe space services, social connectedness, CMHC services capacity increase | 1678 | (5.6) | 140,555 | (9.8) | 484,195 | (11.2) |
q | Family psychoeducation, social connectedness, GP services capacity increase, CMHC services capacity increase | 1689 | (5.0) | 143,738 | (7.8) | 483,846 | (11.2) |
Each solution is a combination of four interventions that performs better than all other combinations on at least one outcome, preventing more suicides, mental health-related emergency department (ED) presentations, and/or disengagement. Numbers of suicides, mental health-related ED presentations, and patients disengaging across the PHN over the period 2021–2031 are presented for each intervention scenario.