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An Archival Study of Suicide Status Form Responses Among Crisis Stabilization Center Consumers
Journal of Contemporary Psychotherapy Pub Date : 2021-02-23 , DOI: 10.1007/s10879-021-09491-x
Ethan W. Graure , Victoria A. Colborn , Amy M. Miller , David A. Jobes

Suicide is a persistent leading cause of death in the United States (U.S.A.). Following a stepped-care approach, Crisis Stabilization Centers have positioned themselves as a viable treatment option for many patients experiencing suicidal crises. These centers are staffed by an array of clinicians with varied professional backgrounds and clinical preferences. Thus, some treatments may hold greater flexibility and potential for broad implementation than others. In various settings, the Collaborative Assessment and Management of Suicidality (CAMS) has served as an effective and flexible therapeutic framework. Research on the Suicide Status Form (SSF)—a central component of the CAMS-based assessment process—has not been previously performed with adults in Crisis Stabilization Center settings in the USA. Aggregate data from a cross section of 61 residential Crisis Stabilization Center consumers who completed SSFs as part of the CAMS-based assessment process were analyzed. Analyses examined self-reported SSF Core Assessment constructs associated with suicidality and self-reported suicide risk. Statistically significant decreases in suicide related SSF Core Assessment construct ratings from initial to outcome time point were observed. There were also statistically significant correlations between change in each individual SSF Core Assessment variable and change in self-reported suicide risk over treatment. Initial SSF Core Assessment ratings together significantly predicted both change in self-reported suicide risk and outcome self-reported suicide risk. These findings highlight the utility of the CAMS approach and SSF Core Assessment variables within USA adult Crisis Stabilization Center consumers experiencing suicidality. Clinical implications and opportunities for future research are discussed.



中文翻译:

危机稳定中心消费者对自杀状态反应的档案研究

自杀是美国(美国)持续的主要死亡原因。在采取分步护理方法之后,危机稳定中心将自己定位为许多遭受自杀危机的患者的可行治疗选择。这些中心配备了具有不同专业背景和临床偏爱的各种临床医生。因此,与其他疗法相比,某些疗法可能具有更大的灵活性和更大的实施潜力。在各种情况下,自杀性的协作评估和管理(CAMS)已成为一种有效而灵活的治疗框架。自杀状态表(SSF)(基于CAMS的评估过程的重要组成部分)的研究以前尚未在美国的危机稳定中心设置中与成年人一起进行。分析了来自61个住宅危机稳定中心消费者的横截面的汇总数据,这些消费者在基于CAMS的评估过程中完成了SSF。分析检查了与自杀和自我报告的自杀风险相关的自我报告的SSF核心评估架构。从最初到结局的时间点,与自杀有关的SSF核心评估构建评分的统计显着下降。在每个个体SSF核心评估变量的变化与自我报告的自杀风险随治疗的变化之间也存在统计学上的显着相关性。最初的SSF核心评估评分共同预测了自我报告的自杀风险和结局自我报告的自杀风险的变化。这些发现突出了CAMS方法和SSF核心评估变量在具有自杀倾向的美国成年危机稳定中心消费者中的效用。讨论了临床意义和未来研究的机会。

更新日期:2021-03-14
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