Department of Psychology, The Catholic University of America, Washington, DC 20064, USA.
Suicide Life Threat Behav. 2012 Dec;42(6):640-53. doi: 10.1111/j.1943-278X.2012.00119.x. Epub 2012 Sep 12.
The Collaborative Assessment and Management of Suicidality (CAMS) is an evidence-based clinical intervention that has significantly evolved over 25 years of clinical research. CAMS is best understood as a therapeutic framework that emphasizes a unique collaborative assessment and treatment planning process between the suicidal patient and clinician. This process is designed to enhance the therapeutic alliance and increase treatment motivation in the suicidal patient. Central to the CAMS approach is the use of the Suicide Status Form (SSF), which is a multipurpose clinical assessment, treatment planning, tracking, and outcome tool. The original development of CAMS was largely rooted in SSF-based quantitative and qualitative assessment of suicidal risk. As this line of research progressed, CAMS emerged as a problem-focused clinical intervention that is designed to target and treat suicidal "drivers" and ultimately eliminate suicidal coping. To date, CAMS (and the clinical use of the SSF) has been supported by six published correlational studies and one randomized clinical trial (RCT). Currently, two well-powered RCTs are under way, and various new CAMS-related projects are also being pursued. The clinical and empirical evolution of CAMS-how it was developed and what are the next steps for this clinical approach-are described here.
协作评估和管理自杀风险（CAMS）是一种基于证据的临床干预措施，经过 25 年的临床研究，已经有了显著的发展。CAMS 被理解为一种治疗框架，强调了自杀患者和临床医生之间独特的协作评估和治疗计划过程。这个过程旨在增强治疗联盟，并提高自杀患者的治疗动机。CAMS 方法的核心是使用自杀状态表（SSF），这是一种多用途的临床评估、治疗计划、跟踪和结果工具。CAMS 的最初发展主要基于 SSF 对自杀风险的定量和定性评估。随着这一研究方向的进展，CAMS 作为一种以问题为中心的临床干预措施出现，旨在针对和治疗自杀“驱动因素”，并最终消除自杀应对。迄今为止，CAMS（和 SSF 的临床应用）得到了六项已发表的相关研究和一项随机临床试验（RCT）的支持。目前，两项有充分效力的 RCT 正在进行中，同时也在开展各种新的与 CAMS 相关的项目。本文描述了 CAMS 的临床和经验演变过程——它是如何发展的，以及这种临床方法的下一步是什么。
