N/A
N=455
Peer Mentorship to Reduce Suicide Attempts Among High-Risk Adults
Suicidal Ideation
Bottom Line
View on ClinicalTrials.gov: NCT03373916 ↗Enrolled (actual)
455
Serious AEs
23.3%
Results posted
Apr 2025
Primary outcome: Primary: Suicide Attempts, as Measured by the Columbia Suicide Severity Rating Scale (CSSRS) — 13; 17; 24; 28 Participants — p=0.58
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Peer mentorship (Behavioral); Enhanced Usual Care (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Michigan
- Primary completion
- Sep 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Suicide Attempts, as Measured by the Columbia Suicide Severity Rating Scale (CSSRS) |
13; 17; 24; 28 | 0.58 |
| PRIMARY Suicidal Ideation (Current), as Measured by the Beck Suicide Scale (BSS) |
4.15; 4.37; 4.86; 4.25 | 0.46 |
| SECONDARY Suicide Attempts (Measured by the Medical Record) |
11; 9 | 0.18 |
| SECONDARY Self Efficacy to Avoid Suicidal Action (Measured by the Self Efficacy to Avoid Suicidal Action Scale) |
36.12; 34.64; 37.06; 35.52 | 0.29 |
| SECONDARY Suicidal Ideation (Worst-point), as Measured by the Beck Scale for Suicidal Ideation (BSS) |
10.66; 10.53; 7.76; 8.68 | 0.35 |
Summary
This is a single-blind, randomized controlled trial to test the effectiveness of a peer mentorship intervention (PREVAIL) for reducing suicide risk compared to enhanced usual care among participants (N=455) at high-risk for suicide recruited from inpatient psychiatric units.
Eligibility Criteria
Inclusion Criteria
- are age 18 years or older,
- are currently admitted to an inpatient psychiatric unit and have medical record documentation of suicidal ideation or suicide attempt at the time of admission,
- have a Beck Suicide Scale score of 5 or higher for the 1-week period prior to admission,
- are fluent in English,
- are able to be reached reliably by telephone.
Exclusion Criteria
- substantially cognitively impaired (according to the Mini-Cog),
- unable to provide informed consent for any reason (including incompetency),
- determined by the patient's attending psychiatrist that peer mentorship is not appropriate due to unstable psychosis, cognitive disorder, or severe personality disorder,
- already receiving or intending to receive peer mentorship (i.e., sponsor from Alcoholics Anonymous) or group-based peer support on a biweekly or more frequent basis,
- residing more than 50 miles from any peer mentor,
- planning to be discharged to another inpatient or residential facility, or
- receiving electroconvulsive therapy
Data sourced from ClinicalTrials.gov (NCT03373916). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.