
"In my lab, we watch dozens of videos of clinicians participating in five randomized controlled trials (RCTs) investigating the effectiveness of the "Collaborative Assessment and Management of Suicidality" (CAMS) developed in the SPL (Jobes, 2023). Among the ongoing RCTs, I have some observations to share from two particular multisite RCTs that are funded by the National Institute of Mental Health (NIMH)."
"While there are always exceptions, I am aware of a distinct subgroup of youth who are clearly attached to the concept of suicide. They think about it, they fantasize about it, they interact with other like-minded youth on social media about it, and within their treatment, they talk about it a lot. But here is the thing-based on 43+ years of clinical and research experience, I often do not detect a genuine desire to actually die by their own hand in these youth."
Some youth adopt a suicidal identity that provides comfort and a sense of control. These youth frequently think and fantasize about suicide, engage with like-minded peers on social media, and discuss suicide often in treatment. Many of these youth lack a history of suicide attempts, have unformed or vague plans, and exhibit ambivalence about dying. Data derive from multiple randomized controlled trials evaluating the Collaborative Assessment and Management of Suicidality (CAMS) in college and adolescent settings. Effective suicide-focused treatment requires understanding how the suicidal identity functions for the young person and fostering an alternative aspirational identity.
Read at Psychology Today
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