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Collaborative Assessment and Management of Suicidality (CAMS) compared to treatment as usual (TAU) for suicidal patients: study protocol for a randomized controlled trial.

https://arctichealth.org/en/permalink/ahliterature289676
Source
Trials. 2016 10 03; 17(1):481
Publication Type
Journal Article
Multicenter Study
Pragmatic Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Date
10-03-2016
Author
Wenche Ryberg
Roar Fosse
Per Henrik Zahl
Inge Brorson
Paul Møller
Nils Inge Landrø
David Jobes
Author Affiliation
Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Lier, Norway. Wenche.ryberg@vestreviken.no.
Source
Trials. 2016 10 03; 17(1):481
Date
10-03-2016
Language
English
Publication Type
Journal Article
Multicenter Study
Pragmatic Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Keywords
Checklist
Clinical Protocols
Cognition
Cooperative Behavior
Humans
Interdisciplinary Communication
Mental health
Norway
Patient care team
Psychiatric Status Rating Scales
Psychotherapy - methods
Research Design
Risk factors
Suicidal ideation
Suicide - prevention & control - psychology
Surveys and Questionnaires
Time Factors
Treatment Outcome
Abstract
Collaborative Assessment and Management of Suicidality (CAMS) is a therapeutic framework that appears promising to reduce suicidal ideation and suicidal cognition. CAMS has not previously been evaluated in a standard specialized mental health care setting for patients with suicidal problems in general. In this pragmatic randomized controlled trial (RCT) we will investigate if CAMS is more effective than treatment as usual (TAU) in reducing suicidal thoughts and behaviors. Effects will also be investigated on mental health and symptom relief in general and upon readmissions to inpatient units.
The study is a multicenter, observer-blinded, superiority, two-armed RCT which will include patients from four clinical departments at Vestre Viken Hospital Trust, Norway. We aim to include 100 patients with moderate to strong suicidal problems, as defined by a score of 13 or more on Beck's Scale for Suicide Ideation - Current. Patients are included regardless of diagnosis. Randomization will be performed using a stratified four-block procedure with treatment unit as the stratification variable. The duration of treatment will vary depending on patients' needs and clinical assessments. Patients are interviewed by research staff at four checkpoints: baseline, 2 weeks, 6 months, and 12 months. Central outcome measures are the Beck Scale for Suicide Ideation - Current, Outcome Questionnaire - 45, and Suicide Attempt Self-Injury Count.
This pragmatic trial is effectuated within the Public Health Care System in Norway, where patients have multiple problems and diagnoses and therapists have a high work load. Results from this trial are highly generalizable to a typical everyday clinical setting, and one should expect similar results if CAMS is implemented in the future as a standard component in specialized mental health care systems.
Open Science Framework: DOI 10.17605/OSF.IO/JHRM2 . Registered 5 July 2015. ClinicalTrials.gov: NCT02685943 . Registered on 8 February 2016.
Notes
Cites: Soc Psychiatry Psychiatr Epidemiol. 2012 Jan;47(1):1-9 PMID 21052623
Cites: Psychother Res. 2014;24(4):504-13 PMID 24188797
Cites: JAMA. 2005 Aug 3;294(5):563-70 PMID 16077050
Cites: Dan Med Bull. 2011 Aug;58(8):A4300 PMID 21827722
Cites: Psychiatr Serv. 2010 Jan;61(1):25-31 PMID 20044414
Cites: Psychotherapy (Chic). 2012 Mar;49(1):72-80 PMID 22369081
Cites: Depress Anxiety. 2011 Nov;28(11):963-72 PMID 21948348
Cites: J Clin Psychol. 2006 Feb;62(2):161-70 PMID 16342292
Cites: Psychol Assess. 2015 Dec;27(4):1171-81 PMID 25894705
Cites: Am J Psychother. 2012;66(3):227-42 PMID 23091884
Cites: Arch Gen Psychiatry. 1983 Mar;40(3):249-57 PMID 6830404
Cites: J Clin Epidemiol. 1999 Dec;52(12):1143-56 PMID 10580777
Cites: Psychol Med. 2003 Apr;33(3):395-405 PMID 12701661
Cites: J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57 PMID 9881538
Cites: Arch Gen Psychiatry. 2005 Apr;62(4):427-32 PMID 15809410
Cites: Am J Psychiatry. 2015 May;172(5):441-9 PMID 25677353
Cites: Behav Res Ther. 1997 Nov;35(11):1039-46 PMID 9431735
Cites: Lancet. 2005 Jan 1-7;365(9453):82-93 PMID 15639683
Cites: Eur Addict Res. 2005;11(1):22-31 PMID 15608468
Cites: Arch Gen Psychiatry. 2006 Jul;63(7):757-66 PMID 16818865
Cites: Suicide Life Threat Behav. 2009 Jun;39(3):307-20 PMID 19606922
Cites: Addiction. 1993 Jun;88(6):791-804 PMID 8329970
Cites: Addict Behav. 2012 Jan;37(1):36-41 PMID 21937169
Cites: Suicide Life Threat Behav. 2015 Jan 12;:null PMID 25581595
Cites: Suicide Life Threat Behav. 2012 Dec;42(6):640-53 PMID 22971238
Cites: Psychiatry Res. 2010 May 15;177(1-2):228-34 PMID 20178887
Cites: Ugeskr Laeger. 2008 Jan 14;170(3):149-53 PMID 18208732
Cites: BMJ. 2009 Jun 29;338:b2393 PMID 19564179
Cites: Bull Menninger Clin. 2009 Fall;73(4):339-54 PMID 20025428
Cites: J Psychol. 2005 Sep;139(5):439-57 PMID 16285214
Cites: Tidsskr Nor Laegeforen. 2015 Aug 25;135(15):1342-3 PMID 26315231
Cites: Trials. 2014 May 29;15:194 PMID 24885904
Cites: BMJ. 2008 Nov 11;337:a2390 PMID 19001484
Cites: Contemp Clin Trials. 2009 Jan;30(1):40-6 PMID 18718555
Cites: Suicide Life Threat Behav. 1999 Spring;29(1):1-9 PMID 10322616
Cites: Tidsskr Nor Laegeforen. 2014 Feb 25;134(4):394 PMID 24569736
Cites: Depress Anxiety. 2016 Jun;33(6):520-30 PMID 26854478
Cites: Trials. 2009 Jun 03;10:37 PMID 19493350
PubMed ID
27716298 View in PubMed
Less detail

Collaborative Assessment and Management of Suicidality (CAMS) compared to treatment as usual (TAU) for suicidal patients: study protocol for a randomized controlled trial.

https://arctichealth.org/en/permalink/ahliterature289518
Source
Trials. 2016 10 03; 17(1):481
Publication Type
Journal Article
Multicenter Study
Pragmatic Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Date
10-03-2016
Author
Wenche Ryberg
Roar Fosse
Per Henrik Zahl
Inge Brorson
Paul Møller
Nils Inge Landrø
David Jobes
Author Affiliation
Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Lier, Norway. Wenche.ryberg@vestreviken.no.
Source
Trials. 2016 10 03; 17(1):481
Date
10-03-2016
Language
English
Publication Type
Journal Article
Multicenter Study
Pragmatic Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Keywords
Checklist
Clinical Protocols
Cognition
Cooperative Behavior
Humans
Interdisciplinary Communication
Mental health
Norway
Patient care team
Psychiatric Status Rating Scales
Psychotherapy - methods
Research Design
Risk factors
Suicidal ideation
Suicide - prevention & control - psychology
Surveys and Questionnaires
Time Factors
Treatment Outcome
Abstract
Collaborative Assessment and Management of Suicidality (CAMS) is a therapeutic framework that appears promising to reduce suicidal ideation and suicidal cognition. CAMS has not previously been evaluated in a standard specialized mental health care setting for patients with suicidal problems in general. In this pragmatic randomized controlled trial (RCT) we will investigate if CAMS is more effective than treatment as usual (TAU) in reducing suicidal thoughts and behaviors. Effects will also be investigated on mental health and symptom relief in general and upon readmissions to inpatient units.
The study is a multicenter, observer-blinded, superiority, two-armed RCT which will include patients from four clinical departments at Vestre Viken Hospital Trust, Norway. We aim to include 100 patients with moderate to strong suicidal problems, as defined by a score of 13 or more on Beck's Scale for Suicide Ideation - Current. Patients are included regardless of diagnosis. Randomization will be performed using a stratified four-block procedure with treatment unit as the stratification variable. The duration of treatment will vary depending on patients' needs and clinical assessments. Patients are interviewed by research staff at four checkpoints: baseline, 2 weeks, 6 months, and 12 months. Central outcome measures are the Beck Scale for Suicide Ideation - Current, Outcome Questionnaire - 45, and Suicide Attempt Self-Injury Count.
This pragmatic trial is effectuated within the Public Health Care System in Norway, where patients have multiple problems and diagnoses and therapists have a high work load. Results from this trial are highly generalizable to a typical everyday clinical setting, and one should expect similar results if CAMS is implemented in the future as a standard component in specialized mental health care systems.
Open Science Framework: DOI 10.17605/OSF.IO/JHRM2 . Registered 5 July 2015. ClinicalTrials.gov: NCT02685943 . Registered on 8 February 2016.
Notes
Cites: Soc Psychiatry Psychiatr Epidemiol. 2012 Jan;47(1):1-9 PMID 21052623
Cites: Psychother Res. 2014;24(4):504-13 PMID 24188797
Cites: JAMA. 2005 Aug 3;294(5):563-70 PMID 16077050
Cites: Dan Med Bull. 2011 Aug;58(8):A4300 PMID 21827722
Cites: Psychiatr Serv. 2010 Jan;61(1):25-31 PMID 20044414
Cites: Psychotherapy (Chic). 2012 Mar;49(1):72-80 PMID 22369081
Cites: Depress Anxiety. 2011 Nov;28(11):963-72 PMID 21948348
Cites: J Clin Psychol. 2006 Feb;62(2):161-70 PMID 16342292
Cites: Psychol Assess. 2015 Dec;27(4):1171-81 PMID 25894705
Cites: Am J Psychother. 2012;66(3):227-42 PMID 23091884
Cites: Arch Gen Psychiatry. 1983 Mar;40(3):249-57 PMID 6830404
Cites: J Clin Epidemiol. 1999 Dec;52(12):1143-56 PMID 10580777
Cites: Psychol Med. 2003 Apr;33(3):395-405 PMID 12701661
Cites: J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57 PMID 9881538
Cites: Arch Gen Psychiatry. 2005 Apr;62(4):427-32 PMID 15809410
Cites: Am J Psychiatry. 2015 May;172(5):441-9 PMID 25677353
Cites: Behav Res Ther. 1997 Nov;35(11):1039-46 PMID 9431735
Cites: Lancet. 2005 Jan 1-7;365(9453):82-93 PMID 15639683
Cites: Eur Addict Res. 2005;11(1):22-31 PMID 15608468
Cites: Arch Gen Psychiatry. 2006 Jul;63(7):757-66 PMID 16818865
Cites: Suicide Life Threat Behav. 2009 Jun;39(3):307-20 PMID 19606922
Cites: Addiction. 1993 Jun;88(6):791-804 PMID 8329970
Cites: Addict Behav. 2012 Jan;37(1):36-41 PMID 21937169
Cites: Suicide Life Threat Behav. 2015 Jan 12;:null PMID 25581595
Cites: Suicide Life Threat Behav. 2012 Dec;42(6):640-53 PMID 22971238
Cites: Psychiatry Res. 2010 May 15;177(1-2):228-34 PMID 20178887
Cites: Ugeskr Laeger. 2008 Jan 14;170(3):149-53 PMID 18208732
Cites: BMJ. 2009 Jun 29;338:b2393 PMID 19564179
Cites: Bull Menninger Clin. 2009 Fall;73(4):339-54 PMID 20025428
Cites: J Psychol. 2005 Sep;139(5):439-57 PMID 16285214
Cites: Tidsskr Nor Laegeforen. 2015 Aug 25;135(15):1342-3 PMID 26315231
Cites: Trials. 2014 May 29;15:194 PMID 24885904
Cites: BMJ. 2008 Nov 11;337:a2390 PMID 19001484
Cites: Contemp Clin Trials. 2009 Jan;30(1):40-6 PMID 18718555
Cites: Suicide Life Threat Behav. 1999 Spring;29(1):1-9 PMID 10322616
Cites: Tidsskr Nor Laegeforen. 2014 Feb 25;134(4):394 PMID 24569736
Cites: Depress Anxiety. 2016 Jun;33(6):520-30 PMID 26854478
Cites: Trials. 2009 Jun 03;10:37 PMID 19493350
PubMed ID
27716298 View in PubMed
Less detail