CAMS-BI vs Safety Planning for Suicidal Thoughts in Youth
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests two approaches to support teens hospitalized for suicidal thoughts or attempts. The first approach, Collaborative Assessment and Management of Suicidality-Brief Intervention (CAMS-BI), aims to understand and address the reasons behind suicidal thoughts. The second, Stanley-Brown Safety Planning Intervention (SPI), provides practical plans to ensure safety. The trial seeks to determine which method more effectively reduces hospital readmissions and improves the well-being and safety of these teens after discharge. Teens aged 12-17 who have been hospitalized for suicidal thoughts and speak English may be suitable for this study. Participants will receive close monitoring and support for 90 days post-discharge. As an unphased trial, this study presents a unique opportunity to contribute to research that could enhance care for teens facing similar challenges.
Do I have to stop taking my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research has shown that the Collaborative Assessment and Management of Suicidality-Brief Intervention (CAMS-BI) is generally well-received. This evidence-backed approach helps reduce suicidal thoughts and attempts. Patients collaborate closely with healthcare providers to understand and address the reasons behind their suicidal feelings. This method effectively stabilizes patients with serious self-harm thoughts, often in just a few therapy sessions.
The Stanley-Brown Safety Planning Intervention (SPI) focuses on creating a plan to keep individuals safe. Studies have demonstrated that this approach can significantly reduce suicidal behavior. Participants learn to use coping strategies and support systems to manage their thoughts and feelings. This intervention has been linked to fewer suicidal thoughts and better stress management.
Both CAMS-BI and SPI assist people in a suicidal crisis. They offer structured support to reduce immediate risk and help individuals find safer ways to handle their feelings. Both methods have proven safe, with no significant negative effects reported.12345Why are researchers excited about this trial?
Researchers are excited about the CAMS-BI and Stanley-Brown Safety Planning Intervention because they offer innovative approaches to managing suicidal thoughts in youth. While most traditional treatments involve medication or long-term therapy, CAMS-BI is a brief, collaborative intervention that focuses on understanding and managing the patient's specific reasons for living and dying. The Stanley-Brown Safety Planning Intervention, on the other hand, provides a structured plan that patients can use in moments of crisis, emphasizing immediate safety and problem-solving. These methods are distinct because they prioritize patient engagement and empowerment, potentially offering faster and more personalized support compared to standard care options like medication or hospitalization.
What evidence suggests that this trial's treatments could be effective for suicidal thoughts in youth?
This trial will compare the effectiveness of two interventions for suicidal thoughts in youth: the Collaborative Assessment and Management of Suicidality-Brief Intervention (CAMS-BI) and the Stanley-Brown Safety Planning Intervention (SPI). Research shows that CAMS-BI reduces suicidal thoughts and attempts by focusing on understanding why someone feels suicidal and working collaboratively to address these feelings. Studies have found that people using CAMS-BI often develop better relationships with their therapists and are less likely to attempt suicide soon after treatment.
The Stanley-Brown Safety Planning Intervention (SPI) has also proven effective in reducing suicidal thoughts and behaviors. It provides a clear plan with coping strategies and helps identify warning signs to improve safety. People with safety plans often develop better coping skills and experience less distress related to suicide.
Both interventions in this trial aim to improve short-term outcomes for high-risk youth by focusing on immediate safety or addressing underlying issues.12346Who Is on the Research Team?
Tatiana Falcone, M.D.
Principal Investigator
The Cleveland Clinic
Are You a Good Fit for This Trial?
This trial is for adolescents aged 12-17 who are hospitalized due to suicidal thoughts or suicide attempts. Participants must be able to take part in a single-session intervention during their hospital stay.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either CAMS-BI or SPI intervention during inpatient hospitalization
Follow-up
Participants are monitored for safety and effectiveness after treatment with follow-ups at 30, 60, and 90 days post-discharge
What Are the Treatments Tested in This Trial?
Interventions
- Collaborative Assessment and Management of Suicidality-Brief Intervention (CAMS-BI)
- Stanley-Brown Safety Planning Intervention (SPI)
Trial Overview
The study compares two brief, one-time interventions: CAMS-BI (a collaborative therapy focused on understanding and managing suicidality) versus the Stanley-Brown Safety Planning Intervention (which creates a practical safety plan). Participants are randomly assigned to either group.
How Is the Trial Designed?
2
Treatment groups
Active Control
Participants randomized to Stanley Brown Safety Plan
Participants randomized to receive CAMS-BI intervention
Find a Clinic Near You
Who Is Running the Clinical Trial?
The Cleveland Clinic
Lead Sponsor
Citations
Youth Suicide Prevention: CAMS-BI vs. Safety Planning in ...
This study seeks to address that gap by comparing the effectiveness of the Collaborative Assessment and Management of Suicidality-Brief ...
Collaborative Assessment and Management of Suicidality for ...
This pilot open trial examined the feasibility, acceptability, and preliminary outcomes of the Collaborative Assessment and Management of Suicidality for ...
CAMS-care: Evidence-Based Suicide Treatment
The Collaborative Assessment and Management of Suicidality (CAMS) is an evidence-based approach to treating people suffering from serious thoughts of self-harm.
The Collaborative Assessment and Management of ...
CAMS is shown to work best with the largest population, the 15 million Americans with serious thoughts of suicide. The CAMS Framework® is first and foremost a ...
The Collaborative Assessment and Management of ...
CAMS patients rated the therapeutic relationship significantly better (p = 0.02) than E-TAU patients and were less likely to attempt suicide within 4 weeks ...
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bridges4mentalhealth.org
bridges4mentalhealth.org/hub/crisis-response-and-suicide-prevention/collaborative-assessment-and-management-of-suicidality-cams/Collaborative Assessment and Management of Suicidality ...
CAMS is a treatment approach that meaningfully reduces suicidal thoughts and attempts. It is evidence-based. The provider and patient collaborate using tools ...
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