A systematic review of efficacy of Collaborative Assessment and Management of Suicidality (CAMS) in managing suicide risk and deliberate self-harm in adult populations

2019 ◽  
Vol 27 (6) ◽  
pp. 559-564 ◽  
Author(s):  
Donal Hanratty ◽  
Jan Kilicaslan ◽  
Helen Wilding ◽  
David Castle
Keyword(s):  
Systematic Review ◽  
Suicide Risk ◽  
Limited Evidence ◽  
Deliberate Self Harm ◽  
Collaborative Assessment ◽  
Self Harm ◽  
Suicidal Patients

Objective: Evaluate the efficacy of Collaborative Assessment and Management of Suicidality (CAMS) in managing suicide risk and deliberate self-harm in adults. Methods: Ten databases were searched for publications referring to CAMS or the Suicide Status Form. Results were evaluated by two reviewers. Results: Limited evidence that CAMS is effective in reducing suicide risk and deliberate self-harm in adult populations. Conclusions: Although CAMS appears to show promise in managing suicidal patients across a range of measures, further evidence is needed to clarify its efficacy in managing suicide risk and deliberate self-harm.

scholarly journals Repetition of deliberate self-harm and subsequent suicide risk: Long-term follow-up study of 11 583 patients

2004 ◽  
Vol 185 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Daniel Louis Zahl ◽  
Keith Hawton
Keyword(s):  
Relative Risk ◽  
Suicide Risk ◽  
Single Episode ◽  
Deliberate Self Harm ◽  
Young Females ◽  
Follow Up Study ◽  
Increased Risk ◽  
Self Harm

BackgroundRepetition of deliberate self-harm (DSH) is a risk factor for suicide. Little information is available on the risk for specific groups of people who deliberately harm themselves repeatedly.AimsTo investigate the long-term risk of suicide associated with repetition of DSH by gender, age and frequency of repetition.MethodA mortality follow-up study to the year 2000 was conducted on 11583 people who presented to the general hospital in Oxford between 1978 and 1997. Repetition of DSH was determined from reported episodes prior to the index episode and episodes presenting to the same hospital during the follow-up period. Deaths were identified through national registers.ResultsThirty-nine percent of patients repeated the DSH. They were at greater relative risk of suicide than the single-episode DSH group (2.24; 95% CI 1.77–2.84). The relative risk of suicide in the repeated DSH group compared with the single-episode DSH group was greater in females (3.5; 95% C11.3–2.4) than males (1.8; 95% C1 2.3–5.3) and was inversely related to age (up to 54 years). Suicide risk increased further with multiple repeat episodes of DSH in females.ConclusionsRepetition of DSH is associated with an increased risk of suicide in males and females. Repetition may be a better indicator of risk in females, especially young females.

Psychiatry

2012 ◽  
pp. 601-629
Author(s):  
Jonathan P. Wyatt ◽  
Robin N. Illingworth ◽  
Colin A. Graham ◽  
Kerstin Hogg ◽  
Michael J. Clancy ◽  
...  
Keyword(s):  
Mental State ◽  
Suicide Risk ◽  
Psychiatric Interview ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
State Examination ◽  
Psychiatric Problems

Approach to psychiatric problems 602 Glossary of psychiatric terms 603 The psychiatric interview 604 Mental state examination 606 The aggressive patient: background 608 Safe consultations with potentially violent patients 609 Managing aggression 610 Emergency sedation of a violent patient 611 Deliberate self-harm 612 Assessment of suicide risk ...

Risk factors and correlates of deliberate self-harm behavior: A systematic review

2009 ◽  
Vol 66 (6) ◽  
pp. 477-493 ◽  
Author(s):  
Herbert Fliege ◽  
Jeong-Ran Lee ◽  
Anne Grimm ◽  
Burghard F. Klapp
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Deliberate Self Harm ◽  
Self Harm

Schizophrenia and Deliberate Self-Harm: A Systematic Review of Risk Factors

2005 ◽  
Vol 35 (1) ◽  
pp. 50-62 ◽  
Author(s):  
Camilla Haw ◽  
Keith Hawton ◽  
Lesley Sutton ◽  
Julia Sinclair ◽  
Jonathan Deeks
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Deliberate Self Harm ◽  
Self Harm

scholarly journals The Association between Deliberate Self-Harm and School Bullying Victimization and the Mediating Effect of Depressive Symptoms and Self-Stigma: A Systematic Review

2018 ◽  
Vol 2018 ◽  
pp. 1-36 ◽  
Author(s):  
Maria N. K. Karanikola ◽  
Anne Lyberg ◽  
Anne-Lise Holm ◽  
Elisabeth Severinsson
Keyword(s):  
Systematic Review ◽  
Depressive Symptoms ◽  
Cohort Studies ◽  
School Bullying ◽  
Mediating Effect ◽  
Bullying Victimization ◽  
Cross Sectional ◽  
Deliberate Self Harm ◽  
Self Injury ◽  
Self Harm

Background. Identifying deliberate self-harm in the young and its relationship with bullying victimization is an important public health issue. Methods. A systematic review was performed to explore evidence of the association between deliberate self-harm and school bullying victimization in young people, as well as the mediating effect of depressive symptoms and self-stigma on this association. An advanced search in the following electronic databases was conducted in January 2018: PubMed/Medline; CINAHL; PsycINFO; PsycARTICLES; Science Direct; Scopus, and Cochrane Library. Studies that fulfilled the inclusion criteria were further assessed for their methodological integrity. The Norwegian Knowledge Centre for Health Services tool was applied for cross-sectional studies and the Critical Appraisal Skills Programme instrument for the cohort studies. Only empirical quantitative studies published in the English language in peer reviewed journals during the last decade (2007-2018) aimed at exploring the association between deliberate self-harm and school bullying victimization in community-based schoolchildren with a mean age of under 20 years were included. Results. The reviewed cross-sectional and cohort studies (22) revealed a positive association between school bullying victimization and deliberate self-harm, including nonsuicidal self-injury, which remained statistically significant when controlled for the main confounders. The mediating role of depressive symptoms in the association between deliberate self-harm and school bullying victimization was confirmed. A dose-response effect was shown in the association between nonsuicidal self-injury and school bullying victimization, whilst the mediating effect of depressive symptoms needs to be further explored. No studies were found directly exploring the mediating effect of self-stigma in the association between deliberate self-harm and bullying victimization. Conclusion. Targeted interventions aimed at eliminating victimization behaviours within the school context are therefore proposed, as well as interventions to promote healthy parenting styles for the parents of schoolchildren. Moreover, school healthcare professionals should screen students involved in bullying for self-injury, and vice versa.

Factors that influence emergency department doctors?? assessment of suicide risk in deliberate self-harm patients

2003 ◽  
Vol 10 (4) ◽  
pp. 283-287 ◽  
Author(s):  
Jayne B. Cooper ◽  
Martin P. Lawlor ◽  
Urara Hiroeh ◽  
Navneet Kapur ◽  
Louis Appleby
Keyword(s):  
Emergency Department ◽  
Suicide Risk ◽  
Deliberate Self Harm ◽  
Self Harm

scholarly journals The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review

F1000Research ◽  
2021 ◽  
Vol 9 ◽  
pp. 1097
Author(s):  
Ann John ◽  
Emily Eyles ◽  
Roger T. Webb ◽  
Chukwudi Okolie ◽  
Lena Schmidt ◽  
...  
Keyword(s):  
Systematic Review ◽  
Suicidal Behaviour ◽  
Suicide Risk ◽  
Research Evidence ◽  
Inclusion Criteria ◽  
Suicidal Thoughts ◽  
Cross Sectional ◽  
Self Harm ◽  
Cross Sectional Studies ◽  
The Impact

Background: The COVID-19 pandemic has caused considerable morbidity, mortality and disruption to people’s lives around the world. There are concerns that rates of suicide and suicidal behaviour may rise during and in its aftermath. Our living systematic review synthesises findings from emerging literature on incidence and prevalence of suicidal behaviour as well as suicide prevention efforts in relation to COVID-19, with this iteration synthesising relevant evidence up to 19th October 2020. Method:  Automated daily searches feed into a web-based database with screening and data extraction functionalities. Eligibility criteria include incidence/prevalence of suicidal behaviour, exposure-outcome relationships and effects of interventions in relation to the COVID-19 pandemic. Outcomes of interest are suicide, self-harm or attempted suicide and suicidal thoughts. No restrictions are placed on language or study type, except for single-person case reports. We exclude one-off cross-sectional studies without either pre-pandemic measures or comparisons of COVID-19 positive vs. unaffected individuals. Results: Searches identified 6,226 articles. Seventy-eight articles met our inclusion criteria. We identified a further 64 relevant cross-sectional studies that did not meet our revised inclusion criteria. Thirty-four articles were not peer-reviewed (e.g. research letters, pre-prints). All articles were based on observational studies. There was no consistent evidence of a rise in suicide but many studies noted adverse economic effects were evolving. There was evidence of a rise in community distress, fall in hospital presentation for suicidal behaviour and early evidence of an increased frequency of suicidal thoughts in those who had become infected with COVID-19. Conclusions:  Research evidence of the impact of COVID-19 on suicidal behaviour is accumulating rapidly. This living review provides a regular synthesis of the most up-to-date research evidence to guide public health and clinical policy to mitigate the impact of COVID-19 on suicide risk as the longer term impacts of the pandemic on suicide risk are researched.

Sign in / Sign up

Export Citation Format

Share Document