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Collaborative assessment and management of suicidality in an inpatient setting: results of a pilot study.

机译：住院患者自杀性的协作评估和管理：一项初步研究的结果。

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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 (Jobes, 2006). 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：因精神病原因住院的患者自杀风险显着升高，但是研究文献中很少有针对自杀性住院患者的干预措施的结局研究。这项前瞻性研究研究了自杀性协作评估和管理（CAMS）的住院可行性和有效性，这是一种基于结构的循证方法进行风险评估和治疗计划（Jobes，2006年）。该研究采用以病例为中心的开放式试验，评估了CAMS的住院适应性，分布期平均为51天。该干预措施是通过个体化治疗为方便样本的20名患者（其中16名女性和4名男性，平均年龄36.9）入院的，这些患者近期有自杀观念和行为史。结果显示，在统计学上和临床上，抑郁症，绝望感，自杀认知和自杀观念的减少以及对自杀倾向的“驱动因素”的改善。在包括自杀意念在内的多个结果指标中，治疗效果的大小范围较大（Cohen d> .80）。尽管由于缺乏随机对照组，这些发现必须被认为是初步的，但值得临床医生对有自杀风险的患者给予关注。这项研究还支持针对住院环境中处于危险中的患者实施针对自杀的结构化干预措施的可行性。

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