Implementation of the Collaborative Assessment and Management of Suicidality in a UK National Health Service Adult Mental Health Service.

IF 1.7 4区医学 Q3 PSYCHIATRY

Crisis-The Journal of Crisis Intervention and Suicide Prevention Pub Date : 2025-05-23 DOI:10.1027/0227-5910/a001006

Paul Bayliss, Thomas Richardson, Lorraine Bell, Eoin Galavan, Jamie Rutland Lawes, Chloe Nowell, Melanie Osafo, David Jobes

{"title":"Implementation of the Collaborative Assessment and Management of Suicidality in a UK National Health Service Adult Mental Health Service.","authors":"Paul Bayliss, Thomas Richardson, Lorraine Bell, Eoin Galavan, Jamie Rutland Lawes, Chloe Nowell, Melanie Osafo, David Jobes","doi":"10.1027/0227-5910/a001006","DOIUrl":null,"url":null,"abstract":" Background: The Collaborative Assessment and Management of Suicidality (CAMS) is an evidence-based approach to reducing suicidal ideation. To date, there is limited evidence of the feasibility of implementing CAMS within the United Kingdom's National Health Service (NHS). Aims: The paper aims to describe the implementation of CAMS in an NHS adult mental health service and to report data on engagement and change in self-rated suicidal ideation. Method: Data on engagement, suicidal ideation, and care pathways were gathered for 88 people who started CAMS. Results: 75% of participants completed CAMS. Attendance rates were good. Self-rated suicidal ideation decreased significantly, with 68% of completers reporting a decrease. Participants with Emotionally Unstable Personality Disorder (EUPD) showed higher initial ratings of suicidal ideation but similar improvements. Just over half the participants were referred for psychological therapy after CAMS. Limitations: As an uncontrolled case series, the study could not conclude that changes in suicidal ideation were due to CAMS. It was not possible to report on changes in suicidal behavior. Key demographic data were missing. Conclusion: Implementation of CAMS in an NHS setting appears feasible and merits further study.","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1027/0227-5910/a001006","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: The Collaborative Assessment and Management of Suicidality (CAMS) is an evidence-based approach to reducing suicidal ideation. To date, there is limited evidence of the feasibility of implementing CAMS within the United Kingdom's National Health Service (NHS). Aims: The paper aims to describe the implementation of CAMS in an NHS adult mental health service and to report data on engagement and change in self-rated suicidal ideation. Method: Data on engagement, suicidal ideation, and care pathways were gathered for 88 people who started CAMS. Results: 75% of participants completed CAMS. Attendance rates were good. Self-rated suicidal ideation decreased significantly, with 68% of completers reporting a decrease. Participants with Emotionally Unstable Personality Disorder (EUPD) showed higher initial ratings of suicidal ideation but similar improvements. Just over half the participants were referred for psychological therapy after CAMS. Limitations: As an uncontrolled case series, the study could not conclude that changes in suicidal ideation were due to CAMS. It was not possible to report on changes in suicidal behavior. Key demographic data were missing. Conclusion: Implementation of CAMS in an NHS setting appears feasible and merits further study.

查看原文本刊更多论文

英国国家卫生服务中心成人心理健康服务中心自杀行为协同评估与管理的实施。

背景：自杀行为协同评估与管理（CAMS）是一种以证据为基础的减少自杀意念的方法。迄今为止，在联合王国国家卫生服务体系（NHS）内实施CAMS的可行性证据有限。目的：本文旨在描述CAMS在NHS成人心理健康服务中的实施情况，并报告有关参与和自评自杀意念变化的数据。方法：收集88名开始CAMS的患者的参与、自杀意念和护理途径的数据。结果：75%的参与者完成了CAMS。出勤率很高。自评自杀意念显著减少，68%的完成者报告减少。情绪不稳定型人格障碍（EUPD）的参与者表现出更高的自杀意念的初始评分，但也有类似的改善。超过一半的参与者在CAMS后接受了心理治疗。局限性：作为一个非控制的病例系列，研究不能得出自杀意念的改变是由CAMS引起的结论。报告自杀行为的变化是不可能的。关键的人口统计数据缺失。结论：在NHS环境中实施CAMS是可行的，值得进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Crisis-The Journal of Crisis Intervention and Suicide Prevention Multiple-

CiteScore

5.10

自引率

6.70%

发文量

期刊介绍： A must for all who need to keep up on the latest findings from both basic research and practical experience in the fields of suicide prevention and crisis intervention! This well-established periodical’s reputation for publishing important articles on suicidology and crisis intervention from around the world is being further enhanced with the move to 6 issues per year (previously 4) in 2010. But over and above its scientific reputation, Crisis also publishes potentially life-saving information for all those involved in crisis intervention and suicide prevention, making it important reading for clinicians, counselors, hotlines, and crisis intervention centers.