The collaborative assessment and management of suicidality (CAMS) versus enhanced care as usual (E-CAU) with suicidal soldiers: Moderator analyses from a randomized controlled trial

Huh, David; Jobes, David A.; Comtois, Katherine Anne; Kerbrat, Amanda H.; Chalker, Samantha A.; Gutierrez, Peter M.; Jennings, Keith

doi:10.1080/08995605.2018.1503001

Cited by 23 publications

(11 citation statements)

References 27 publications

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“…These items are consistent with the Suicide Status Form [ 17 ]. The SSF is central to the collaborative assessment and management of suicidality (CAMS), which is a suicide-specific clinical intervention and treatment that has been effective in randomized controlled trials [ 18 , 19 ]. The prompt asked participants to list “your reasons for wanting to die, in order of importance (1 = most important, 5 = 5th most important).” The study included demographic variables (e.g., gender, age).…”

Section: Methodsmentioning

confidence: 99%

Negative self-appraisal: Personal reasons for dying as indicators of suicidality

Madsen

Harris

2021

PLoS ONE

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Reasons for dying (RFD) are one of the most authentic factors illustrating the lived experience of suicidal individuals. However, the field has been criticized for inadequate evaluation of risk factors and suicidal symptoms, such as RFD, to develop more robust theoretical models and risk assessments. In this study, we aimed to critically examine RFD themes as predictors of suicidal symptoms to improve our understanding of the suicidal mind, test suicide theory validity and improve risk assessment. This cross-sectional mixed-method study included anonymous survey data (N = 713) with a subsample (n = 474; 77% female; age M = 31.48, SD = 13.53) who provided RFD. Participants were asked to write down five RFD (ranked 1st to 5th most important) and completed the Suicidal Affect-Behavior-Cognition Scale (SABCS). Thematic analysis revealed eight valid RFD themes—Negative Self-appraisal, Hopelessness, Desire to Escape, Escape Pain, Relationships, Loneliness, Financial Hardship, and Physical Health. Themes were quantified by rank and total endorsements of the theme. Hierarchical regression modelling, statistically controlling for demographics, showed all RFD themes, except Physical Health, were positive predictors of suicidality, accounting for 26% of variance in suicidal symptoms. Negative Self-appraisal was the strongest predictor. RFD differences were also found by gender, age and education. From these findings, we determined current suicide theories do not fully account for suicidal persons’ RFD. There is a pressing need for more critical review of current theories, as current theories only partially represent this key attribute of the suicidal mind, and none of the reviewed theories accurately reflected suicidal participants’ RFD. Clinical implications include integrating financial therapies into suicide prevention treatments and incorporating RFD into assessments and treatments. To aid research and risk assessment efforts, we propose a new RFD Index, with eight five-point response items.

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Section: Methodsmentioning

confidence: 99%

Negative self-appraisal: Personal reasons for dying as indicators of suicidality

Madsen

Harris

2021

PLoS ONE

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“…Secondary aims are to investigate the effects of CAMS versus E-TAU on general symptom burden, depression, reasons for living, and the therapeutic relationship. Furthermore, we plan to test the influence of various moderating variables on treatment outcomes; possible moderators will include diagnostic group (borderline personality disorder in particular), number of previous suicide attempts, treatment duration, number of therapeutic sessions, and baseline levels of psychiatric distress (see [22] for more information on previous moderators of CAMS).…”

Section: Aim Of the Trialmentioning

confidence: 99%

Collaborative Assessment and Management of Suicidality (CAMS) compared to enhanced treatment as usual (E-TAU) for suicidal patients in an inpatient setting: study protocol for a randomized controlled trial

et al. 2020

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Background: The Collaborative Assessment and Management of Suicidality (CAMS) is a therapeutic framework that has been shown to reduce suicidal ideation and overall symptom distress. CAMS has not been previously evaluated in a standard acute inpatient mental health care setting with only short treatment times for suicidal patients. In this randomized controlled trial (RCT) we are investigating whether CAMS is more effective than Enhanced-Treatment as Usual (E-TAU) in reducing suicidal thoughts as primary outcome variable. We are also investigating depressive symptoms, general symptom relief, and the quality of the therapeutic alliance as secondary outcomes. Methods/Design: This RCT is designed as a single-center, two-armed, parallel group observer-blinded clinical effectiveness investigation. We are recruiting and randomizing 60 participants with different diagnoses, who are admitted as inpatients because of acute suicidal thoughts or behaviors into the Clinic for Psychiatry and Psychotherapy, Ev. Hospital Bethel in Bielefeld, Germany. The duration of treatment will vary depending on patients' needs and clinical assessments ranging between 10 and 40 days. Patients are assessed four times, at admission, discharge, 1 month, and 5 months post-discharge. The primary outcome measure is the Beck Scale for Suicide Ideation. Other outcome measures are administered as assessment timepoints including severity of psychiatric symptoms, depression, reasons for living, and therapeutic relationship. Discussion: This effectiveness study is being conducted on an acute ward in a psychiatric clinic where patients have multiple problems and diagnoses. Treatment is somewhat limited, and therapists have a large caseloads. The results of this study can thus be generalizable to a typical inpatient psychiatric hospital settings.

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“…They provide a thorough review of the epidemiology of prevalence rates and possible risk factors including childhood trauma, bullying, academic pressure, psychopathology, and biological factors. Additionally, Jobes and colleagues (2019) discuss the adaptation of CAMS, an already established evidenced-based suicide intervention for adults (Andreasson et al, 2016;Comtois et al, 2011;Ellis, Rufino, Allen, Fowler, & Jobes, 2015;Huh et al, 2018), for children and teens, as well as current studies showing support for its use with these populations. Jobes and colleagues (2019) indicate the preliminary evidence for the psychometrics of the SSF with youth and discuss the ongoing effectiveness studies currently in place for a youth version of CAMS.…”

Section: Evidence-based Treatment Of Child and Adolescent Suicidementioning

confidence: 99%

Child and adolescent suicide: contributing risk factors and new evidence-based interventions

Rufino

Patriquin

2019

Children's Health Care

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Our goal of this special issue is to detail and describe the current epidemiology of suicide among children and adolescents, as well as highlight important risk factors and evidence-based treatment options. To accomplish this, our issue is organized in two major sections: (1) contributing factors to the emergence of child and adolescent suicide, and (2) evidence-based treatment of child and adolescent suicide. Within the issue, authors discuss risk factors of anxiety, sleep problems, child sexual abuse, and violence perpetration, and conclude with treatment considerations including the Collaborative Assessment and Management of Suicidality (CAMS) and safety planning. Across studies, it is clear that there is an urgent need to better understand and effectively treat child and adolescent suicide.

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The collaborative assessment and management of suicidality (CAMS) versus enhanced care as usual (E-CAU) with suicidal soldiers: Moderator analyses from a randomized controlled trial

Cited by 23 publications

References 27 publications

Negative self-appraisal: Personal reasons for dying as indicators of suicidality

Negative self-appraisal: Personal reasons for dying as indicators of suicidality

Collaborative Assessment and Management of Suicidality (CAMS) compared to enhanced treatment as usual (E-TAU) for suicidal patients in an inpatient setting: study protocol for a randomized controlled trial

Child and adolescent suicide: contributing risk factors and new evidence-based interventions

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