Psychology, Idaho State University, Pocatello, ID, USA.
Suicide Life Threat Behav. 2021 Oct;51(5):882-896. doi: 10.1111/sltb.12765. Epub 2021 May 17.
This meta-analysis aimed to test the efficacy of the Collaborative Assessment and Management of Suicidality (CAMS) intervention against other commonly used interventions for the treatment of suicide ideation and other suicide-related variables.
Database, expert, and root and branch searches identified nine empirical studies that directly compared CAMS to other active interventions. A random effects model was used to calculate the effect size differences between the interventions; additionally, moderators of the effect sizes were tested for suicidal ideation.
In comparison to alternative interventions, CAMS resulted in significantly lower suicidal ideation (d = 0.25) and general distress (d = 0.29), significantly higher treatment acceptability (d = 0.42), and significantly higher hope/lower hopelessness (d = 0.88). No significant differences for suicide attempts, self-harm, other suicide-related correlates, or cost effectiveness were observed. The effect size differences for suicidal ideation were consistent across study types and quality, timing of outcome measurement, and the age and ethnicity of participants; however, the effect sizes favoring CAMS were significantly smaller with active duty military/veteran samples and with male participants.
The existing research supports CAMS as a Well Supported intervention for suicidal ideation per Center of Disease Control and Prevention criteria. Limitations and future directions are discussed.
本荟萃分析旨在检验协同评估与管理自杀（CAMS）干预措施相对于其他常用于治疗自杀意念和其他与自杀相关变量的干预措施的疗效。
通过数据库、专家和全面检索，确定了 9 项直接比较 CAMS 与其他积极干预措施的实证研究。采用随机效应模型计算干预措施之间的效应大小差异；此外，还测试了自杀意念的调节因素。
与替代干预措施相比，CAMS 可显著降低自杀意念（d=0.25）和一般困扰（d=0.29），显著提高治疗可接受性（d=0.42），并显著提高希望/降低绝望感（d=0.88）。未观察到自杀企图、自残、其他与自杀相关的相关性或成本效益的显著差异。自杀意念的效应大小差异在研究类型和质量、结果测量的时间以及参与者的年龄和种族方面具有一致性；然而，对于现役军人/退伍军人样本和男性参与者，CAMS 具有显著较小的优势效应大小。
根据疾病控制与预防中心的标准，现有研究支持 CAMS 作为自杀意念的高度支持干预措施。讨论了局限性和未来方向。
