Effects of the Collaborative Assessment and Management of Suicidality (CAMS) Model: A Secondary Analysis of Moderation and Influencing Factors
| Autor: | Roar Fosse, Lien My Diep, Wenche Ryberg, Nils Inge Landrø |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Suicide Prevention 050103 clinical psychology medicine.medical_specialty Preventive Psychiatry Poison control Psychological Distress Suicide prevention Occupational safety and health law.invention Suicidal Ideation 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Secondary analysis Injury prevention Medicine Humans 0501 psychology and cognitive sciences Psychiatry Intersectoral Collaboration Cognitive Behavioral Therapy business.industry 05 social sciences Human factors and ergonomics Moderation Self Efficacy 030227 psychiatry Patient Care Management Causality Psychiatry and Mental health Clinical Psychology Suicide Mental Health Female Symptom Assessment business |
| Zdroj: | Archives of suicide research : official journal of the International Academy for Suicide Research. 24(4) |
| ISSN: | 1543-6136 |
| Popis: | In a randomized controlled trial, we found that suicidal patients who received Collaborative Assessment and Management of Suicidality (CAMS) reported greater improvements in suicidal ideation and mental health distress compared to participants who received treatment as usual (TAU). Here, we explored moderators and mediators of the effectiveness of CAMS. Compared to TAU, CAMS was more effective in reducing suicidal ideation when the working alliance, in particular its bond subcomponent, was low. In terms of reducing mental health distress, CAMS was superior to TAU only for participants who did not use illicit drugs and, more tentatively, only for patients without borderline personality traits. We suggest that CAMS may repair a difficult vantage point in terms of poor working alliance in patients with suicide ideation. To obtain superior benefits of CAMS upon more general mental health distress in patients with drug abuse or borderline traits, these problems may need to be more explicitly targeted in parallel. |
| Databáze: | OpenAIRE |
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