Introduction: This meta-analysis aimed to test the efficacy of the Collaborative Assessment and Management of Suicidality (CAMS) intervention against other commonly used interventions for the treatment of suicide ideation and other suiciderelated variables. Method: Database, expert, and root and branch searches identified nine empirical studies that directly compared CAMS to other active interventions. A random effects model was used to calculate the effect size differences between the interventions; additionally, moderators of the effect sizes were tested for suicidal ideation. Results: In comparison to alternative interventions, CAMS resulted in significantly lower suicidal ideation (d = 0.25) and general distress (d = 0.29), significantly higher treatment acceptability (d = 0.42), and significantly higher hope/lower hopelessness (d = 0.88). No significant differences for suicide attempts, self-harm, other suiciderelated correlates, or cost effectiveness were observed. The effect size differences for suicidal ideation were consistent across study types and quality, timing of outcome measurement, and the age and ethnicity of participants; however, the effect sizes favoring CAMS were significantly smaller with active duty military/veteran samples and with male participants. Conclusions: The existing research supports CAMS as a Well Supported intervention for suicidal ideation per Center of Disease Control and Prevention criteria. Limitations and future directions are discussed.

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Establishing a collaborative therapeutic relationship is an important research-supported goal for the initial sessions of psychotherapy. Fostering a collaborative relationship can occur through strategies such as recognizing the client's expertise in treatment, involving the client in the treatment decision-making process, and discussing the possibility of therapist mistakes. In this article, we present theoretical and research support for establishing a collaborative relationship. We then provide a case example that illustrates different collaboration-building strategies. The article concludes with several clinical recommendations for how therapists can increase client collaboration in the initial sessions of treatment. Clinical Impact StatementQuestion: Given the high rates of psychotherapy dropout, therapists and researchers alike may wonder how best to fully engage their clients in treatment. Findings: This article describes several strategies that therapists can use in the initial sessions of psychotherapy to build a collaborative relationship with their clients. Meaning: Building a collaborative relationship can lead to reduced premature termination and improved treatment engagement. Next Steps: Further research empirically testing brief pan-theoretical strategies for engaging clients in the initial sessions is needed.

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Although the majority of health care staff reported low STS scores, STS was inversely associated with work and family functioning. The relationship between STS symptoms and risk mitigation strategies such as self-care and health-promoting leadership suggest possible avenues of future research. Research should explore the utility of an STS measure that integrates different types of symptoms and evaluate how these symptoms influence functioning in work, family, and other domains. In addition, considering that using trauma narratives is common to several psychotherapies for posttraumatic stress disorder, the link between STS and providing this technique warrants further investigation. (PsycINFO Database Record