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8: Collaborative Assessment and Management of Suicidality (CAMS)

Risk Management and Treatment » Non-pharmacologic Interventions
8: Collaborative Assessment and Management of Suicidality (CAMS)

There is insufficient evidence to recommend for or against Collaborative Assessment and Management of Suicidality to reduce suicidal ideation.

Strength:

Neither for nor against

Category:

ReviewedNew-added

Grades and Definitions

Strong for
or "We recommend offering this option …"
Weak for
or "We suggest offering this option …"
No recommendation
or "There is insufficient evidence …"
Weak against
or "We suggest not offering this option …"
Strong against
or "We recommend against offering this option …"

Categories and Definitions

Evidence Reviewed* Recommendation Category* Definition*
Reviewed New-added New recommendation following review of the evidence
New-replaced Recommendation from previous CPG that has been carried over to the updated CPG that has been changed following review of the evidence
Not changed Recommendation from previous CPG that has been carried forward to the updated CPG where the evidence has been reviewed but the recommendation is not changed
Amended Recommendation from the previous CPG that has been carried forward to the updated CPG where the evidence has been reviewed and a minor amendment has been made
Deleted Recommendation from the previous CPG that has been removed based on review of the evidence
Not reviewed Not changed Recommendation from previous CPG that has been carried forward to the updated CPG, but for which the evidence has not been reviewed
Amended Recommendation from the previous CPG that has been carried forward to the updated CPG where the evidence has not been reviewed and a minor amendment has been made
Deleted Recommendation from the previous CPG that has been removed because it was deemed out of scope for the updated CPG
*Adapted from the NICE guideline manual (2012): The guidelines manual. London: National Institute for Health and Care Excellence;2012. and Martinez Garcia L, McFarlane E, Barnes S, Sanabria AJ, Alonso-Coello P, Alderson P. Updated recommendations: An assessment of NICE clinical guidelines. Implement Sci. 2014;9:72.

Recommendation Resources

The Collaborative Assessment and Management of Suicidality (CAMS) is a suicide-focused therapeutic framework aimed at decreasing suicidal ideation while increasing hope and reasons for living. Guided by the Suicide Status Form (SSF), therapists using CAMS work cooperatively with patients to identify and treat the patient’s specific drivers of suicide.

Training Resources

This section includes links to resources to help connect providers to CAMS training resources.

CAMS-care: Preventing Suicide
CAMS Training & Certification
Clinicians Building Confidence with CAMS
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Manuals

This section includes links to CAMS treatment manuals and resources.

CAMS-care: Preventing Suicide
Suicide Status Form (SSF)
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Videos

This section includes links to recommended videos about Crisis Response Planning and the Safety Planning Intervention.

Managing Suicide Risk Using the CAMS Framework
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Books

This section includes links to books that are recommended regarding CAMS.

Book cover thumbnail image Managing Suicidal Risk: A Collaborative Approach by David A. Jobes
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Webinars

This section includes links to webinars that are recommend regarding CAMS.

Current Status: Innovations in Clinical Assessment and Treatment of Suicide Risk Presented by Dr. David A Jobes
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Articles

This section includes links to recommended articles about Crisis Response Planning and the Safety Planning Initiative.

Stewart, C. D., Quinn, A., Plever, S., & Emmerson, B. (2009). Comparing cognitive behavior therapy, problem solving therapy, and treatment as usual in a high risk population. Suicide & life-threatening behavior, 39(5). 538–547. https://doi.org/10.1521/suli.2009.39.5.538
Andreasson, K., Krogh, J., Wenneberg, C., Jessen, H. K., Krakauer, K., Gluud, C., Thomsen, R. R., Randers, L., & Nordentoft, M. (2016). 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. Depression and anxiety, 33(6). 520–530. https://doi.org/10.1002/da.22472
Comtois, K. A., Hendricks, K. E., DeCou, C. R., Chalker, S. A., Kerbrat, A. H., Crumlish, J., Huppert, T. K., & Jobes, D. (2023). Reducing short term suicide risk after hospitalization: A randomized controlled trial of the Collaborative Assessment and Management of Suicidality. Journal of affective disorders, 320. 656–666. https://doi.org/10.1016/j.jad.2022.09.042
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. (2011). Collaborative assessment and management of suicidality (CAMS): feasibility trial for next-day appointment services. Depression and anxiety, 28(11). 963–972. https://doi.org/10.1002/da.20895
Gutierrez, P. M., Johnson, L., Podlogar, M. C., Hagman, S., Muehler, T. A., Hanson, J., Pierson, J. T., Brown, A. A., & O'Connor, S. (2022). Pilot study of the Collaborative Assessment and Management of Suicidality-Group. Suicide & life-threatening behavior, 52(2). 244–255. https://doi.org/10.1111/sltb.12817
Jobes, D. A., Wong, S. A., Conrad, A. K., Drozd, J. F., & Neal-Walden, T. (2005). The collaborative assessment and management of suicidality versus treatment as usual: a retrospective study with suicidal outpatients. Suicide & life-threatening behavior, 35(5). 483–497. https://doi.org/10.1521/suli.2005.35.5.483
Johnson, L. L., O'Connor, S. S., Kaminer, B., Gutierrez, P. M., Carney, E., Groh, B., & Jobes, D. A. (2019). Evaluation of Structured Assessment and Mediating Factors of Suicide-Focused Group Therapy for Veterans Recently Discharged from Inpatient Psychiatry. Archives of suicide research : official journal of the International Academy for Suicide Research, 23(1). 15–33. https://doi.org/10.1080/13811118.2017.1402722
Swift, J. K., Trusty, W. T., & Penix, E. A. (2021). The effectiveness of the Collaborative Assessment and Management of Suicidality (CAMS) compared to alternative treatment conditions: A meta-analysis. Suicide & life-threatening behavior, 51(5). 882–896. https://doi.org/10.1111/sltb.12765
Witt, K. G., Hetrick, S. E., Rajaram, G., Hazell, P., Taylor Salisbury, T. L., Townsend, E., & Hawton, K. (2021). Pharmacological interventions for self-harm in adults. The Cochrane database of systematic reviews, 1(1). CD013669. https://doi.org/10.1002/14651858.CD013669.pub2
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Podcasts

This section includes links to podcast series and podcast episodes about CAMS.

Short Takes on Suicide Prevention
David Jobes and a Long History of Improvement and Innovation
Looking 30 Years Ahead and 30 Years Behind with David A. Jobes, Ph.D., ABPP
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