Peer Mentorship to Reduce Suicide Risk Following Psychiatric Hospitalization
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/26/2017 |
| Start Date: | August 2015 |
| End Date: | June 2017 |
Every year in the United States about 1 million people make a suicide attempt and more than
38,000 die by suicide. The risk of suicide is highest among individuals with mental illness
who have been hospitalized due to suicidal thoughts or behaviors, yet there are few
interventions known to reduce suicide risk in this population. This study will develop and
pilot test a peer mentorship intervention by which trained peer professionals will use their
own personal experience with recovery from mental illness to instill hope and belongingness
in high-risk patients and provide additional support to prevent future suicidal thoughts or
behaviors.
The specific aims of the study are to: (1) develop a peer mentorship intervention to reduce
suicide risk among patients psychiatrically hospitalized with suicidal ideation or following
a suicide attempt; (2) Conduct a randomized controlled pilot study to assess the
acceptability, feasibility, and fidelity of the peer mentorship intervention in preparation
for a larger efficacy trial; and (3) an exploratory aim will be to measure potential
mediators and moderators of intervention effectiveness in terms of belongingness,
burdensomeness, and hopelessness according to the interpersonal theory of suicide.
38,000 die by suicide. The risk of suicide is highest among individuals with mental illness
who have been hospitalized due to suicidal thoughts or behaviors, yet there are few
interventions known to reduce suicide risk in this population. This study will develop and
pilot test a peer mentorship intervention by which trained peer professionals will use their
own personal experience with recovery from mental illness to instill hope and belongingness
in high-risk patients and provide additional support to prevent future suicidal thoughts or
behaviors.
The specific aims of the study are to: (1) develop a peer mentorship intervention to reduce
suicide risk among patients psychiatrically hospitalized with suicidal ideation or following
a suicide attempt; (2) Conduct a randomized controlled pilot study to assess the
acceptability, feasibility, and fidelity of the peer mentorship intervention in preparation
for a larger efficacy trial; and (3) an exploratory aim will be to measure potential
mediators and moderators of intervention effectiveness in terms of belongingness,
burdensomeness, and hopelessness according to the interpersonal theory of suicide.
Inclusion Criteria:
1. are age 18 years or older
2. have medical record documentation of suicidal ideation or suicide attempt at the time
of admission
3. are fluent in English
Exclusion Criteria:
1. substantially cognitively impaired (according to Mini-Cog)
2. unable to provide voluntary, written, informed consent for any reason (including
incompetency)
3. determined by the patient's attending psychiatrist that due to the patient's
psychiatric condition peer mentorship may be harmful to the patient or peer
specialist (e.g., severe personality disorder, unstable paranoia)
4. already receiving or intending to receive peer mentorship (including having a sponsor
from Alcoholics Anonymous) or participate in group-based peer support on a biweekly
or more frequent basis
5. are receiving electroconvulsive therapy (ECT)
6. are located more than 50 miles from any of the peer specialists
7. are being discharged to a residential treatment facility
We found this trial at
2
sites
Ann Arbor, Michigan 48109
Principal Investigator: Paul Pfeiffer, M.D.
Phone: 734-222-7421
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