Osong Public Health Res Perspect.  2014 Dec;5(6):315-323. 10.1016/j.phrp.2014.10.001.

Optimal Implementation of Intervention to Control the Self-harm Epidemic

• Kim BN
• Masud M
• Kim Y

• KMID: 2518158
• DOI: http://doi.org/10.1016/j.phrp.2014.10.001

Abstract

Objectives
Deliberate self-harm (DSH) of a young person has been a matter of growing concern to parents and policymakers. Prevention and early eradication are the main interventional techniques among which prevention through reducing peer pressure has a major role in reducing the DSH epidemic. Our aim is to develop an optimal control strategy for minimizing the DSH epidemic and to assess the efficacy of the controls.
Methods
We considered a deterministic compartmental model of the DSH epidemic and two interventional techniques as the control measures. Pontryagin's Maximum Principle was used to mathematically derive the optimal controls. We also simulated the model using the forward-backward sweep method.
Results
Simulation results showed that the controls needed to be used simultaneously to reduce DSH successfully. An optimal control strategy should be adopted, depending on implementation costs for the controls.
Conclusion
The long-term success of the optimum control depends on the implementation cost. If the cost is very high, the control could be used for a short term, even though it fails in the long run. The control strategy, most importantly, should be implemented as early as possible to attack a comparatively fewer number of addicted individuals.

Keyword

contagious social issue; deliberate self-harm; epidemiological model; optimal control; Pontryagin's Maximal Principle