After Your Child’s Suicide Attempt

What to Do After Your Child’s Suicide Attempt — and How CAMS-Care Can Help

When a child has attempted suicide, the days and weeks that follow are often filled with fear, confusion, guilt, and uncertainty. Many parents describe feeling overwhelmed — unsure of what to say, what to do next, or how to help their child begin to heal. The video Parents to Parents: After Your Child’s Suicide Attempt was created to speak directly to these very real experiences, offering guidance from both clinicians and other parents who have walked this difficult path.

This guidance aligns with principles from the Zero Suicide Initiative, an organization that offers evidence-based, suicide prevention consultation and guidance. Research on the Zero Suicide Framework shows that care is improved (individually and at a system level) when it is proactive, collaborative, and specifically focused on suicide risk rather than general mental health alone.

The video linked at the bottom of this page can help parents understand what recovery actually looks like after an attempt: how to talk with their child, how to create safety, and how to partner with clinicians in a structured and hopeful way during a frightening time.

1. Acknowledge the Emotional Impact

First and foremost, it’s important for caregivers to recognize and validate their own emotions. Guilt, fear, anger, panic, numbness, and even relief can all coexist in the aftermath of a suicide attempt. These feelings are understandable — and common.

The video underscores that, while it can feel isolating, parents are not alone, and their reactions are shared by many families who have survived this crisis.

2. Understand What Comes Next

After the immediate medical response (emergency care, hospitalization if needed), the focus shifts to support and safety. This includes:

  • Co-creating a safe home environment by removing/securing or reducing access to potential means of harm.
  • Engaging with clinicians and mental health providers to initiate follow-up care, including therapy and psychiatric support.
  • Listening openly to your child’s feelings and thoughts without judgment, and letting them know they are loved, valued, and safe. The film encourages parents to learn what signs to watch for, how to talk about the attempt with their child, and how to make mental health care accessible.

3. Seek Evidence-Based Suicide-Focused Care

One essential piece in a child’s recovery journey is accessing evidence-based therapeutic approaches that focus specifically on suicidality rather than general mental health management alone. One such model is the Collaborative Assessment and Management of Suicidality (CAMS) — often referenced in suicide care communities and clinical settings.

CAMS is a suicide-specific treatment framework that actively involves the young person in identifying what is “driving” their suicidal thinking and collaboratively building a plan to address those drivers. It’s not a rote checklist; it’s a flexible, empathic approach where the clinician and child (or family) work together to:

  • Assess suicidal risk in depth
  • Create personalized safety and stabilization plans
  • Build treatment beyond safety and stability that moves teens towards lives they find worth living
  • Track progress and adapt care as needed

This model has been supported by research showing reductions in suicidal ideation, hopelessness, and distress, and improved engagement with care — all critical in the period after an attempt.

CAMS-4Teens® is a framework in which a clinician works with the parents to keep the home safe and provide guidance on how best to support your child through a course of CAMS treatment( typically six to 8 one-hour sessions) using the Stabilization Support Plan (CAMS-4Teens: Working with Parents).

Parents can locate a CAMS Trained™ clinician in their area using the CAMS‑care Clinician Locator.

4. Build a Support Team Around Your Child

Recovery is rarely a solo journey. The video highlights the value of connecting with both professional and community support — including family therapists, school counselors, peer support groups, and other caregivers who understand the experience. Parents who have been there often say that having someone to talk to — whether a trained provider or another parent who has survived similar circumstances — can make all the difference.

5. Maintain Hope and Patience 

Perhaps the most crucial message is one of hope. While a suicide attempt is a serious and frightening event, it does not mean a child is beyond help or that recovery isn’t possible. With appropriate care, safety planning, ongoing support, and open, compassionate treatment and communication, many families find their way back to stability and connection. Over time, parents and children can work toward healing together — learning new ways to cope, to stay connected, and to build a future worth living.

Please visit Supporting Parents | Zero Suicide where the film can be viewed in chapters and there are additional resources for healthcare providers, faith leaders, and schools.

Healthcare System-based Case Formulation of Suicide Events after Acute Care

This presentation will focus on exploring foundational principles of healthcare system-based case formulation using the Exploratory, Preparation, Implementation, and Sustainment (EPIS) implementation science model. Learners will develop skills for applying the formulation approach to identify the proximal and distal causes of process failure within health systems that lead to adverse suicide-related events.

Edwin Boudreaux, PhD

About Edwin Boudreaux Ph.D.

Edwin D. Boudreaux, PhD, is a clinical health psychologist with a significant focus on suicide prevention and intervention. He holds the position of Professor of Emergency Medicine, Psychiatry, and Population and Quantitative Health Sciences at the UMass Chan Medical School. Dr. Boudreaux is also the Vice Chair of Research for the Department of Emergency and Co-Director of the Center for Accelerating Practice to End Suicide (CAPES).
He received his undergraduate education at the University of Louisiana and earned his PhD from Louisiana State University, where he studied health psychology. He completed his internship at the Medical University of South Carolina, specializing in addiction treatment. Dr. Boudreaux is licensed as a clinical psychologist in Massachusetts and has a strong background in integrating behavioral health across various medical settings, including emergency medicine, inpatient, and primary care.

 

David A. Jobes, PhD

About David A. Jobes Ph.D. ABPP

David Jobes, PhD, ABPP, is the founder of CAMS-care, LLC. He began his career in 1987 in the Counseling Center of the Catholic University of America, where he developed a suicide risk assessment tool for college students that evolved into CAMS. Dr. Jobes is now a Professor of Psychology and Associate Director of Clinical Training at Catholic; he has trained thousands of mental health professionals in the United States and abroad in evidence-based assessment and treatment of suicide risk and the use of CAMS.

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Modeling the Complexity of Suicide and Self-Harm using Computational Clinical Science

Mental disorders are incredibly complex, heterogeneous, and dynamic phenomena. Dr. Wang’s research aims to develop and harness novel methods that can capture and model this complexity, with a focus on suicide and other forms of self-harm. In this talk, Dr. Wang first presents a series of studies investigating why people engage in self-harming behaviors by identifying their reinforcement functions, which has also helped test and revise fundamental assumptions about the nature of these behaviors. Second, Shirley describes her data-driven computational work, which harnesses machine learning and real-time monitoring to predict who is at risk for suicide and self-harm and when risk is highest. Third, she discusses her theory-driven computational work investigating how suicide and self-harm arise by building formal mathematical models of these phenomena as complex dynamical systems. Finally, Dr. Wang outlines future directions for her research, which will continue integrating methods from clinical science, machine learning, and mathematical modeling to advance the understanding, prediction, and prevention of suicide and self-harm.

Shirley B. Wang, Ph.D.

About Shirley B. Wang, Ph.D.

Shirley B. Wang, Ph.D. is an Assistant Professor in the Department of Psychology at Yale University, where she directs the Computational Clinical Science Lab. She received her BA from The College of New Jersey (2017) and her PhD from Harvard University (2024). Her research aims to develop and harness methods that can capture and model the immense complexity of psychopathology, including mathematical, computational, and intensive longitudinal methods. She is particularly interested in why people engage in self-destructive behaviors, including suicide, nonsuicidal self-injury, and eating disorders. Dr. Wang’s work has been funded by the National Institutes of Health, the National Science Foundation, several private foundations, and published in over 50 scientific papers and book chapters. Her research and mentorship has also been recognized through the receipt of several awards, and she was recently listed as one of Forbes’ 30 Under 30 in Healthcare.

 

David A. Jobes, PhD

About David A. Jobes Ph.D. ABPP

David Jobes, PhD, ABPP, is the founder of CAMS-care, LLC. He began his career in 1987 in the Counseling Center of the Catholic University of America, where he developed a suicide risk assessment tool for college students that evolved into CAMS. Dr. Jobes is now a Professor of Psychology and Associate Director of Clinical Training at Catholic; he has trained thousands of mental health professionals in the United States and abroad in evidence-based assessment and treatment of suicide risk and the use of CAMS.

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Public Health Approaches to Suicide Prevention

Because of our rising suicide rate, the United States Surgeon General, Vivek Murthy, called mental health the “defining health crisis of our time.” Despite many countries having had suicide prevention strategies for decades, we see a general lack of investment with suicide rates increasing in many settings and suicide-related inequities. The majority of people who die by suicide were not engaged in mental health services in the months before their deaths. This indicates the need to also advance a public health approach to suicide rather than primarily relying on the crisis and mental health systems for suicide prevention. Suicide prevention approaches must be engaging, culturally relevant and meet people where they are by spanning multiple community service sectors (e.g., schools, colleges/universities, healthcare, justice system, child welfare, etc.) and social media. The epidemiology of suicide, risk factors for suicide, the national context, and suicide research evidence are shifting which could point to possible new directions for suicide prevention.

Holly Wilcox, PhD

About Holly Wilcox Ph.D.

Dr. Holly Wilcox is founder and Director of the Johns Hopkins Center for Suicide Prevention. She is also a Professor in the Department of Mental Health at the Johns Hopkins Bloomberg School of Public Health with joint appointments in the Department of Health Policy and Management as well as the schools of medicine and education.  Holly uses research to advance public health approaches to suicide prevention, including policies, early intervention, and chain of care approaches. Holly serves as President of the International Academy of Suicide Research (IASR), on the national board of the American Foundation for Suicide Prevention (AFSP), and as a consultant on suicide prevention for the WHO.

 

David A. Jobes, PhD

About David A. Jobes Ph.D. ABPP

David Jobes, PhD, ABPP, is the founder of CAMS-care, LLC. He began his career in 1987 in the Counseling Center of the Catholic University of America, where he developed a suicide risk assessment tool for college students that evolved into CAMS. Dr. Jobes is now a Professor of Psychology and Associate Director of Clinical Training at Catholic; he has trained thousands of mental health professionals in the United States and abroad in evidence-based assessment and treatment of suicide risk and the use of CAMS.

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New Directions in Suicide Safety Planning: The Project Life Force (PLF) Intervention

Dr. Goodman describes the development and testing of a novel treatment – “Project Life Force (PLF)” – which combines aspects of two evidence based treatments: Suicide Safety Planning and Dialectical Behavior Therapy Skills. The intervention is delivered in a group format and virtually since the pandemic. PLF framework, clinical data and implementation efforts were reviewed.

Marianne Goodman, PhD

Marianne Goodman, MD

Dr. Goodman has been a full time VA clinician (psychiatrist)-scientist at the James J. Peters VA Medical Center (JJPVA) for twenty-five years. In addition to being the Director of the VISN 2 Mental Illness, Research, Education, Clinical Center (MIRECC), she was the Director and developer of the JJPVA Dialectical Behavioral Therapy (DBT) Clinical and Research program from 2002-2015 and Director of the JJPVA Suicide Prevention Clinical Research Program from 2015-present. Her expertise is in the management of high risk suicidal and emotionally dysregulated Veterans and is considered one of the top suicide prevention experts in the VA system, actively involved in clinical care, research and education. Additionally, she has been the recipient of several prestigious awards for her involvement in suicide prevention and DBT treatment including the New York Federal Executive Employee Outstanding Individual Achievement Award for her Clinical DBT Program for Suicidal Veterans (2009), VISN 3 Network Director’s Achievement Award for Training VISN 3 Clinicians in DBT (2012), and the New York State Excellence in Suicide Prevention Award for Implementation of Zero Suicide in a Healthcare Setting (2018).
In 2015, she shifted her research direction to focus on treatment development for suicide prevention and designed “Project Life Force” (PLF) a novel group intervention that adapts DBT, combining emotion regulation skills with suicide safety planning and lethal means safety which was initially funded with a VA RR&D SPiRE pilot grant (2016-2018), and more recently funded with a multi-site VA RCT with a CSRD Merit (2018-2024). This intervention has moved to full telehealth delivery and with a 2021 SPRINT pilot award expanded to target populations of suicidal rural Veterans (PLF-RV). Dr. Goodman will present on her Project Life Force Intervention.

David A. Jobes, PhD

About David A. Jobes Ph.D. ABPP

David Jobes, PhD, ABPP, is the founder of CAMS-care, LLC. He began his career in 1987 in the Counseling Center of the Catholic University of America, where he developed a suicide risk assessment tool for college students that evolved into CAMS. Dr. Jobes is now a Professor of Psychology and Associate Director of Clinical Training at Catholic; he has trained thousands of mental health professionals in the United States and abroad in evidence-based assessment and treatment of suicide risk and the use of CAMS.

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Colorado’s Comprehensive Approach to Suicide Prevention: What’s Working

Colorado's Comprehensive Approach to Suicide Prevention: What's Working

Dr. Lena Heilmann, Director of the Colorado Office of Suicide Prevention (OSP), provided an overview of Colorado’s comprehensive approach to suicide prevention, including the programs OSP funds and leads; Colorado-specific suicide-related data and data systems; a deeper dive into the Colorado-National Collaborative and OSP’s emphasis on suicide-specific care; how OSP works to meet the needs of all Colorado communities, including priority populations that face unique challenges and barriers that can increase risk of suicide; how OSP funds its programs through braided fundings and federal grants; the Colorado Suicide Prevention Commission and collaborations with partners across the state through its five active workgroups covering the programs we run and fund through OSP; what a comprehensive approach is; what the CNC is; that we work to meet the needs of all Colorado communities, including priority populations; which federal grants we have and how we implement them; provide an overview of the Commission and workgroups; and show some Colorado-specific data.

Lena Heilmann, PhD

About Lena Heilmann, PhD

Lena Heilmann (she/hers), PhD, MNM, is the Director of the Colorado Office of Suicide Prevention (which is housed within CDPHE). The Office of Suicide Prevention’s mission is to serve as the lead entity for suicide prevention, intervention supports, and postvention efforts in Colorado, collaborating with communities statewide to reduce the number of suicide deaths and attempts. Lena leads a team of eleven people who are passionate about reducing the impact of suicide in Colorado. Lena leads suicide prevention responses to media inquiries, provides subject matter expertise to legislation, serves as the Co-Chair for the Suicide Prevention Commission, is accountable to meeting statutory mandates for the Office, and serves as PI on two SAMHSA grants: GLS Youth Suicide Prevention and Early Intervention and the National Strategy for Suicide Prevention. Lena is fiercely committed to equity in the Office’s approach to comprehensive suicide prevention and had led various initiatives to center community voice, lived experience, and to address disparities impacting Coloradans.

Lena’s passion for this work comes directly from her lived experience. In 2012, Lena lost her only sister Danielle to suicide. Lena’s world and identity shattered with the loss of her soulmate sister. In order to survive this traumatic grief and to honor her sister, Lena decided to leave her career as a German and Gender/Women’s Studies professor and turned to a life of suicide prevention. She connected with sibling suicide loss survivors and compiled a book-length collection of essays titled Still With Us: Voices of Sibling Suicide Loss Survivors, which the American Association of Suicidology (AAS) recognized by awarding Lena with the 2021 AAS Suicide Loss Survivor of the Year Award. Lena volunteers for the American Foundation for Suicide Prevention (AFSP)’s Healing Conversations program.

David A. Jobes, PhD

About David A. Jobes Ph.D. ABPP

David Jobes, PhD, ABPP, is the founder of CAMS-care, LLC. He began his career in 1987 in the Counseling Center of the Catholic University of America, where he developed a suicide risk assessment tool for college students that evolved into CAMS. Dr. Jobes is now a Professor of Psychology and Associate Director of Clinical Training at Catholic; he has trained thousands of mental health professionals in the United States and abroad in evidence-based assessment and treatment of suicide risk and the use of CAMS.

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2024 CAMS Update and Introducing CAMS Brief Intervention

2024 CAMS Update and Introducing CAMS Brief Intervention

In this suicide prevention month webinar, Dr. Jobes will discuss recent updates based on clinical trial research, clinical use of CAMS, and training developments related to CAMS. With five on-going randomized controlled trials and a series of recent publications, there is much news to report on all things CAMS. Dr. Jobes will then be joined by Dr. Ray Tucker who will present on the emerging use of CAMS as a single-session brief inpatient and/or emergency department intervention with promising preliminary evidence. There are now several new research efforts to replicate and extend early CAMS-BI™ findings. Join us for this exciting update and introduction to CAMS BI as a novel and much needed suicide-focused brief intervention.

David A. Jobes, PhD

About David A. Jobes Ph.D. ABPP

David Jobes, PhD, ABPP, is the founder of CAMS-care, LLC. He began his career in 1987 in the Counseling Center of the Catholic University of America, where he developed a suicide risk assessment tool for college students that evolved into CAMS. Dr. Jobes is now a Professor of Psychology and Associate Director of Clinical Training at Catholic; he has trained thousands of mental health professionals in the United States and abroad in evidence-based assessment and treatment of suicide risk and the use of CAMS.

Dr Raymond Tucker Headshot

About Dr. Raymond P. Tucker

Associate Professor of Psychology, Louisiana State University (LSU)
Clinical Assistant Professor of Psychiatry, Louisiana State University Health Sciences Center (LSUHSC)/Our Lady of the Lake (OLOL),
Raymond P. Tucker is a licensed clinical psychologist and associate professor of psychology at Louisiana State University. There he teaches undergraduate courses in psychology, graduate courses in clinical psychology, and founded the LSU Mitigation of Suicidal Behavior research laboratory. As a clinical assistant professor of psychology at LSUHSC/OLOL, he trains medical staff/students in suicide-specific evidence-based assessment and intervention protocols.

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Zero Suicide – Outcomes and Opportunities

Zero Suicide - Outcomes and Opportunities

The Zero Suicide model was launched in 2012 as part of the National Action Alliance for Suicide Prevention. Consistent with the National Strategy for Suicide Prevention, Zero Suicide called for improved suicide identification and care in health care systems and promoted use of evidence-based practices by health care providers. Seven core elements comprise the model: “Lead”, “Train”, and “Improve” are the structural components embedded throughout the system and necessary for change, success, fidelity, and continuous quality improvement. “Identify”, “Engage”, “Treat”, and “Transition” are clinical components of the model and define the care patients should receive. Despite evidence supporting each component, use of the full model within systems of care varies.

Over 38% of individuals have made a healthcare visit (e.g., primary care, emergency department, specialty care, etc.) within the week before their suicide attempt and 95% have had a healthcare visit within the preceding year. While this varies across race and ethnicity, these are clearly missed opportunities to identify and care for people at risk for suicide.

Seeing suicide as a never event forces the organization to use best practices, apply continuous quality improvement, and emphasize reducing errors while holding the system to account, not the individual. The clinical science of treating suicidality has evolved such that we now have several proven suicide-specific treatments with additional promising treatments in development. However, graduate programs, professional certification, and continuing education rarely focus on suicide-specific treatments as a competency for graduation or licensure and clinicians report a lack of comfort, confidence, and skill in delivering suicide care.

The Zero Suicide approach has demonstrated notable reductions in suicide and suicide behaviors as well as improvements to using evidenced-based practices. This webinar will describe the Zero Suicide model, discuss challenges, disparities, and opportunities regarding uptake of the unique components of the model, and share how organizations can get started on their Zero Suicide implementation efforts.

Julie Goldstein Grumet, PhD

Julie Goldstein Grumet, PhD

Julie is Vice President for Suicide Prevention Strategy and the Director of the Zero Suicide Institute at the Education Development Center. She provides strategic direction to health care systems to improve the identification and treatment for people at risk for suicide. She has collaborated on numerous grants and publications about systems-based approaches to suicide prevention. Julie’s primary responsibility is to advance the development, dissemination, and effective implementation of comprehensive suicide care practices in various settings. She has expertise in behavioral health transformation, state and local community suicide prevention, quality improvement, and the use of evidence-based practices for suicide care in clinical settings. Julie has a Ph.D. in Clinical Psychology from The George Washington University and lives in Silver Spring, MD.

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Stigma, Shame, and Suicide Webinar

Stigma, Shame, and Suicide On-Demand Webinar

The connection between stigma, shame, and suicide will be discussed, with a focus on not just understanding the importance of these challenges in clinical care, but what available empirical evidence suggests are the most effective ways to target stigma and shame in treatment. Simple, strategic, and effective interventions will be shared.

M. David Rudd, Ph.D., ABPP

About M. David Rudd, Ph.D., ABPP

M. David Rudd, Ph.D., ABPP is Distinguished University Professor of Psychology and President Emeritus at the University of Memphis. His undergraduate degree is from Princeton University and his doctoral degree from the University of Texas. As one of the developers of brief cognitive behavioral therapy for suicide prevention (BCBT-SP), he has published and cited extensively on the assessment, clinical management, and treatment of suicide risk. A recently completed RCT demonstrated the effectiveness of a modified BCBT-SP protocol with suicidal inpatients.

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Innovations in Clinical Suicide Prevention: 2023 CAMS Update and the 3rd Edition of “Managing Suicidal Risk”

Innovations in Clinical Suicide Prevention: CAMS Update and the 3rd Edition of "Managing Suicidal Risk” On-Demand Webinar

This webinar provides a major update on the use of CAMS focused on the third and final edition of “Managing Suicidal Risk: A Collaborative Approach” published by Guilford Press. This webinar delves into the latest research and tools presented in the new book, written for mental health clinicians dedicated to treating their patients experiencing serious thoughts of suicide.
Explore the key highlights of the new book, including the:

  • Updated Suicide Status Form (SSF-5) for comprehensive risk assessment and suicide-focused treatment
  • CAMS-4Teens®: Engaging parents and families in adolescent care using the new Stabilization Support Plan (SSP)
  • Exploration of post-suicidal life and the optional Living Status Form (LSF)
  • Further insights on CAMS driver-oriented treatment planning
  • Major revision of the CAMS Therapeutic Worksheet
  • Suicide Status Form is available digitally for telehealth and electronic health records

Don’t miss this opportunity to hear directly from Dr. Jobes during Suicide Prevention Awareness Month. Hosted by Dr. Kevin Crowley, clinical psychologist, private practitioner and CAMS Consultant.

 

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