Collaborative assessment and management of suicidality (CAMS): Feasibility trial for next-day appointment services
Abstract
BACKGROUND: Despite the ubiquity of suicidality in behavioral health settings, empirically supported interventions for suicidality are surprisingly rare. Given the importance of resolving suicidality and therapists' anxieties about treating suicidal patients, there is a clear need for innovative services and clinical approaches. The purpose of the current study was an attempt to address some of these needs by examining the feasibility and use of a new intervention called the "Collaborative Assessment and Management of Suicidality" (CAMS) within a "Next-Day Appointment" (NDA) outpatient treatment setting. METHODS: As part of a larger feasibility study, n = 32 suicidal patients were randomly assigned to CAMS care versus Enhanced Care as Usual (E-CAU) in an outpatient crisis intervention setting attached to a safety net hospital. Intent to treat suicidal patients were seen and assessed before, during, and after treatment (with follow-up assessments conducted at 2, 4, 6, and 12 months). RESULTS: The feasibility of using CAMS in the NDA setting was clear; both groups appeared to initially benefit from their respective treatments in terms of decreased suicidal ideation and overall symptom distress. Although patients rated both treatments favorably, the CAMS group had significantly higher satisfaction and better treatment retention than E-CAU. At 12 months post-treatment, CAMS patients showed significantly better and sustained reductions in suicidal ideation, overall symptom distress, and increased hope in comparison to E-CAU patients. CONCLUSIONS: CAMS was both feasible in this NDA setting and effective in treating suicidal ideation, distress, and hopelessness (particularly at 12 months followup).
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In RCTs comparing CAMS to usual care control conditions, CAMS significantly reduces suicidal ideation.
“CAMS significantly reduces suicidal ideation [74,75,76]”
From One Size Does Not Fit All: A Comprehensive Clinical Approach to Reducing Suicidal Ideation, Attempts, and Deaths (2019) · cites this paper as [74]
CAMS increases retention to care.
“it also increases hope and retention to care [74]”
From One Size Does Not Fit All: A Comprehensive Clinical Approach to Reducing Suicidal Ideation, Attempts, and Deaths (2019) · cites this paper as [74]
In RCTs comparing CAMS to usual care control conditions, CAMS significantly reduces overall psychiatric distress.
“overall psychiatric distress [74,76]”
From One Size Does Not Fit All: A Comprehensive Clinical Approach to Reducing Suicidal Ideation, Attempts, and Deaths (2019) · cites this paper as [74]
CAMS increases hope.
“it also increases hope and retention to care [74]”
From One Size Does Not Fit All: A Comprehensive Clinical Approach to Reducing Suicidal Ideation, Attempts, and Deaths (2019) · cites this paper as [74]
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Self-citation
- Authors
- Comtois, K. A., Jobes, D. A., S. O'Connor, S., Atkins, D. C., Janis, K., E. Chessen, C., Landes, S. J., Holen, A., & Yuodelis-Flores, C.
- Affiliations
- University of Washington (US)
- Catholic University of America (US)
- Corresponding author
- Comtois, Katherine Anne
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2011-09-21
- Volume
- 28
- Issue
- 11
- Pages
- 963-972
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W2119037291
- Cited by
- 177
- References
- 56
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 6 · 2023: 11 · 2022: 10 · 2021: 16 · 2020: 21 · 2019: 16 · 2018: 15 · 2017: 20 · 2016: 18 · 2015: 7 · 2014: 8 · 2013: 4 · 2012: 9
- FWCI
- 7.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Department of Biotechnology, Ministry of Science and Technology, India
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- Collaborative Assessment and Management of Suicidality, suicidality, suicidal ideation, safety-net hospitals, treatment retention, patient satisfaction, hopelessness, symptom distress, feasibility
- MeSH terms
- Suicide Prevention, Adult, Ambulatory Care, Appointments and Schedules, Mental Disorders, Crisis Intervention, Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Middle Aged, Psychotherapy, Risk, Suicide, Treatment Outcome, Patient Satisfaction, Disease Management, Young Adult, Suicidal Ideation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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