Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05537376

A Novel Peer-Delivered Recovery-Focused Suicide Prevention Intervention for Veterans With Serious Mental Illness

Led by VA Office of Research and Development · Updated on 2025-08-07

69

Participants Needed

1

Research Sites

45 weeks

Total Duration

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AI-Summary

What this Trial Is About

Researchers are evaluating a peer-delivered recovery program called SUPPORT designed for Veterans with serious mental illness (such as psychotic and bipolar disorders) who are at increased risk of suicide. The study aims to improve functional and social recovery and reduce suicide risk by tailoring recovery planning to each Veteran's suicidal experiences. This intervention is an adaptation of the Wellness Recovery Action Plan (WRAP) and uses cognitive learning strategies to help Veterans recall their safety plans and improve functioning. The 5-year study has two phases: Phase 1 focuses on refining SUPPORT using input from Veterans and experts and training Peer Specialists. Phase 2 is a pilot randomized controlled trial comparing SUPPORT to enhanced standard care (ESC), which includes usual suicide prevention measures plus additional research contacts. SUPPORT is delivered weekly in 50-minute sessions by Peer Specialists who work closely with each Veteran to create a personalized recovery plan. The ESC group receives standard suicide risk assessments, safety planning, mental health referrals, and follow-up contacts. Participants are assessed quantitatively at baseline, mid-treatment, post-treatment, and 3 months post-treatment, with additional qualitative interviews after treatment. Peer Specialists are also interviewed after delivering the intervention. Researchers measure the feasibility of recruitment and retention, participant satisfaction, and changes in suicidal thoughts and recovery. The study is sponsored by the VA Office of Research and Development and involves ongoing monitoring over about four years.

CONDITIONS

Brief Title

A Novel Peer-Delivered Recovery-Focused Suicide Prevention Intervention for Veterans With Serious Mental Illness

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Veterans with recent suicidal ideation (active thoughts in past month) or suicide attempt in past 3 months
  • Diagnosed with serious mental illness such as schizophrenia, psychotic disorders, or bipolar disorders
  • Able to provide informed consent
  • Certified Peer Specialists with 2-3 years post-certification experience interested in SUPPORT and with supervisor approval
Not Eligible

You will not qualify if you...

  • Unable to complete assessments
  • Currently intoxicated requiring immediate detox or specialized substance use disorder treatment
  • Imminent psychiatric hospitalization

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - Approximately 4 weeks

Participants engage in weekly 50-minute sessions with a Peer Specialist to co-create a personalized recovery plan aimed at reducing suicide risk and improving personal recovery.

Weekly visits for up to 4 weeks

Follow-up

Duration - 3 months

Participants are assessed on recovery and suicide ideation 3 months after treatment completion.

1 follow-up visit (in-person or remote)

Trial Site Locations

Total: 1 location

1

VA San Diego Healthcare System, San Diego, CA

San Diego, California, United States, 92161-0002

Actively Recruiting

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Research Team

S

Samantha A Chalker, PhD

C

Colin A Depp, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

A Recovery-Oriented Suicide Prevention Program Led by Peer Specialists for Veterans With Serious Mental Illness: Protocol for a Pilot Randomized Controlled Trial.

Samantha Chalker, Jillian Carter, Yuki Imai...

https://pubmed.ncbi.nlm.nih.gov/40834400

Suicide Prevention by Peers Offering Recovery Tactics (SUPPORT) for US Veterans With Serious Mental Illness: Community Engagement Approach.

Samantha A Chalker, Jesus Serafez, Yuki Imai...

https://pubmed.ncbi.nlm.nih.gov/38781010