A controlled comparison trial of the Collaborative Assessment and Management of Suicidality (CAMS) in an inpatient setting: Outcomes at discharge and six-month follow-up

Ellis, Thomas E.; Rufino, Katrina A.; Allen, Jon G.

doi:10.1016/j.psychres.2017.01.032

Cited by 49 publications

(29 citation statements)

References 45 publications

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“…CAMS, in particular, was specifically created to target suicidality by identifying distal and proximal risk factors and drivers of suicidal intention. One of the advantages of CAMS is that treatment is designed to be a collaborative process in which both the clinician and the client decide the focus of intervention to reduce suicidality (Ellis, Rufino, & Allen, 2017;Jobes, 2012). The empirical evidence on the effectiveness of CAMS to target suicidality is continuing to grow; for example, CAMS demonstrates effectiveness in reducing suicide ideation, overall distress, and increasing hope (Ellis, Rufino, Allen, Fowler, & Jobes, 2015;Jobes, Lento, & Brazaitis, 2012;Ryberg et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…As mentioned above, it appears that QPR, although effective for nonmental health providers in identifying individuals at risk of suicide (Cross et al, 2007(Cross et al, , 2010Litteken & Sale, 2017), might not be as effective in increasing confidence among clinicians who may already have the knowledge and skills associated with this training (Gryglewicz et al, 2017). All of the other trainings seem to have incremental value in their likelihood to increase comfort and delivery of best practices for suicide prevention (Ellis et al, 2017;Landes et al, 2016;Marshall et al, 2014;Tørmoen et al, 2014). However, this finding needs to be replicated with more studies comparing and exploring the effectiveness of these particular trainings in clinicians' confidence, skills, and implementation of recommended practices for suicide.…”

Section: Discussionmentioning

confidence: 99%

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Associations of Suicide Prevention Trainings with Practices and Confidence among Clinicians at Community Mental Health Centers

LoParo

Flórez

Valentine

et al. 2018

Suicide & Life Threat Behav

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Objective This study examined whether (1) behavioral health providers were more likely to implement best practices when they were more confident in their abilities, (2) number of suicide prevention trainings was positively associated with perceived confidence in abilities and implementation of evidence‐based practices, and (3) specific trainings were more impactful than others on increasing providers’ level of confidence and/or practices. Method Providers (N = 137) at three rural community behavioral health centers who had opportunities to attend multiple suicide prevention trainings completed the Zero Suicide Workforce Survey, a measure to evaluate staff knowledge, practices, and confidence in caring for patients at risk of suicide. Results There was a moderate association between provider's practice and confidence. The number of attended trainings had a significant correlation with both practice and confidence. Particular trainings demonstrated differential effects on provider's practice and confidence. Conclusion These results suggest that behavioral health providers who are confident in their skills in assessing and treating suicide risk are more likely incorporate best practices into their clinical work. Also, it appears there is a small but significant benefit to multiple trainings for increasing both practice and confidence among providers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Associations of Suicide Prevention Trainings with Practices and Confidence among Clinicians at Community Mental Health Centers

LoParo

Flórez

Valentine

et al. 2018

Suicide & Life Threat Behav

View full text Add to dashboard Cite

show abstract

“…Empirical support for CAMS is solid and growing; in a randomized trial in an outpatient crisis setting, Comtois and associates (2011) showed that patients receiving a brief CAMS intervention showed significantly better outcomes at 12‐month follow‐up compared to patients in an enhanced treatment as usual condition. CAMS also has been shown to outperform intensive treatment as usual in a naturalistic controlled comparison trial in an inpatient psychiatric setting (Ellis, Rufino, & Allen, ; Ellis, Rufino, Allen, Fowler, & Jobes, ).…”

mentioning

confidence: 99%

Contributions of Cognitions, Psychological Flexibility, and Therapeutic Alliance to Suicidal Ideation in Psychiatric Inpatients

Rufino

Ellis

2017

Suicide & Life Threat Behav

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Although suicide treatment is an expanding area of research, there is relatively less in the literature with respect to how specific vulnerabilities to suicide are addressed by treatment. Utilizing measures of suicide cognitions, therapeutic alliance, and psychological flexibility, we compared their relative contributions to suicidal ideation during and posttreatment among a group of adult psychiatric inpatients (N = 434). Results revealed that cognitions contributed considerably more unique variance to suicidal ideation than alliance and flexibility at discharge and at 2 weeks postdischarge, and to change in suicidal ideation over the course of treatment. Psychological flexibility explained a small amount of variance at the 6-month time point. Factor level analyses also were conducted, with the unsolvability factor within suicide cognitions accounting for the largest portion of variance at both discharge and 2 weeks postdischarge. Study limitations, implications, and future directions are discussed.

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“…DBT skills training is efficacious in reducing NSSI acts ( 23 ). In addition, the suicide-specific intervention, Collaborative Assessment and Management of Suicidality (CAMS) in comparison with treatment as usual, was found to decrease suicidal ideation and related cognitions in inpatients receiving individual therapy from CAMS-trained clinicians ( 24 , 25 ). The efficacy of these specific treatment interventions may vary when applied to special high risk populations (e.g., people with schizophrenia, or prison populations).…”

Section: The Zs Model and Clinical Trainingmentioning

confidence: 99%

The Zero Suicide Model: Applying Evidence-Based Suicide Prevention Practices to Clinical Care

2018

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Suicide is reaching epidemic proportions, with over 44,000 deaths by suicide in the US, and 800,000 worldwide in 2015. This, despite research and development of evidence-based interventions that target suicidal behavior directly. Suicide prevention efforts need a comprehensive approach, and research must lead to effective implementation across public and mental health systems. A 10-year systematic review of evidence-based findings in suicide prevention summarized the areas necessary for translating research into practice. These include risk assessment, means restriction, evidence-based treatments, population screening combined with chain of care, monitoring, and follow-up. In this article, we review how suicide prevention research informs implementation in clinical settings where those most at risk present for care. Evidence-based and best practices address the fluctuating nature of suicide risk, which requires ongoing risk assessment, direct intervention and monitoring. In the US, the National Action Alliance for Suicide Prevention has put forth the Zero Suicide (ZS) Model, a framework to coordinate a multilevel approach to implementing evidence-based practices. We present the Assess, Intervene and Monitor for Suicide Prevention model (AIM-SP) as a guide for implementation of ZS evidence-based and best practices in clinical settings. Ten basic steps for clinical management model will be described and illustrated through case vignette. These steps are designed to be easily incorporated into standard clinical practice to enhance suicide risk assessment, brief interventions to increase safety and teach coping strategies and to improve ongoing contact and monitoring of high-risk individuals during transitions in care and high risk periods.

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A controlled comparison trial of the Collaborative Assessment and Management of Suicidality (CAMS) in an inpatient setting: Outcomes at discharge and six-month follow-up

Cited by 49 publications

References 45 publications

Associations of Suicide Prevention Trainings with Practices and Confidence among Clinicians at Community Mental Health Centers

Associations of Suicide Prevention Trainings with Practices and Confidence among Clinicians at Community Mental Health Centers

Contributions of Cognitions, Psychological Flexibility, and Therapeutic Alliance to Suicidal Ideation in Psychiatric Inpatients

The Zero Suicide Model: Applying Evidence-Based Suicide Prevention Practices to Clinical Care

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