Suchergebnisse

This book discusses the dramatic increase in youth suicide and looks at why it is now one of the leading causes of death in young people. Presented in a balanced, factual manner, using both empirical and clinical data, the authors give specific suggestions that they have found useful as experienced clinicians. The book begins with a discussion and exploration of the problem from an epidemiological, demographic, and socio-cultural perspective. There is a discussion of assessment concerning ""objective"" paper and pencil self-report instruments and an examination of their validity; and reliabili

Cover -- Half Title Page -- Title Page -- Copyright -- Dedication -- About the Author -- Foreword -- Preface -- Acknowledgments -- Contents -- 1. The Collaborative Assessment and Management of Suicidality -- 2. The Suicide Status Form -- 3. Optimizing the Use of the CAMS Framework -- 4. CAMS Risk Assessment -- 5. CAMS Treatment Planning -- 6. CAMS Interim Care -- 7. CAMS Clinical Outcomes and Disposition -- 8. CAMS as a Means of Decreasing Malpractice Liability -- 9. CAMS Adaptations and Future Developments -- Epilogue -- Appendix A. Contemporary Mental Health Care Developments Related to Suicide Prevention -- Appendix B. CAMS Suicide Status Form-5 (SSF-5): First Session, Interim Sessions, Outcome/Disposition Final Session -- Appendix C. Coding Manual for the SSF Core Assessment Scales: Qualitative Assessment -- Appendix D. Coding Manual for SSF Reasons for Living versus Reasons for Dying -- Appendix E. Coding Manual for the SSF One-Thing Response -- Appendix F. CAMS-Related Empirical Research -- Appendix G. CAMS Quick Check Preparation Guide: First Session, Interim Sessions, Outcome/Disposition Session Using the SSF‑5 -- Appendix H. CAMS Therapeutic Worksheet -- Appendix I. Stabilization Support Plan -- Appendix J. Complete Case Example of Carmen -- Appendix K. CAMS Living Status Form (CLSF) -- Appendix L. CAMS Rating Scale (CRS.3) -- Appendix M. Frequently Asked Questions about CAMS -- References -- Index.

Cover -- Half Title Page -- Title Page -- Copyright -- Dedication -- About the Author -- Foreword -- Preface -- Acknowledgments -- Contents -- List of Tables, Cases, Figures, and Boxes -- Part I. Foundations -- 1. Introduction to Suicidology -- 2. The Theoretical Construction of Suicidology -- Part II. Data, Research, Assessment -- 3. Grounding Suicidology in Empirical Evidence -- 4. Measurement: Risk Factors and Risk Assessment -- Part III. Sociodemographic Issues -- 5. Age, Lifespan, and Suicidal Careers -- 6. Sex, Gender, and Marital Status: A Phallocentric Focus -- 7. Social Relations, Work, and the Economy: Social versus Individual Facts -- 8. International Variation, Ethnicity, and Race in Suicide -- 9. Who Makes Suicide Attempts, How, and What Do Suicide Notes Say about Them? -- Part IV. Major Mental Disorders, Biology, Neurobiology -- 10. Mental Disorder: The Most Important Suicide Risk Factor? -- 11. Major Depression: Undiagnosed and Untreated -- 12. Bipolar Disorder: A Suicidogenic Cycle of Despair -- 13. Schizophrenia: Bizarre and Psychotic Suicides -- 14. Personality Disorders: Borderline, Antisocial, and Obsessive-Compulsive Personalities -- 15. Alcoholism and Other Substance Abuse: The Second Most Important Suicide Risk Factor -- 16. Biology, Genetics, and Neurobiology: Suicidal Biogenics of the Brain -- Part V. Religion, Culture, History, Ethics -- 17. God, the Afterlife, Religion, and Culture -- 18. Suicide in History and Art: How Did Suicide Evolve? -- 19. Ethical Issues, Euthanasia, and Rational Suicide: Is Suicide Ever the Right Thing to Do? -- Part VI. Special Topics -- 20. Suicide in the Military: War, Aggression, and PTSD -- 21. Murder-Suicide: Why Take Someone with You? -- 22. Jail and Prison Suicides: Confinement, Rage, and Target Reduction -- Part VII. Treatment and Prevention

Abstract. Background: While there is evidence that suicide-bereaved individuals may be at higher risk for trauma-related outcomes, such as posttraumatic stress disorder or prolonged grief, positive psychology suggests that suicide bereavement may also promote personal growth within the confines of distress characterized as posttraumatic growth (PTG). Aims: The aim of this study was to investigate PTG and what variables, such as reflective rumination, resilience, personality variables, and mood states, contribute to PTG among suicide-bereaved parents. Method: Online survey methods were employed using a convenience sample of 154 parents bereaved by the suicide death of their child within 2 years. Results: Multiple regression analyses revealed that resilience inversely predicted PTG scores, but reflective rumination did not predict PTG. PTG scores were in the low–moderate range and were lower than those of parents bereaved by other causes of death. Items endorsed most strongly corresponded to the PTG factors Relating to Others, Spiritual Change, and Appreciation of Life. Conclusion: In this study, PTG manifests among suicide-bereaved parents, but may be complicated by the proximity to the death and by concurrent brooding and reflective rumination unique to answering the question of "why" in this population.

"For the past decade, Adolescent Suicide: Assessment and Intervention has been recognized as the best and most authoritative text on this most tragic of subjects. This long-awaited second edition incorporates almost 15 years of new research and critical thinking about clinical assessment and intervention in addition to an expanded focus on prevention. Authored by three of the world's leading experts on suicide, this book is a must-have reference and text for those working with this at-risk population. The authors reflect on what is current and promising in working with suicidal adolescents and provide information relevant to theory, research, practice, and intervention. They provide empirically based findings that can be easily integrated and translated for practical use by clinicians. In addition, the book includes discussion of malpractice risk management, over 40 case illustrations, and an extensive list of references to help provide a thorough understanding of the psychopathology of the suicidal patient"--Jacket. (PsycINFO Database Record (c) 2006 APA, all rights reserved)

Abstract. Background: In this article we focused on analyzing surveyed patient-generated responses based on two outcome questions derived from a suicide-specific framework called the Collaborative Assessment and Management of Suicidality (CAMS): Q1 – "Were there any aspects of your treatment that were particularly helpful to you? If so, please describe these. Be as specific as possible." Q2 – "What have you learned from your clinical care that could help you if you became suicidal in the future?" Aims: To develop a reliable coding system based on formerly suicidal patients' responses to two open-ended prompts and examine most frequently identified themes. Method: The present study utilized a consensual qualitative research process to examine responses of clinically resolved suicidal patients, based on the CAMS resolution criteria (i.e., three consecutive CAMS sessions reporting the effective management of suicidal risk), to two Suicide Status Form (SSF) outcome questions (n = 49 for Q1, and n = 52 for Q2). Results: Reliable coding systems were developed and used to determine major themes of successful patient responses. Conclusion: The results of this study provide insight into patients' experiences of a successful treatment for suicidal risk with larger implications for suicide-specific treatments in general.

Purpose– The purpose of this paper is to fully consider the potential changes in clinical suicide prevention that may evolve after the passing of the Patient Protection and Affordable Care Act (ACA). The authors argue that it is wise to anticipate demand for suicide-specific evidence-based treatments (EBTs) moving forward. The authors outline current best practices in clinical suicide prevention, and describe the Collaborative Assessment and Management of Suicidality (CAMS) as an example of how a suicide-focussed EBT can adapt to some predicted changes.Design/methodology/approach– This conceptual paper first presents an overview of the main effects of ACA within the behavioral health care (BHC) system. Next, the authors review contemporary approaches to the treatment of suicidal patients, as well as current treatment limitations. The authors present CAMS as a model of a suicide-focussed EBT that holds promise for use in the post-ACA era. To close, the authors discuss anticipated changes in suicide treatment and illustrate that CAMS is adaptable to these changes.Findings– ACA mandates several changes: implementation of EBTs, better preventative care, integrated treatment models, and improved healthcare administration. A central effect of ACA in BHC is the increased use of EBTs. Therefore effective EBTs for suicide prevention are described.Originality/value– Anticipating how ACA will affect clinical suicide prevention is necessary, as it is historically a very challenging area of treatment within BHC and a significant public health concern. This paper highlights the importance of the use suicide-specific EBTs.

Abstract. Background: An important consideration when conducting randomized controlled trials is treatment differentiation. Direct observation helps ensure that providers in different treatment groups are delivering distinct interventions. One direct observation method is the use of a measure to rate clinician performance when delivering an intervention. Aims: This generalizability study evaluated the reliability of the CAMS Rating Scale (CRS), a measure used to assess delivery of the Collaborative Assessment and Management of Suicidality (CAMS). Method: Digitally recorded tapes of clinicians delivering either CAMS or Enhanced Care-As-Usual (E-CAU) were coded using the CRS. Sessions ( N = 36) were each coded by two raters, and encompassed four clinicians, four time points, and 34 unique patients across two treatment groups. A reliability coefficient (i.e., G coefficient) and the percentages of variance contributed by each component of the measurement model were obtained. Results: The CRS reliably differentiates CAMS from E-CAU, minimizes measurement error relative to expected variance sources, and continues to demonstrate high inter-rater reliability. Limitations: The absence of blind raters, a formal training protocol for the rating team, and ratings from all clinician–patient dyads at all time points was a limitation. Conclusion: The CRS is a reliable treatment differentiation measure that can play an integral role in studies evaluating CAMS.