Mass Depression Screening Promises Billions in Savings for India

A new study suggests that implementing universal depression screening across India's primary healthcare system could result in significant financial savings. The research estimates these net savings to be between Rs 291 billion and Rs 482 billion, a figure equivalent to 0.19% to 0.32% of India's gross domestic product. Such a widespread screening program is also anticipated to cut down on depression-related suicides by an estimated 15% annually, highlighting the critical role of early detection.

The study, which analyzed data from various national surveys, advocates for a two-step screening strategy using the PHQ-2 and PHQ-9 questionnaires within the government's primary healthcare network. The researchers noted that screening individuals aged 20 and above would be more cost-effective than targeting older age groups. For the program to be most impactful, at least 60% of patients undergoing treatment should utilize public healthcare facilities.

These findings underscore the substantial public health and economic advantages of integrating population-based depression screening into the existing primary healthcare infrastructure. The research strongly supports a healthcare system oriented towards primary care, indicating that proactive mental health initiatives can yield considerable economic returns while improving overall well-being and potentially averting tragic outcomes.