A Randomized Controlled Trial of the Collaborative Assessment and Management of Suicidality versus Enhanced Care as Usual With Suicidal Soldiers

Psychiatry
David A JobesBruce Crow

Abstract

This study describes a randomized controlled trial called "Operation Worth Living" (OWL) which compared the use of the Collaborative Assessment and Management of Suicidality (CAMS) to enhanced care as usual (E-CAU). We hypothesized that CAMS would be more effective than E-CAU for reducing suicidal ideation (SI) and suicide attempts (SA), along with secondary behavioral health and health care utilization markers for U.S. Army Soldier outpatients with significant SI (i.e., > 13 on Beck's Scale for Suicide Ideation). Study participants were 148 Soldiers who presented to a military outpatient behavioral health clinic. There were 73 Soldiers in the experimental arm of the trial who received adherent CAMS; 75 Soldiers received E-CAU. Nine a-priori treatment outcomes (SI, past year SA, suicide-related emergency department (ED) admits, behavioral health-related ED admits, suicide-related inpatient psychiatric unit (IPU) days, behavioral health-related IPU days, mental health, psychiatric distress, resiliency) were measured through assessments at Baseline and at 1, 3, 6, and 12 months post-Baseline (with a 78% retention of intent-to-treat participants at 12 months). Soldiers in both arms of the trial responded to study treatments in ter...Continue Reading

Associated Clinical Trials

References

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Citations

May 24, 2018·Bulletin of the Menninger Clinic·Christopher D CoronaDavid A Jobes
Jul 5, 2018·Crisis·Gregory Carter, Matthew J Spittal
Oct 7, 2018·Journal of Clinical Psychology·Christopher D CoronaDavid A Jobes
Nov 27, 2018·Crisis·Christopher D CoronaDavid A Jobes
Aug 27, 2019·Annals of Internal Medicine·Kristen E D'AnciConstance Martin
Jul 6, 2019·Crisis·David A Jobes, Thomas E Joiner
Dec 10, 2019·Suicide & Life-threatening Behavior·Ronald C KesslerDavid A Jobes
Sep 11, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Sasha M RojasMark A Reger
Oct 28, 2019·Nature Reviews. Disease Primers·Gustavo TureckiBarbara H Stanley
Aug 24, 2019·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Wenche RybergRoar Fosse
Sep 29, 2019·International Journal of Environmental Research and Public Health·David A Jobes, Samantha A Chalker
May 6, 2020·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Robert J CramerCraig J Bryan
Apr 11, 2020·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Jacqueline PistorelloTami Jeffcoat
Jul 12, 2020·International Journal of Environmental Research and Public Health·Sophie BrownDavid Jobes
Jan 7, 2021·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Mohammad RostamiEsfandiar Azad
Aug 21, 2018·Current Opinion in Psychology·Craig J Bryan, David C Rozek
Mar 31, 2021·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Aiste LengvenytePhilippe Courtet
Apr 23, 2021·The Cochrane Database of Systematic Reviews·Katrina G WittKeith Hawton
Jul 3, 2021·International Journal of Environmental Research and Public Health·Rachael McDonnell MurrayThilo Kroll
Jul 21, 2021·Psychotherapie, Psychosomatik, medizinische Psychologie·Miriam SantelMartin Driessen
Aug 1, 2021·Suicide & Life-threatening Behavior·Madelyn S GouldRichard McKeon
Nov 16, 2021·Suicide & Life-threatening Behavior·Peter M GutierrezStephen O'Connor

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

SASI
CAMS

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