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Managing suicidality within specialized care: A randomized controlled trial.

Wenche Ryberg1, Per-Henrik Zahl2, Lien My Diep3

  • 1Department of Research and Development, Mental Health and Addiction, Vestre Viken Hospital Trust, Drammen, Norway; University of Oslo, Oslo, Norway.

Journal of Affective Disorders
|February 17, 2019
PubMed
Summary
This summary is machine-generated.

Collaborative Assessment and Management of Suicidality (CAMS) significantly reduced suicidal ideation and mental health distress compared to treatment as usual (TAU). This approach is effective for diverse patients in specialized mental health care.

Keywords:
CollaborationPsychotherapyRandomized controlled trialSelf-harmSuicidal ideationSuicide specific treatment model

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Area of Science:

  • Mental Health Services Research
  • Clinical Psychology
  • Psychiatry

Background:

  • Suicide prevention is a critical component of mental health services.
  • Evaluating novel therapeutic approaches is essential for improving patient outcomes.
  • Collaborative Assessment and Management of Suicidality (CAMS) is a potential intervention for suicidal ideation and distress.

Purpose of the Study:

  • To compare the efficacy of CAMS against treatment as usual (TAU) in reducing suicidal thoughts and behaviors.
  • To assess the impact of CAMS on mental health distress in a heterogeneous patient population.
  • To determine if CAMS offers superior outcomes in specialized mental health care settings.

Main Methods:

  • An observer-blinded pragmatic randomized controlled trial was conducted.
  • Participants with elevated suicidal ideation (BSSI-C ≥ 13) were recruited from inpatient and outpatient units.
  • Outcomes, including suicidal ideation, mental health distress, and suicidal behaviors, were assessed at baseline, 6, and 12 months.

Main Results:

  • The study included 78 participants, with a majority experiencing depression and secondary diagnoses.
  • CAMS demonstrated a significant reduction in suicidal ideation at 6 months compared to TAU (p=.036).
  • Participants receiving CAMS showed greater improvements in mental health distress at both 6 (p=.036) and 12 months (p=.017).

Conclusions:

  • CAMS is more effective than TAU in reducing suicidal ideation and mental health distress.
  • The findings support the use of CAMS in specialized mental health care for diverse patient groups.
  • While results are promising, the modest sample size limits the detection of smaller effect sizes.