Psychother Psychosom Med Psychol 2022; 72(01): 9-17
DOI: 10.1055/a-1524-3060
Übersicht

Das „Collaborative Assessment and Management of Suicidality“ (CAMS) – Eine wirksame (Kurz-) Intervention zur Behandlung von suizidalen Patienten

Collaborative Assessment and Management of Suicidality: An Effective Brief Intervention for the Treatment of Suicidal Patients
Miriam Santel
1   Klinik für Psychiatrie und Psychotherapie, Evangelisches Klinikum Bethel gGmbH, Bielefeld, Deutschland
,
Thomas Beblo
1   Klinik für Psychiatrie und Psychotherapie, Evangelisches Klinikum Bethel gGmbH, Bielefeld, Deutschland
,
Jan Leygraf
1   Klinik für Psychiatrie und Psychotherapie, Evangelisches Klinikum Bethel gGmbH, Bielefeld, Deutschland
,
Martin Driessen
1   Klinik für Psychiatrie und Psychotherapie, Evangelisches Klinikum Bethel gGmbH, Bielefeld, Deutschland
› Institutsangaben

Zusammenfassung

Das „Collaborative Assessment and Management of Suicidality“ (CAMS) ist einer von mehreren Interventionsansätzen zur Behandlung von suizidalen Patienten und Patientinnen und wurde weltweit seit 3 Jahrzehnten untersucht und weiterentwickelt. Das CAMS ist auf die Etablierung einer tragenden therapeutischen Beziehung auf Augenhöhe zu einer suizidalen Person ausgerichtet. Der Patient wird aktiv an der Einschätzung seines Suizidrisikos beteiligt und zum „Mitverfasser“ seines eigenen suizidspezifischen Behandlungsplans. Das konkrete therapeutische Vorgehen wird durch ein vielseitig anwendbares Instrument, die sogenannte Suizidstatusform (SSF), strukturiert und geleitet. Das CAMS kann von verschiedenen therapeutischen Berufsgruppen sowie bei Patienten und Patientinnen mit unterschiedlichen Diagnosen angewandt werden. Die Wirksamkeit im Hinblick auf eine Verringerung von Suizidgedanken, der allgemeinen psychischen Belastung und Depressivität sowie auf eine Zunahme von Hoffnung und Zuversicht ist mittlerweile empirisch gut belegt.

Abstract

The “Collaborative Assessment and Management of Suicidality” (CAMS) is an intervention approach for the treatment of suicidal patients that has been studied and developed for three decades around the world. CAMS is focused on establishing a continuing therapeutic relationship at eye level with a suicidal person. The patient is actively involved in assessing his or her suicide risk and becomes the “co-author” of his or her own suicide-specific treatment plan. The specific therapeutic procedure is structured and guided by a versatile instrument called the Suicide Status Form (SSF). CAMS can be applied by different therapeutic professional groups to patients with different diagnoses. Its effectiveness in reducing suicidal ideation, general psychological distress and depressiveness, and increasing hope and confidence is now empirically well established.

Zusätzliches Material



Publikationsverlauf

Eingereicht: 02. März 2021

Angenommen: 02. Juni 2021

Artikel online veröffentlicht:
19. Juli 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • Literatur

  • 1 Dorrmann W. Suizid: Therapeutische Interventionen bei Selbsttötungsabsichten. Stuttgart: Klett-Cotta; 2006
  • 2 Pohlmeier H. Ängste des Therapeuten als typisches Therapieproblem im Umgang mit Suizidpatienten. Wedler HL, Wolfersdorf M, Welz R. Hrsg Therapie bei Suizidgefährdung. Regensburg: Roderer; 1992: 249-254
  • 3 Jobes DA. Managing Suicidal Risk: A Collaborative Approach. 2nd ed. New York: Guilford; 2016
  • 4 Shneidman ES. Suicide as psychache: A clinical approach to self-destructive behaviour. New Jersey: Jason Aronson; 1993
  • 5 Beck AT, Brown G, Steer RA. Prediction of eventual suicide in psychiatric inpatients by clinical ratings of hopelessness. Journal of Consulting and Clinical Psychology 1989; 57: 309-310
  • 6 Baumeister RF. Suicide as escape from self. Psychological Review 1990; 97: 90-113
  • 7 Orbach I. Therapeutic empathy with the suicidal wish: Principles of therapy with suicidal individuals. American Journal of Psychotherapy 2001; 55: 166-185
  • 8 Linehan MM. Behavioral treatment of suicidal behaviors. Stoff DM, Mann JJ. eds. Behavioral treatment of suicidal behaviors: Neurobiology of suicide. New York: Annals of New Academy of Suicide; 1997
  • 9 Maltsberger JT. Suicide Risk: The Formulation of Clinical Judgement. New York: New York University Press; 1986
  • 10 Rudd MD, Joiner T, Rajab MH. eds. Treating suicidal behavior: An effective time-limited approach. New York: Guilford; 2001
  • 11 Jobes DA. Collaborating to prevent suicide: A clinical-research perspective. Suicide and Life-Threatening Behavior 2000; 30: 8-17
  • 12 Michel K, Maltsberger JT, Jobes DA. et al. Discovering the truth in attempted suicide. American Journal of Psychotherapy 2002; 56: 424-437
  • 13 Jobes DA, Santel M, Berg M. et al eds. Suizidalität im Fokus: Der CAMS-Ansatz für eine Behandlung auf Augenhöhe. Köln: Psychiatrie-Verlag; 2021
  • 14 Michel K, Jobes DA. eds Building a therapeutic alliance with the suicidal patient. Washington, DC: American Psychological Association; 2011
  • 15 Andreasson K, Krogh J, Wenneberg C. et al. 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 2016; 33: 520-530
  • 16 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 Research 2017; 249: 252-260
  • 17 Jobes DA, Comtois KA, Gutierrez PM. et al. A randomized controlled trial of the Collaborative Assessment and Management of Suicidality versus enhanced care as usual with suicidal soldiers. Psychiatry Interpersonal & Biological Processes 2017; 80: 339-356
  • 18 Pistorello J, Jobes DA, Gallop R. et al. A randomized controlled trial of the collaborative assessment and management of suicidality (CAMS) versus treatment as usual (TAU) for suicidal college students. Archives of Suicide Research 2020; 10: 1-25
  • 19 Ellis TE, Rufino KA, Allen JG. et al. Impact of a suicide-specific intervention within inpatient psychiatric care: The collaborative assessment and management of suicidality (CAMS). Suicide and Life-Threatening Behavior 2015; 45: 556-566
  • 20 Ellis TE, Green KL, Allen JG. Collaborative Assessment and Management of Suicidality in an inpatient setting: Results of a pilot study. Psychotherapy 2012; 49: 72-80
  • 21 Ellis TE, Allen JG, Woodson H. et al. Implementing an evidence-based approach to working with suicidal inpatients. Bulletin of the Menninger Clinic 2010; 73: 339-354
  • 22 Ellis TE, Daza P, Allen JG. Collaborative assessment and management of suicidality at Menninger (CAMS-M): An inpatient adaptation and implementation. Bulletin of the Menninger Clinic 2012; 76: 147-171
  • 23 Lento RM, Ellis TE, Hinnant BJ. et al. Using the suicide index score to predict treatment outcomes among psychiatric inpatients. Suicide and Life-Threatening Behavior 2013; 43: 547-561
  • 24 Jennings KW. CAMS in a group format. Presentation at the annual DOD/VA Suicide Prevention Conference. Washington, DC: 2012
  • 25 Jobes DA, Jennings KW. The Collaborative Assessment and Management of Suicidality (CAMS) with College Students. In Lamis D, Lester D. (eds) Understanding and preventing college student suicide. Springfield, IL: Charles C. Thomas Press; 2011: 236-254
  • 26 Pistorello J, Jobes DA, Compton S. et al. Developing adaptive treatment strategies to address suicidal risk in college students: A pilot Sequential Multiple Assignment Randomized Trial (SMART). Archives of Suicide Research 2017; 22: 644-664
  • 27 Jobes DA, Crumlish JA, Evans AD. The COVID-19 Pandemic and Treating Suicidal Risk: The Telepsychotherapy Use of CAMS Suicide and Life-Threatening Behavior. Journal of Psychotherapy Integration 2020; 30: 226-237
  • 28 Comtois KA, Jobes DA, O′Connor S. et al. Collaborative assessment and management of suicidality (CAMS): feasibility trial for next-day appointment services. Depression and Anxiety 2011; 28: 963-972
  • 29 Ryberg W, Zahl PH, Diep LM. et al. Managing suicidality within specialized care: A randomized controlled trial. Journal of Affective Disorders 2019; 249: 112-120
  • 30 Jobes DA, Wong SA, Conrad AK. et al. The collaborative assessment and management of suicidality versus treatment as usual: A retrospective study with suicidal outpatients. Suicide and Life-Threatening Behavior 2005; 35: 483-497
  • 31 Santel M, Driessen M, Neuner F. et al. 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: 183
  • 32 Swift JK, Trusty WT, Penix EA. The effectiveness of the Collaborative Assessment and Management of Suicidality (CAMS) compared to alternative treatment conditions: A meta-analysis. Suicide and Life-Threatening Behavior 2021 DOI: 10.1111/sltb.12765
  • 33 Gysin-Maillart A, Michel K. Kurztherapie nach Suizidversuch: ASSIP – Attempted Suicide Short Intervention Program. Bern: Hans Huber; 2013
  • 34 Gysin-Maillart A, Schwab S, Soravia L. et al. A Novel Brief Therapy for Patients Who Attempt Suicide: A 24-months follow-up randomized controlled study of the Attempted Suicide Short Intervention Program (ASSIP). PLOS Medicine 2016; 13: e1001968
  • 35 Gysin-Maillart A, Soravia L, Gemperli A. et al. Suicide Ideation is Related to Therapeutic Alliance in a Brief Therapy for Attempted Suicie. Archives of Suicide Research 2017; 21: 113-126
  • 36 Michel K, Valach L, Gysin-Maillart A. A Novel Therapy for People Who Attempt Suicide and Why We Need New Models of Suicide. Concept Paper. International Journal of Environmental Research and Public Health 2017; 14: 243
  • 37 Park A, Gysin-Maillart A, Müller TJ. et al. Cost-effectiveness of a Brief Structured Intervention Program Aimed at Preventing Repeat Suicide Attempts Among Those Who Previously Attempted Suicide. A Secondary Analysis of the ASSIP Randomized Clinical Trial. JAMA Network Open 2018; 1: e183680
  • 38 Bryan CJ, Rudd MD. Brief Cognitive-Behavioral Therapy for Suicide Prevention. Guilford Publications; 2018
  • 39 Rudd MD, Joiner T, Rajab MH. Treating suicidal behavior: An effective time-limited approach. New York: Guilford; 2001
  • 40 Brown GK, Ten Have T, Henriques GR. et al. Cognitive Therapy for the Prevention of Suicide Attempts. JAMA 2005; 294: 563
  • 41 Rudd MD, Bryan CJ, Wertenberger EG. et al. Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample: results of a randomized clinical trial with 2-year follow up. American Journal of Psychiatry 2015; 172: 441-449
  • 42 Stanley B, Brown GK. Safety planning intervention: a brief intervention to mitigate suicide risk. Cognitive Behavioral Practice 2012; 19: 256-264
  • 43 Fartacek C, Kralovec K, Pichler EM. et al. Notfallpläne zur Rückfallprävention von suizidalem Verhalten. Suizidprophylaxe 2014; 41: 68-73
  • 44 Bryan CJ, Mintz J, Clemans TA. et al. Effect of crisis response planning vs. contract for safety on suicide risk in U.S. army soldiers. Journal of Affective Disorders 2017; 212: 64-72
  • 45 Stanley B, Brown GK, Brenner LA. et al. Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department. JAMA Psychiatry 2018; 75: 894-900