Citation

Graure EW, Colborn VA, Miller AM, Jobes DA. J. Contemp. Psychother. 2021; 51(2): 165-172.

Copyright

(Copyright © 2021, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10879-021-09491-x

PMID

unavailable

Abstract

Suicide is a persistent leading cause of death in the United States (U.S.A.). Following a stepped-care approach, Crisis Stabilization Centers have positioned themselves as a viable treatment option for many patients experiencing suicidal crises. These centers are staffed by an array of clinicians with varied professional backgrounds and clinical preferences. Thus, some treatments may hold greater flexibility and potential for broad implementation than others. In various settings, the Collaborative Assessment and Management of Suicidality (CAMS) has served as an effective and flexible therapeutic framework. Research on the Suicide Status Form (SSF)--a central component of the CAMS-based assessment process--has not been previously performed with adults in Crisis Stabilization Center settings in the USA. Aggregate data from a cross section of 61 residential Crisis Stabilization Center consumers who completed SSFs as part of the CAMS-based assessment process were analyzed. Analyses examined self-reported SSF Core Assessment constructs associated with suicidality and self-reported suicide risk. Statistically significant decreases in suicide related SSF Core Assessment construct ratings from initial to outcome time point were observed. There were also statistically significant correlations between change in each individual SSF Core Assessment variable and change in self-reported suicide risk over treatment. Initial SSF Core Assessment ratings together significantly predicted both change in self-reported suicide risk and outcome self-reported suicide risk. These findings highlight the utility of the CAMS approach and SSF Core Assessment variables within USA adult Crisis Stabilization Center consumers experiencing suicidality. Clinical implications and opportunities for future research are discussed. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.

Language: en

Keywords

United States; human; suicide; Suicide; Assessment; emergency care; disease severity; CAMS; hopelessness; comparative study; treatment planning; hate; self report; demography; consumer; agitation; ICD-10; Article; evidence based practice; outcome assessment; data analysis software; clinical outcome; mental disease assessment; collaborative assessment and management of suicidality; Crisis stabilization center; respite care; Stepped care approach; suicide status form core assessment