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. 2022 Mar 7;176(5):493–501. doi: 10.1001/jamapediatrics.2022.0042

Table 3. Total Economic Burden by Intervention and Factors Associated With Costa.

Intervention No therapy SOGICE Affirmative therapy SOGICE vs no therapyb Affirmative therapy vs no therapyb Affirmative therapy vs SOGICEb
Therapy costs, $ 0.00 0.65 0.71 0.65 0.71 0.06
Total costs by health outcomes, $
Anxiety or severe psychological distress 0.14 0.19 0.08 0.05 (0.06) (0.11)
Depression 0.55 1.36 0.30 0.81 (0.25) (1.06)
Suicide attempt 0.85 2.42 0.11 1.57 (0.73) (2.30)
Fatal suicide 0.41 1.17 0.06 0.76 (0.35) (1.12)
Alcohol use disorder 1.29 1.26 0.92 (0.03) (0.36) (0.34)
Substance abuse 1.62 2.18 0.86 0.56 (0.76) (1.32)
Total costs, $ 4.85 9.23 3.04 4.38 (1.81) (6.19)

Abbreviation: SOGICE, sexual orientation and gender identity change efforts.

a

All costs in billions of 2021 US dollars. Values in parentheses are negative (cost savings).

b

Incremental costs are calculated from unrounded, exact costs, not the rounded costs presented in the table.