Managing Suicidal Risk

Second Edition
A Collaborative Approach

David A. Jobes
Foreword by Marsha M. Linehan

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August 15, 2016
ISBN 9781462533657
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270 Pages
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August 16, 2016
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The Collaborative Assessment and Management of Suicidality (CAMS) approach has garnered a strong evidence base and has been implemented by thousands of therapists from a range of orientations in diverse clinical settings. This extensively revised manual provides a proven therapeutic framework for evaluating suicidal risk and developing and implementing a suicide-specific treatment plan that is respectful, empathic, and empowering. In addition to their clinical utility, the procedures used for assessment, treatment, and progress monitoring within CAMS can help reduce the risk of malpractice liability. In a large-size format for easy photocopying, the book includes all needed reproducible tools for implementing CAMS, including the Suicide Status Form-4. Purchasers also get access to a Web page where they can download and print the reproducible materials. For CAMS training opportunities with David A. Jobes, visit www.cams-care.com.

New to This Edition

“This book is indubitably a masterpiece and ought to benefit providers and patients alike....Those of us who, due to the nature of our practice or preference, can see the patients along the continuum—from inpatient to outpatient care—will gain a lot from this book.”

Journal of Clinical Psychiatry (on the first edition)


“User-friendly....This manual packs quite a wallop for a book so deceptively easy to read. It is a genuine advance in the state of the art and science of suicide prevention.”

PsycCRITIQUES (on the first edition)


“An essential addition to any clinician's repertoire of books, especially for those interested in working with depressed clients. The success of the CAMS framework and what sets it apart from other treatment approaches is the emphasis placed on understanding the broader, underlying issues at the core of the suicidal patient. Jobes provides an alternative approach instead of the traditional focus on suicidal ideation as a symptom of a broader psychopathology. Moreover, it is clear that Jobes speaks from a scientist-practitioner perspective as evidenced by his extensive knowledge and activity in suicide research as well as by his personal case examples. Jobes successfully provides the clinician with the light needed to help those individuals who have been trapped by the darkness of suicide.”

Journal of Contemporary Psychotherapy (on the first edition)


“David Jobes, an expert in the field of suicidology, offers an innovative method of approaching...assessment, treating, and tracking outcomes with suicidal individuals....The text is likely to resonate with a wide variety of clinicians, from the novice to the expert with years of experience.”

Bulletin of the Menninger Clinic (on the first edition)


“CAMS dramatically decreases suicidal ideation and overall symptom distress while increasing hope, patient satisfaction, and retention to clinical care.…We suicidologists believe suicidal people must be meaningfully understood, appreciated, and given particular skills to find their way in life. This book is a major contribution in this singular pursuit.”

—from the Foreword by Marsha M. Linehan, PhD, ABPP, Professor and Director, Behavioral Research and Therapy Clinics, University of Washington


“There are few books that I recommend hands-down as 'must reads' for all behavioral health clinicians—this is one of them. In this second edition, Jobes has succeeded in summarizing a prolific 30-year clinical research career in suicidology into a can’t-put-it-down, novel-like professional resource. The evidence-based CAMS approach in this book has saved lives and will continue to save the lives of patients at high risk for suicide.”

—Alan L. Peterson, PhD, ABPP, Aaron and Bobbie Elliott Krus Endowed Chair in Psychiatry, University of Texas Health Science Center at San Antonio


“This book provides powerful, evidence-based tools for engaging patients and managing the situations that tend to unnerve clinicians the most. CAMS offers a way for clinician and patient to work as a team using the self-identified drivers of distress in the patient’s language. The approach is refreshingly patient-centered and collaborative—the way most clinicians wish they could work. It allows the clinician to be courageous, honest, and to relinquish the illusion of control, while having a potentially life-saving impact. Crossing any lines of theoretical orientation, CAMS can be readily implemented 'in the trenches.' I hope this fantastic book becomes a cornerstone in every clinical training program in the mental health disciplines.”

—Christine Moutier, MD, Chief Medical Officer, American Foundation for Suicide Prevention


“CAMS is a prominent feature of the clinical landscape of therapeutics for suicidality. The second edition of this manual is an eagerly awaited update that reflects significant research advances, making it an essential addition to the modern clinician's toolbox. CAMS is effective, and, crucially, it is well liked by both patients and clinicians. This book offers an articulate and practical account of a leading therapy.”

—Thomas Joiner, PhD, The Robert O. Lawton Distinguished Professor of Psychology, Florida State University


“Jobes is one of the leading forces in suicide prevention, whose ideas and thinking have led to untold advances. The influence of CAMS can be seen within all of today's most established approaches to reducing suicidal behavior. Flipping through the well-worn pages of my copy of the first edition of Managing Suicidal Risk, I didn't think it would be possible to improve upon it. But true to form, Jobes has knocked it out of the park. This second edition synthesizes our rapidly expanding knowledge of safe and effective care for suicidal patients. It is an essential tool for any clinician.”

—Craig J. Bryan, PsyD, ABPP, Department of Psychology and National Center for Veterans Studies, University of Utah


“It is not uncommon for people who are considering suicide to interact with medical and/or mental health clinicians in the months leading up to an attempt. The CAMS framework provides a flexible and thorough structure for new and seasoned social workers to thoroughly assess and intervene with suicidal clients. By incorporating Managing Suicidal Risk, Second Edition, into our direct practice curriculum, it is my hope that all of our graduates will feel prepared to assess and treat suicidality.”

—Jonathan Kratz, MSW, LCSW, Clinical Assistant Professor, Anne and Henry Zarrow School of Social Work, University of Oklahoma
Table of Contents

1. Collaborative Assessment and Management of Suicidality: A Suicide-Specific Intervention within Contemporary Health Care

2. The SSF and the Evolution of CAMS

3. Systems of Clinical Care and Optimizing the Use of CAMS

4. CAMS Risk Assessment: The Collaborative Use of the SSF

5. CAMS Treatment Planning: Coauthoring a Suicide-Specific Treatment Plan

6. CAMS Interim Sessions: Tracking Suicide Risk Assessments and Treatment Plan Updates

7. CAMS Clinical Outcomes and Disposition: Lessons in Living and Postsuicidal Life

8. CAMS as a Means of Decreasing Malpractice Liability

9. CAMS Adaptations and Future Developments

Epilogue

Appendix A. CAMS Suicide Status Form–4 (SSF-4): Initial Session, Tracking/Update Interim Session, Outcome/Disposition Final Session

Appendix B. Coding Manual for the SSF Core Assessment Scales: Qualitative Assessment

Appendix C. Coding Manual for SSF Reasons for Living versus Reasons for Dying

Appendix D. Coding Manual for the SSF One-Thing Response

Appendix E. CAMS Therapeutic Worksheet: Understanding Your Suicidality

Appendix F. CAMS Rating Scale (CRS.3)

Appendix G. Frequently Asked Questions about CAMS

Appendix H. Complete CAMS Case Example of Bill


About the Author

David A. Jobes, PhD, ABPP, is Professor of Psychology and Associate Director of Clinical Training at The Catholic University of America. He is also Adjunct Professor of Psychiatry in the School of Medicine at the Uniformed Services University of the Health Sciences. With research interests in suicidology for over 30 years, he has published extensively in the field and routinely conducts professional training in clinical suicidology, professional ethics, and risk management. Dr. Jobes has served as a consultant to the Department of Defense, Veterans Affairs, the Centers for Disease Control and Prevention, and the Institute of Medicine of the National Academy of Sciences. A past president of the American Association of Suicidology (AAS), he serves on the Scientific Council and Public Policy Council of the American Foundation for Suicide Prevention. His work has been recognized with the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior and the Louis I. Dublin Award for Career Contribution to Suicide Prevention from the AAS, among other honors. Dr. Jobes is a Fellow of the American Psychological Association and is board certified in clinical psychology. He maintains a private clinical and forensic practice in Washington, DC.
Audience

Clinical psychologists, psychiatrists, clinical social workers, counselors, and psychiatric nurses.
Serves as a supplemental text in graduate-level courses.
Previous editions published by Guilford:

First Edition, © 2006
ISBN: 9781593853273
New to this edition: