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Collaborative Assessment and Management of Suicidality in an Inpatient Setting: Results of a Pilot Study

机译：住院环境中的协作评估和自由性管理：试点研究的结果

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Patients hospitalized for psychiatric reasons exhibit significantly elevated risk of suicide, yet the research literature contains very few outcome studies of interventions designed for suicidal inpatients. This pilot study examined the inpatient feasibility and effectiveness of The Collaborative Assessment and Management of Suicidality (CAMS), a structured evidence-based method for risk assessment and treatment planning (). The study used an open-trial, case-focused design to assess an inpatient adaptation of CAMS, spread over a period averaging 51 days. The intervention was provided via individual therapy to a convenience sample of 20 patients (16 females and four males, average age 36.9) who were hospitalized with recent histories of suicidal ideation and behavior. Results showed statistically and clinically significant reductions in depression, hopelessness, suicide cognitions, and suicidal ideation, as well as improvement on factors considered “drivers” of suicidality. Treatment effect sizes were in the large range (Cohen’s d > .80) across several outcome measures, including suicidal ideation. Although these findings must be considered preliminary due to the lack of a randomized control group, they merit attention from clinicians working with patients at risk for suicide. This study also supports the feasibility of implementing a structured, suicide-specific intervention for at-risk patients in inpatient settings.
机译：因精神病学原因住院患者的患者表现出显着提高的自杀风险，但研究文献含有非常少量对自杀住院患者设计的干预措施的结果。该试点研究检测了自由性（CAMS）的合作评估和管理的住院性可行性和有效性，是风险评估和治疗计划的结构化证据的方法。该研究使用了开放式试验，以案例为中心的设计来评估凸轮的住院性调整，在平均51天的时间内传播。通过个体疗法提供干预，以便在20名患者（16名女性和四名男性，平均年龄36.9）的便利样品中提供，他与最近的自杀性想象和行为的历史为止。结果表明，抑郁，绝望，自杀认知和自杀性思想的统计上和临床显着减少，以及改善自由性“司机”的因素。治疗效果大小在几种结果测量中占大范围（Cohen的D> .80），包括自杀式思维。虽然这些调查结果必须被认为是由于缺乏随机对照组而初步的，但它们的关注来自临床医生的关注，临床医生与患者有危险的患者进行自杀。本研究还支持在住院环境中实施适用于风险患者的结构化的自杀特异性干预的可行性。

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