Abstract
The Collaborative Assessment and Management of Suicidality (CAMS) is a flexible and adaptive evidence-based suicide-specific therapeutic framework. At the center of the CAMS approach is the use of the Suicide Status Form (SSF), a multipurpose tool that guides suicidal risk assessment, treatment planning, and tracking of patients who are suicidal. The effectiveness of CAMS (and its use of the SSF) is supported by extensive clinical research through numerous correlational/open trials, quasi-experimental studies, and five randomized controlled trials (RCTs). CAMS is a suicide-specific intervention, and suicidal ideation and behaviors are therefore kept center stage until suicidality is resolved. A main agenda of the CAMS approach is for the clinician and the patient to collaboratively elucidate and understand key constructs underlying the patient’s suicidal state from the patient’s point of view. Through the identification and understanding of patient defined “suicidal drivers,” the clinical dyad can start the exploration and examination of alternative solutions and adaptive ways of coping that do not require the patient to terminate their life. Thus, CAMS is a patient-centered approach to suicide-specific care that enables the patient to cope differently, ultimately leading the patient to pursuing a life worth living with purpose and meaning.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Andreasson K, Krogh J, Wenneberg C, Jessen HKL, Krakauer K, Gluud C, Thomsen RR, Randers L, Nordentoft M. Effectiveness of Dialectical Behavior Therapy versus Collaborative Assessment and Management of Suicidality treatment for reduction of self-harm in adults with borderline personality traits and disorder – a randomized observer-blinded clinical trial. Depress Anxiety. 2016;33(6):520–30. https://doi.org/10.1002/da.22472.
Arkov K, Rosenbaum B, Christiansen L, Jønsson H, Münchow M. Treatment of suicidal patients: the Collaborative Assessment and Management of Suicidality. Ugeskr Laeger. 2008;170(3):149–53.
Brausch AM, O’Connor SS, Powers JT, McClay M, Gregory JA, Jobes DA. Validating the Suicide Status Form for the Collaborative Assessment and Management of Suicidality in a psychiatric adolescent sample. Suicide Life Threat Behav. 2019;50(1):263–76. https://doi.org/10.1111/sltb.12587.
Comtois KA, Jobes DA, O’Connor SS, Atkins DC, Janis K, Chessen CE, Landes SJ, Holen A, Yuodelis-Flores C. Collaborative Assessment and Management of Suicidality (CAMS): feasibility trial for next-day appointment services. Depress Anxiety. 2011;28(11):963–72. https://doi.org/10.1002/da.20895.
Conrad AK, Jacoby AM, Jobes DA, Lineberry TW, Shea CE, Ewing TDA, Schmid PJ, Ellenbecker SM, Lee JL, Fritsche K, Grenell JA, Gehin JM, Kung S. A psychometric investigation of the Suicide Status Form II with a psychiatric inpatient sample. Suicide Life Threat Behav. 2009;39(3):307–20. https://doi.org/10.1521/suli.2009.39.3.307.
DeCou CR, Comtois KA, Landes SJ. Dialectical behavior therapy is effective for the treatment of suicidal behaviors: a meta-analysis. Behav Ther. 2019;50(1):60–72. https://doi.org/10.1016/j.beth.2018.03.009.
Dimeff LA, Jobes DA, Chalker SA, Piehl BM, Duvivier LL, Lok BC, Zalake MS, Chung J, Koerner K. A novel engagement of suicidality in the emergency department: Virtual Collaborative Assessment and Management of Suicidality. Gen Hosp Psychiatry. 2020;63:119–26. https://doi.org/10.1016/j.genhosppsych.2018.05.005.
Elkin I, Shea MT, Watkins JT, Imber SD, Sotsky SM, Collins JF, Glass DR, Pilkonis PA, Leber WR, Docherty JP, Fiester SJ, Parloff MB. National Institute of Mental Health Treatment of Depression Collaborative Research Program: general effectiveness of treatments. Arch Gen Psychiatry. 1989;46(11):971–82. https://doi.org/10.1001/archpsyc.1989.01810110013002.
Ellis TE, Green KL, Allen JG, Jobes DA, Nadorff MR. Collaborative Assessment and Management of Suicidality in an inpatient setting: results of a pilot study. Psychotherapy. 2012;49(1):72–80. https://doi.org/10.1037/a0026746.
Ellis TE, Rufino KA, Allen JG, Fowler JC, Jobes DA. Impact of a suicide-specific intervention within inpatient psychiatric care: the Collaborative Assessment and Management of Suicidality. Suicide Life Threat Behav. 2015;45(5):556–66. https://doi.org/10.1111/sltb.12151.
Ellis TE, Rufino KA, Allen JG. 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. Psychiatry Res. 2017;249:252–60. https://doi.org/10.1016/j.psychres.2017.01.032.
Jobes DA. Managing suicidal risk: a collaborative approach. Guilford Press; 2016.
Jobes DA, Drozd JF. The CAMS approach to working with suicidal patients. J Contemp Psychother. 2004;34(1):73–85. https://doi.org/10.1023/B:JOCP.0000010914.98781.6a.
Jobes DA, Maltsberger JT. The hazards of treating suicidal patients. In: Sussman M, editor. A perilous calling: the hazards of psychotherapy practice. New York: Wiley; 1995. p. 200–14.
Jobes DA, Mann RE. Reasons for living versus reasons for dying: examining the internal debate of suicide. Suicide Life Threat Behav. 1999;29(2):97–104. https://doi.org/10.1111/j.1943-278X.1999.tb01048.x.
Jobes DA, O’Connor SS. The duty to protect suicidal clients: ethical, legal, and professional considerations. In: Werth Jr JL, Welfel ER, Benjamin GAH, editors. The duty to protect: ethical, legal, and professional considerations for mental health professionals. American Psychological Association; 2009. p. 163–80. https://doi.org/10.1037/11866-011.
Jobes DA, Jacoby AM, Cimbolic P, Hustead LAT. Assessment and treatment of suicidal clients in a university counseling center. J Couns Psychol. 1997;44(4):368–77. https://doi.org/10.1037/0022-0167.44.4.368.
Jobes DA, Wong SA, Conrad AK, Drozd JF, Neal-Walden T. The Collaborative Assessment and Management of Suicidality versus treatment as usual: a retrospective study with suicidal outpatients. Suicide Life Threat Behav. 2005;35(5):483–97. https://doi.org/10.1521/suli.2005.35.5.483.
Jobes DA, Kahn-Greene E, Greene JA, Goeke-Morey M. Clinical improvements of suicidal outpatients: examining suicidal status form responses as predictors and moderators. Arch Suicide Res. 2009;13(2):147–59. https://doi.org/10.1080/13811110902835080.
Jobes DA, Comtois KA, Gutierrez PM, Brenner LA, Huh D, Chalker SA, Ruhe G, Kerbrat AH, Atkins DC, Jennings K, Crumlish J, Corona CD, Connor SO, Hendricks KE, Schembari B, Singer B, Crow B. A randomized controlled trial of the Collaborative Assessment and Management of Suicidality versus enhanced care as usual with suicidal soldiers. Psychiatry. 2017;80(4):339–56. https://doi.org/10.1080/00332747.2017.1354607.
Jobes DA, Gregorian MJ, Colborn VA. A stepped care approach to clinical suicide prevention. Psychol Serv. 2018;15(3):243–50. https://doi.org/10.1037/ser0000229.
Jobes DA, Vergara G, Lanzillo E, Ridge-Anderson A. The potential use of CAMS for suicidal youth: building on epidemiology and clinical interventions. Child Health Care. 2019;48(4):444–68. https://doi.org/10.1080/02/396l.201Y.16302/Y.
Jobes DA, Crumlish JA, Evan A. The COVID-19 pandemic and treating suicidal risk: the telepsychotherapy use of CAMS. J Psychother Integr. 2020;30(2):226–37. https://doi.org/10.1037/int0000208.
Nielsen AC, Alberdi F, Rosenbaum B. Collaborative Assessment and Management of Suicidality method shows effect. Dan Med Bull. 2011;58(8):A4300.
Pistorello J, Jobes DA, Gallop R, Compton SN, Locey NS, Au JS, Noose SK, Walloch JC, Johnson J, Young M, Dickens Y, Chatham P, Jeffcoat T. A randomized controlled trial of the Collaborative Assessment and Management of Suicidality (CAMS) versus treatment as usual (TAU) for suicidal college students. Arch Suicide Res. 2020. 1–25. https://doi.org/10.1080/13811118.2020.1749742.
Ryberg W, Zahl P-H, Diep LM, Landrø NI, Fosse R. Managing suicidality within specialized care: a randomized controlled trial. J Affect Disord. 2019;249:112–20. https://doi.org/10.1016/j.jad.2019.02.022.
Santel M, Beblo T, Neuner F, Berg M, Hennig-Fast K, Jobes DA, Driessen M. Collaborative Assessment and Management of Suicidality (CAMS) compared to enhanced treatment as usual (E-TAU) for suicidal patients in an inpatient setting: study protocol for a randomized controlled trial. BMC Psychiatry. 2020;20(1):183. https://doi.org/10.1186/s12888-020-02589-x.
Schembari BC, Jobes DA, Horgan RJ. Successful treatment of suicidal risk. Crisis. 2016;37(3):218–23. https://doi.org/10.1027/0227-5910/a000370.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this entry
Cite this entry
Jobes, D.A., Zhang, I., Tyndal, T. (2022). Collaborative Assessment and Management of Suicidality Approach. In: Pompili, M. (eds) Suicide Risk Assessment and Prevention. Springer, Cham. https://doi.org/10.1007/978-3-030-42003-1_16
Download citation
DOI: https://doi.org/10.1007/978-3-030-42003-1_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-42002-4
Online ISBN: 978-3-030-42003-1
eBook Packages: Behavioral Science and PsychologyReference Module Humanities and Social SciencesReference Module Business, Economics and Social Sciences