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Impact of a Suicide‐Specific Intervention within Inpatient Psychiatric Care: The Collaborative Assessment and Management of Suicidality
Author(s) -
Ellis Thomas E.,
Rufino Katrina A.,
Allen Jon G.,
Fowler James C.,
Jobes David A.
Publication year - 2015
Publication title -
suicide and life‐threatening behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.544
H-Index - 90
eISSN - 1943-278X
pISSN - 0363-0234
DOI - 10.1111/sltb.12151
Subject(s) - suicidal ideation , psychological intervention , depression (economics) , psychiatry , intervention (counseling) , medicine , suicide attempt , suicide prevention , propensity score matching , poison control , clinical psychology , psychology , medical emergency , economics , macroeconomics
A growing body of literature indicates that suicidal patients differ from other psychiatric patients with respect to specific psychological vulnerabilities and that suicide‐specific interventions may offer benefits beyond conventional care. This naturalistic controlled‐comparison trial ( n = 52) examined outcomes of intensive psychiatric hospital treatment (mean length of stay 58.8 days), comparing suicidal patients who received individual therapy from clinicians utilizing the C ollaborative A ssessment and M anagement of S uicidality ( CAMS ) to patients whose individual therapists did not utilize CAMS . Propensity score matching was used to control for potential confounds, including age, sex, treatment unit, and severity of depression and suicidality. Results showed that both groups improved significantly over the course of hospitalization; however, the group receiving CAMS showed significantly greater improvement on measures specific to suicidal ideation and suicidal cognition. Results are discussed in terms of the potential advantages of treating suicide risk with a suicide‐specific intervention to make inpatient psychiatric treatment more effective in reducing risk for future suicidal crises.