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| Name | Class |
|---|---|
| The Catholic University of America | OTHER |
| Helse Sor-Ost | OTHER_GOV |
| Norwegian Institute of Public Health | OTHER_GOV |
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Although suicide risk is highly prevalent among the patient population in mental health care, remarkably little research exists on effective treatments. Among a small set of novel approaches, CAMS is particularly promising. The investigators compare CAMS to TAU in a randomized controlled trial at four departments in Vestre Viken Hospital Trust, hypothesizing CAMS to be the superior approach. Primary outcome measures are suicidal ideation and suicide attempts, with secondary outcome measures including general symptoms of mental health problems. Changes in the outcome measures are compared between the two groups from baseline to 6 and 12 months after patients are included in the study. The study has the potential to impact the science of treating suicidal individuals and it could benefit the general public by establishing CAMS as an effective clinical approach for rapidly reducing suicide risk.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CAMS treatment | Experimental | Psychotherapy using the Collaborative Assessment and Management of Suicidality framework |
|
| Treatment as usual | Active Comparator | Ordinary treatment for suicidal patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychotherapy | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in scores on Beck's Scale for Suicide Ideation (BSSI) | Interview scale with 19 items that measures a patient's suicidal ideation at its worst point in the past 2 weeks. | From baseline to 6 and 12 months after patient is included in the study |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in scores on The Outcome Questionaire 45 (OQ-45) | A 45-item questionnaire designed to measure key areas of mental health functioning (symptoms, interpersonal problems and social role functioning) | From baseline to 6 and 12 months after patient is included in the study |
| Norwegian Patient Registry (NPR) data |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Roar Fosse, Ph.D. | Division of mental health and addiction, Vestre Viken | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vestre Viken Helseforetak | Drammen | 3004 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33884617 | Derived | Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2. | |
| 32368793 | Derived | Storebo OJ, Stoffers-Winterling JM, Vollm BA, Kongerslev MT, Mattivi JT, Jorgensen MS, Faltinsen E, Todorovac A, Sales CP, Callesen HE, Lieb K, Simonsen E. Psychological therapies for people with borderline personality disorder. Cochrane Database Syst Rev. 2020 May 4;5(5):CD012955. doi: 10.1002/14651858.CD012955.pub2. |
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Individual patient data will not be shared/ published
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| ID | Term |
|---|---|
| D059020 | Suicidal Ideation |
| D013406 | Suicide, Attempted |
| D013405 | Suicide |
| ID | Term |
|---|---|
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D011613 | Psychotherapy |
| ID | Term |
|---|---|
| D004191 | Behavioral Disciplines and Activities |
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Data entered in the NPR on self harm, suicide attempts, new hospital admissions to health treatments, discharge diagnosis, intoxication, and death by any causes. |
| Yearly for five years after study inclusion |
| Changes in scores on Suicide Attempt Self-Injury Count (SASI-C) | An interview covering past self-inflicted injuries and categorizing them into suicide attempts and non-suicidal acts. The tool also creates counts of self-inflicted injuries by method, medical risk severity and lethality | changes from baseline to 6 and 12 months after patient is included in the study |
| 27716298 | Derived | Ryberg W, Fosse R, Zahl PH, Brorson I, Moller P, Landro NI, Jobes D. Collaborative Assessment and Management of Suicidality (CAMS) compared to treatment as usual (TAU) for suicidal patients: study protocol for a randomized controlled trial. Trials. 2016 Oct 3;17(1):481. doi: 10.1186/s13063-016-1602-z. |