The United States (US) spent 201 billion dollars on mental health-related concerns in 2016, ranking mental illness as the leading cause of disability and the single largest source of economic burden worldwide. With mental health-related treatment costs and economic burden only projected to rise, there is an increasing need for cost-inclusive evaluations of mental health interventions in the US. This systematic review evaluated the intervention characteristics and the quality of 9 economic evaluation studies (e.g., cost-effectiveness, cost–benefit) of youth mental health services conducted in the US from 2003 to 2019. Existing evaluations suggest that certain mental health interventions for youth, among the few that have been formally evaluated, may be cost-effective and cost-beneficial. However, intervention characteristics were generally homogenous, a majority of studies did not adhere to the standard of economic evaluations of the CHEERS checklist, and outcome measures were not consistently clinically useful, limiting the utility of such youth mental health economic evaluations to policymakers. By adhering to standards of economic evaluations and diversifying the characteristics of interventions subject to economic evaluations, intervention researchers can increase confidence in conclusions about which youth mental health interventions are cost-effective or cost-beneficial and more meaningfully inform evidence-based mental health policy.

2016 年，美国 (US) 在与心理健康相关的问题上花费了 2010 亿美元，将精神疾病列为导致残疾的主要原因和全球最大的单一经济负担来源。由于与心理健康相关的治疗成本和经济负担预计只会增加，因此越来越需要对美国的心理健康干预进行成本包容性评估。本系统评价评估了 2003 年至 2019 年在美国进行的青少年心理健康服务的 9 项经济评估研究（例如，成本效益、成本收益）的干预特征和质量。现有评估表明，某些针对青少年的心理健康干预措施，在为数不多的经过正式评估的，可能是性价比高的。然而，干预特征通常是同质的，大多数研究不符合 CHEERS 检查表的经济评估标准，结果测量在临床上并不总是有用，限制了这种青年心理健康经济评估对政策制定者的效用。通过遵守经济评估标准，并使受经济评估影响的干预措施的特征多样化，干预研究人员可以增强对哪些青年心理健康干预措施具有成本效益或成本效益的结论的信心，并更有意义地为循证心理健康政策提供信息。将此类青年心理健康经济评估的效用限制在政策制定者身上。通过遵守经济评估标准，并使受经济评估影响的干预措施的特征多样化，干预研究人员可以增强对哪些青年心理健康干预措施具有成本效益或成本效益的结论的信心，并更有意义地为循证心理健康政策提供信息。将此类青年心理健康经济评估的效用限制在政策制定者身上。通过遵守经济评估标准，并使受经济评估影响的干预措施的特征多样化，干预研究人员可以增强对哪些青年心理健康干预措施具有成本效益或成本效益的结论的信心，并更有意义地为循证心理健康政策提供信息。