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临床医生在协作评估和自杀管理框架下合作治疗有自杀倾向客户的经验。

Clinicians' Experience of Collaboration in the Treatment of Suicidal Clients Within the Collaborative Assessment and Management of Suicidality Framework.

机构信息

Department of Psychology, University of Limerick, Ireland.

Health Service Executive, Dublin, Ireland.

出版信息

Omega (Westport). 2023 Jun;87(2):424-447. doi: 10.1177/00302228211020579. Epub 2021 May 30.

Abstract

INTRODUCTION

There is little known about the clinicians' experience of collaboration using the Collaborative Assessment and Management of Suicide (CAMS) framework. This study aimed to give voice to the clinician experience.

METHOD

A qualitative design utilised semi-structured interviews with ten psychologists who worked in a Suicide Assessment and Treatment Service (SATS) in Ireland which utilises the CAMS framework.

RESULTS

An Interpretative Phenomenological Analysis (IPA) approach revealed several important findings. The superordinate themes included 'Finding Safety', 'Regulation of the Self', 'Connecting', and 'Systemic Challenges'.

DISCUSSION

The CAMS framework plays an important role in providing a safe base for the clinician (in terms of understanding suicidality, in addition to the structures of the framework). It provides a mechanism in which to process difficult emotions, and a way of communicating a formulation of suicide to the treating team. Importantly, the CAMS emerged as facilitating a collaborative, therapeutic way of working.

摘要

介绍

关于临床医生使用协作评估和管理自杀(CAMS)框架进行协作的经验知之甚少。本研究旨在表达临床医生的经验。

方法

采用定性设计,对在爱尔兰自杀评估和治疗服务(SATS)工作的十名心理学家进行半结构化访谈,该服务使用 CAMS 框架。

结果

解释现象学分析(IPA)方法揭示了一些重要发现。上级主题包括“寻找安全”、“自我调节”、“连接”和“系统挑战”。

讨论

CAMS 框架在为临床医生提供安全基础方面(除了框架的结构外,还包括对自杀意念的理解)发挥着重要作用。它提供了一种处理困难情绪的机制,以及向治疗团队传达自杀构想的一种方式。重要的是,CAMS 促进了协作、治疗性的工作方式。

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A stepped care approach to clinical suicide prevention.阶梯式临床预防自杀方法。
Psychol Serv. 2018 Aug;15(3):243-250. doi: 10.1037/ser0000229.
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Meta-analysis of suicide rates among psychiatric in-patients.精神科住院患者自杀率的荟萃分析。
Acta Psychiatr Scand. 2015 Mar;131(3):174-84. doi: 10.1111/acps.12383. Epub 2015 Jan 5.

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