Working with Suicidal Risk: The Collaborative Assessment and Management of Suicidality (CAMS) and Other Evidence-Based Treatments

CPD

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Handouts

Faculty

David Jobes, PhD, ABPP Related seminars and products

WASHINGTON PSYCHOLOGICAL CENTER PC

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David Jobes, PhD, ABPP, is the developer of the Collaborative Assessment and Management of Suicidality (CAMS) treatment method. He began his career in 1987 in the counseling center of the Catholic University of America, where he developed a suicide risk assessment tool for college students that evolved into an evidence-based treatment, CAMS, recognized by The Joint Commission, Zero Suicide, and the CDC. A 2021 meta-analysis of 30 years of research shows that CAMS is a “well supported” intervention for reducing suicidal ideation per CDC criteria. Dr. Jobes is a professor of psychology and associate director of clinical training at Catholic. He has trained thousands of mental health professionals in the United States and abroad in evidence-based assessment and treatment of suicide risk and the use of CAMS.

 

Speaker Disclosures:
Financial: Dr. David Jobes maintains a private practice and has employment relationships with The Catholic University of America and Uniformed Services University. He is the President of the Board of Directors for Washington Psychological Center. He receives compensation as a consultant and receives royalties as a published author. Dr. Jobes is a stock owner of CAMS-care, LLC. He receives grants from A Four Pines Fund, The University of Washington, The National Institute of Mental Health, and Patient-Centered Outcomes Research Institute. Dr. Jobes receives a speaking honorarium and recording royalties from Psychotherapy Networker and PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. David Jobes is an Ad hoc reviewer and editor for several peer review journals, for a complete list contact PESI, Inc. He is a fellow of the American Psychological Association and a member of American Foundation for Suicide Prevention (AFSP).

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Objectives

1. Evaluate the prevalence and impact of suicide on the U.S. population and its clinical implications.
2. Examine current research advancements in the treatment of suicidality to inform the clinician’s choice of treatment interventions.
3. Identify evidence-based, suicide-focused treatment models and their application in diverse systems as they relate to case conceptualisation.
4. Recognise the limitations of various treatment modalities in relation to assessment and treatment planning.
5. Analyse barriers to the implementation of evidence-based suicide prevention approaches within clinical and organisational settings to improve clinical outcomes.
6. Integrate treatments endorsed by The Joint Commission, CDC, the Surgeon General, and Zero Suicide into clinical practice to foster meaningful client outcomes and improve client level of functioning.
    

Outline

• Historic trends in national suicide rates
• Larger social cultural issues
  • COVID-19
  • ”deaths of despair”
• Consider serious thoughts of suicide:
  • What the SAMHSA data shows
  • The ideation-to-action framework
  • When thoughts transition into planning
  • When planning transitions to attempting

• Medical-model bias that has little empirical support
• The paralysing fear of wrongful death malpractice liability litigation
• Clinician avoidance of client who is suicidal
  • Defaulting to most restrictive practices
  • Lack of training
  • Lack of systems support for proven approaches
  • Zero suicide approach to raising the standard of suicide-care across systems of care
  • Other policy shaping suicide-focused care

• Different evidence-based screening and assessment approaches
  • The Ask Suicide Screening Questionnaire
  • The Columbia Suicide Severity Rating Scale (C-SSRS)
  • Other assessment tools for suicidal risk
• A look at acute stabilisation
  • Use of safety-planning type interventions
  • Lethal means safety discussions
  • 988 Suicide & Crisis Lifeline and text line resources

• Dialectical Behaviour Therapy (DBT)
• Cognitive Therapy for Suicide Prevention (CT=SP)
• Brief Cognitive Behavioural Therapy (BCBT and AVIVA)
• Mentalisation-based therapy
• Attachment-Based Family Therapy (ABFT)
• Attempted Suicide Short Intervention Program (ASSIP)
• Brief interventions

• Extensive research supporting CAMS for therapeutic assessment and treatment of suicidal risk
  • Overview to the CAMS Framework and Suicide Status Form
  • Brief review of open trial evidence
  • Brief review of the randomised controlled trials
  • Brief review of the support for CAMS training

• Engagement in the approach
• First session SSF
  • Section A – client’s quantitative and qualitative assessment
  • Section B – Key warning and risk factors
  • Section C – CAMS Treatment Planning – including completion of CAMS Stabilisation and identification of client defined suicidal drivers
  • Section D – Additional post session documentation

• Interim SSF Core Assessment (Section A)
• Further crafting CAMS Stabilisation Plan
• Treating drivers
• Treatment Plan Update (Section B)
• Additional post-session documentation (Section C)

• Outcome disposition SSF Core Assessment (Section A)
• Outcome and disposition (Section B)
• Additional post session documentation (Section C)

• Inpatient use of CAMs
• CAMS-4 Teens
• CAMS-Brief Intervention

• Decrease liability
• Training considerations
• Increase provider competence and confidence
• Ethical considerations
• Future research

• Case of a graduate student who is suicidal
• Case of veteran who is at high risk for suicide after discharge form inpatient care

Target Audience

• Social Workers
• Psychologists
• Psychiatrists
• Counsellors
• Marriage and Family Therapists
• Case Managers
• Addiction Counsellors
• Therapists
• Nurses (General, Education, NP, AP, BH, Public Health, Emergency, Home Health, Geri, Long Term)
• Other Mental Health Professionals
• School-Based Counsellors
• School-Based Psychologists
• School-Based Social Workers
• School Administrators