Thanks for providing such a thoughtful response. These value judgments are extremely difficult and it looks like you did the best you could with the evidence available. I haven’t looked into the subjective wellbeing of suicide survivors but, if there’s enough data, this could provide a helpful sense-check to your original discount rate.
Although means restriction is very successful at reducing suicide rates, I’m curious how it compares to social determinants (or psychotherapy) if the goal is DALYs/QALYs/WELLBYs. It seems plausible that public health interventions that focus on improving quality of life could lead to a larger overall benefit (for a larger population) than ones that focus solely on reducing suicides (depending on philosophical views of course!)
Thanks for providing such a thoughtful response. These value judgments are extremely difficult and it looks like you did the best you could with the evidence available. I haven’t looked into the subjective wellbeing of suicide survivors but, if there’s enough data, this could provide a helpful sense-check to your original discount rate.
Although means restriction is very successful at reducing suicide rates, I’m curious how it compares to social determinants (or psychotherapy) if the goal is DALYs/QALYs/WELLBYs. It seems plausible that public health interventions that focus on improving quality of life could lead to a larger overall benefit (for a larger population) than ones that focus solely on reducing suicides (depending on philosophical views of course!)