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Whether across military branches, in both garrison and combat settings overseas, CAMS quickly and consistently reduces suicidal thoughts in military populations and decrease emergency department visits.

• Jobes, D. A., Comtois, K.A., Gutierrez, P. M., Brenner, L. A., Huh, D…..& Crow, B. (2017). A randomized controlled trial of the collaborative assessment and management of suicidality versus enhanced care as usual with suicidal soldiers. Psychiatry: Interpersonal and Biological Processes, 80, 339–356.
• Jobes, D. A., Wong, S. A., Conrad, A., Drozd, J. F., & Neal-Walden, T. (2005). The collaborative assessment and management of suicidality vs. treatment as usual: A retrospective study with suicidal outpatients. Suicide and Life-Threatening Behavior, 35, 483-497.

CAMS is widely used with teenagers experiencing suicidal thoughts and behaviors. CAMS-4Teens® is now a major focus of on-going CAMS research, including several randomized controlled trial studies.

• Anderson, A. R., Keyes, G. M. & Jobes, D. A. (2016). Understanding and treating suicidal risk in young children. Practice Innovations, 1, 3-19.
• Jobes, D. A., Vergara, G., Lanzillo, E., & Ridge-Anderson, A. (in press). The potential use of CAMS for suicidal youth: Building on epidemiology and clinical interventions. Children’s Health Care.

Overwhelming evidence supports the effective use of the CAMS Framework with adults experiencing suicidal thoughts and behaviors, including eight correlational/open clinical trials, four published randomized controlled trials, and one unpublished randomized controlled trial.

• Jobes, D. A. (2012). The collaborative assessment and management of suicidality (CAMS): An evolving evidence-based clinical approach to suicidal risk. Suicide and Life-Threatening Behavior, 42, 640-653.
• Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15, 243-250.

There is ongoing research to modify the CAMS Framework for children 4-12 experiencing suicidal thoughts and behaviors with a particular emphasis on engaging parental/family support and modifying terms and language based on development. Early clinical findings indicate that “CAMS-4Kids” could be effective, but comprehensive research is needed to optimize its application.

• Anderson, A. R., Keyes, G. M. & Jobes, D. A. (2016). Understanding and treating suicidal risk in young children. Practice Innovations, 1, 3-19.
• Jobes, D. A., Vergara, G., Lanzillo, E., & Ridge-Anderson, A. (in press). The potential use of CAMS for suicidal youth: Building on epidemiology and clinical interventions. Children’s Health Care.

Much of the empirical work supporting the use of CAMS has been conducted in community mental health treatment settings both in the United States as well as abroad.

• Andreasson, K., Krogh, J., Wenneberg, C., Jessen, H. K., Krakauer, K., Gluud, C., … & Nordentoft, M. (2016). Effectiveness of dialectical behavior therapy versus collaborative assessment and management of suicidality treatment for reduction of self-harm in adults with borderline —A randomized observer-blinded clinical trial. Depression and Anxiety, 33, 520-530.
• Comtois, K. A., Jobes, D. A., O’Connor, S., Atkins, D. C., Janis, K., Chessen, C., Landes, S. J., Holen, A., & Yuodelis Flores, C. (2011). Collaborative assessment and management of suicidality (CAMS): Feasibility trial for next-day appointment services. Depression and Anxiety, 28, 963-972.

CAMS has been used extensively in crisis center settings in the United States and around the world. Its flexibility and adaptability ensures its effective use for suicidal crisis patients.

• Jobes, D. A. (2016). Managing suicidal risk: A collaborative approach 2nd edition. New York: Guilford Press.
• Ryberg, W., Zahl, P-H., Diep, D. M., Landro, N. I., & Fosse, R. (2019). Managing suicidality within specialized care: A randomized controlled trial. Journal of Affective Disorders, 249, 112-120.

The assessment aspect of CAMS can be used within relatively short-term employee assistance programs to assess and even briefly treat suicidal risk in employees. Meta-analytic research has shown that the assessment approach used within CAMS functions as a therapeutic assessment.

• Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15, 243-250.
• Poston, J. M. & Hanson, W. E. (2010). Meta-analysis of psychological assessment as a therapeutic intervention. Psychological Assessment, 22, 203-212.

CAMS has been extensively used in the California penal system with suicidal inmates and in the Georgia juvenile justice system with suicidal incarcerated youth. Initial research supports its effectiveness, and there is now interest in further studying its impact through a randomized controlled trial. The potential for delivering CAMS via telehealth is also being explored.

• Jobes, D. A. (2016). Managing suicidal risk: A collaborative approach 2nd edition. New York: Guilford Press.
• Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15, 243-250.

While CAMS is commonly used in outpatient settings, adaptations for inpatient care have also proven effective. A randomized controlled trial in Oslo, Norway, demonstrated that these adaptations quickly reduce suicidal ideation and overall symptom distress.

• Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15, 243-250. http://dx.doi.org/10.1037/ser0000229
• Ryberg, W., Zahl, P-H., Diep, D. M., Landro, N. I., & Fosse, R. (2019). Managing suicidality within specialized care: A randomized controlled trial. Journal of Affective Disorders, 249, 112-120.

The CAMS Framework has been implemented and particularly well-received in half a dozen tribal nations in the United States. Its flexibility and cross-cultural adaptability allows for the integration of native medicine and rituals into the treatment framework.

• Jobes, D. A. (2016). Managing suicidal risk: A collaborative approach 2nd edition. New York: Guilford Press.
• Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15, 243-250.

The CAMS Framework is primarily used in outpatient settings to help suicidal individuals avoid hospitalization whenever possible. Five corelational clinical trials and four randomized controlled trials supports that stabilization planning and treatment of patient-defined suicidal drivers with sufficient documentation to reduce malpractice liability can safely achieve this.

• Jobes, D. A. (2012). The collaborative assessment and management of suicidality (CAMS): An evolving evidence-based clinical approach to suicidal risk. Suicide and Life-Threatening Behavior, 42, 640-653.
• Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15, 243-250. http://dx.doi.org/10.1037/ser0000229

CAMS has been clinically used within primary care across behavioral healthcare systems.

• Archuleta, D., Jobes, D. A., Pujol, L., Jennings, K., Crumlish, J., Lento, R. M., Brazaitis, K., Moore, B. A., & Crow, B. (2014). Raising the Clinical Standard of Care for Suicidal Soldiers: An Army Process Improvement Initiative. Army Medical Department Journal, Oct-Dec, 55-66.
• Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15, 243-250.

Private practitioners often feel isolated and vulnerable when working with suicidal patients. The CAMS Framework offers a structured approach and extensive documentation that helps enhance your practice and reduce malpractice liability.

• Jobes, D. A. (2016). Managing suicidal risk: A collaborative approach 2nd edition. New York: Guilford Press.
• Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15, 243-250.

There is growing interest in using CAMS within school settings. Some exploratory work in this area shows promise for effectively using CAMS within a school-based system of care.

• Capps, R. E., Michael, K.D., & Jameson, J. P. (2019). Lethal means and adolescent suicidal risk: An expansion of the PEACE protocol. Journal of Rural Mental Health, 43, 3-16

The CAMS Framework has been adapted in various settings for use within telehealth care. There has been some preliminary use of telehealth CAMS within the U.S. Military. The feasibility of using telehealth CAMS within forensic and rural/frontier environments is also being explored.

• Jobes, D. A. (2016). Managing suicidal risk: A collaborative approach 2nd edition. New York: Guilford Press.
• Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15, 243-250.

The CAMS Framework was initially developed for use with suicidal students in university counseling centers, making it particularly effective for outpatient treatment of students experiencing suicidal thoughts. Decades of clinical use and research have produced extensive literature supporting its effectiveness.

• Jobes, D. A., Jacoby, A. M., Cimbolic, P., & Hustead, L. A. T., (1997). The assessment and treatment of suicidal clients in a university center. Journal of Counseling Psychology, 44, 368-377.
• Pistorello, J., Jobes, D. A., Compton, S., Locey, N. S., Walloch, J. C…..& Goswami, S. (2017). Developing adaptive treatment strategies to address suicidal risk in college students: A pilot Sequential Multiple Assignment Randomized Trial (SMART). Archives of Suicide Research.

Dozens of Veterans Affairs Medical Centers and across various networks of VA healthcare systems (VISN’s)—both outpatient and inpatient—have implemented CAMS training. Veterans Affairs (HSR&D) is now funding a randomized controlled trial of CAMS for suicidal walk-in veterans at the San Diego VAMC.

• Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15, 243-250. http://dx.doi.org/10.1037/ser0000229

CAMS is ideally suited for integration into the Zero Suicide policy approach to systems-level suicide prevention. It can be readily adapted into model to provide effective evidence-based care for suicidal risk across treatment settings and populations.