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Cited by 20Suicide and Self-Harm StudiesPsychiatric care and mental health servicesPersonality Disorders and Psychopathology

Reducing short term suicide risk after hospitalization: A randomized controlled trial of the Collaborative Assessment and Management of Suicidality

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Comtois, Katherine Anne, Hendricks, Karin E., DeCou, Christopher R., Chalker, Samantha A., Kerbrat, Amanda H., Crumlish, Jennifer, Huppert, Tierney K., Jobes, David·2023·Journal of Affective Disorders
DOI 10.1016/j.jad.2022.09.042
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Abstract

Background This study compared the "next day appointment" (NDA) use of the Collaborative Assessment and Management of Suicidality (CAMS) to treatment as usual (TAU) for individuals discharged from the hospital following a suicide-related crisis. We hypothesized that CAMS would significantly reduce suicidal thoughts and behaviors as well as improve psychological distress, quality of life/overall functioning, treatment retention and patient satisfaction.Methods Participants were 150 individuals who had at least one lifetime actual, aborted, or interrupted attempt and were admitted following a suicide-related crisis. There were 75 participants in the experimental condition who received adherent CAMS and 75 participants who received TAU. Suicidal thoughts and behaviors, psychological distress, and quality of life/overall functioning were assessed at baseline and at 1, 3, 6, and 12 months post-baseline. Treatment retention and patient satisfaction were assessed at post-treatment.Results Participants in both conditions improved from baseline to 12 months but CAMS was not superior to TAU for the primary outcomes. A small but significant improvement was found in probability of suicidal ideation at 3 months favoring TAU and amount of suicidal ideation at 12 months favoring CAMS. CAMS participants experienced less psychological distress at 12 months compared to baseline.Limitations The study was limited by only one research clinic, lower than expected recruitment, and imbalance of suicidal ideation at baseline.Conclusions All participants improved but CAMS was not more effective than TAU. The NDA clinic was feasible and acceptable to clients and staff in both conditions and future research should investigate its potential benefit.

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  • In the Aftercare Focus Study RCT, for the primary outcome of suicidal ideation, there was a decrease for TAU patients at 3 months, whereas CAMS had more impact on suicidal ideation at 12 months.

    “For the primary outcome variable of suicidal ideation, there was a decrease for TAU patients at 3 months, whereas CAMS had more impact on suicidal ideation at 12 months.”

    From The use of CAMS and DBT to effectively treat patients who are suicidal (2024) · cites this paper as [24]

  • In the Aftercare Focus Study RCT, 150 patients were randomly assigned to CAMS or TAU, and patients in both arms improved from baseline to 12 months of follow-up.

    “Patients in both arms of the treatment improved from baseline to 12 months of follow-up.”

    From The use of CAMS and DBT to effectively treat patients who are suicidal (2024) · cites this paper as [24]

  • In the Aftercare Focus Study RCT, CAMS clinicians were significantly more satisfied with their treatment than TAU clinicians.

    “One between-group secondary finding of note was that CAMS clinicians were significantly more satisfied with their treatment than TAU clinicians.”

    From The use of CAMS and DBT to effectively treat patients who are suicidal (2024) · cites this paper as [24]

  • In the Aftercare Focus Study RCT, CAMS patients had less psychological distress at 12 months when compared to baseline.

    “In addition, on a secondary outcome variable, CAMS patients had less psychological distress at 12 months when compared to baseline.”

    From The use of CAMS and DBT to effectively treat patients who are suicidal (2024) · cites this paper as [24]

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Authors
Comtois, K. A., Hendricks, K. E., DeCou, C. R., Chalker, S. A., Kerbrat, A. H., Crumlish, J., Huppert, T. K., & Jobes, D.
Affiliations
  • University of Washington (US)
  • Catholic University of America (US)
Corresponding author
Comtois, Katherine Anne
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2023-01
Volume
320
Pages
656-666
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2022.09.042
OpenAlex
W4296887830
Cited by
19
References
44
Citations by year
2026: 3 · 2025: 9 · 2024: 3 · 2023: 3 · 2022: 1
FWCI
3.65
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Affective Disorders (acceptedVersion)
  • PubMed (publishedVersion)
Funders
  • American Foundation for Suicide Prevention (RFA-1-017-14)
  • National Institute of Mental Health
  • Catholic University of America
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, suicide risk, suicide attempts, hospital discharge, suicidal ideation, psychological distress, quality of life, treatment retention, patient satisfaction, suicide prevention
MeSH terms
Suicide Prevention, Hospitalization, Humans, Psychotherapy, Quality of Life, Suicide, Suicidal Ideation

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