Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Effectiveness and Implementation of a Peer Mentorship Intervention (PREVAIL) to Reduce Suicide Attempts Among High-Risk Adults
Brief Summary: Amid consistently worsening suicide rates, in 2012 the U.S.Surgeon General's National Strategy for Suicide Prevention proposed to "change the narrative" about suicide prevention to include a focus on promoting hope and belongingness. Despite hopelessness and thwarted belongingness being among the most replicated risk factors for suicide, many widely implemented suicide prevention efforts instead emphasize the identification of acute suicide risk and referral to mental health treatment services. However, there are very few health service interventions known to reduce suicides among those identified as high risk. Those interventions shown to be effective have not achieved the wide scale implementation necessary to alter the trend of increasing suicide deaths. New interventions are needed, and one promising, scalable intervention with a novel approach to addressing the risk factors advocated by the Surgeon General is peer mentorship. A peer mentorship intervention, PREVAIL, has been piloted in a two-site randomized controlled trial (N=70) and is acceptable and feasible with enrollment of nearly half of eligible high-risk patients, mean completion of over 6 mentorship sessions, and 85% of sessions meeting fidelity standards for addressing the intended targets of hope and belongingness.

The aims of this hybrid effectiveness-implementation study are:

Specific Aim 1: Determine the effectiveness of the PREVAIL peer mentorship intervention for reducing suicide attempts and suicidal ideation among recently hospitalized adult psychiatric patients at high risk for suicide.

Specific Aim 2: Examine the mechanisms of peer mentorship by measuring the effects of PREVAIL on potential mediators,including hope and belongingness.

Specific Aim 3: Identify barriers and facilitators to implementation of PREVAIL.


Options:
A: Arm Label: Peer Mentorship intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Peer mentorship | Arm Label: Enhanced Usual Care (EUC); Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Enhanced Usual Care | Intervention Type: BEHAVIORAL; Name: Peer mentorship; Assigned to Arm(s): Peer Mentorship intervention | Intervention Type: BEHAVIORAL; Name: Enhanced Usual Care; Assigned to Arm(s): Enhanced Usual Care (EUC)
B: Arm Label: Individual supportive therapy; Type: ACTIVE_COMPARATOR; Interventions: Other: Baseline evaluation with a psychiatrist, Other: Individual supportive therapy, Other: Evaluations with a psychiatrist | Arm Label: Cognitive behavioural group therapy; Type: EXPERIMENTAL; Interventions: Other: Baseline evaluation with a psychiatrist, Other: Cognitive behavioural group therapy, Other: Evaluations with a psychiatrist | Intervention Type: OTHER; Name: Baseline evaluation with a psychiatrist; Assigned to Arm(s): Cognitive behavioural group therapy, Individual supportive therapy | Intervention Type: OTHER; Name: Individual supportive therapy; Assigned to Arm(s): Individual supportive therapy | Intervention Type: OTHER; Name: Cognitive behavioural group therapy; Assigned to Arm(s): Cognitive behavioural group therapy | Intervention Type: OTHER; Name: Evaluations with a psychiatrist; Assigned to Arm(s): Cognitive behavioural group therapy, Individual supportive therapy
C: Arm Label: Informational Sessions; Type: SHAM_COMPARATOR; Interventions: Behavioral: Informational sessions describing BPD characteristics | Arm Label: Condensed-DBT treatment intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Condensed-DBT treatment intervention | Intervention Type: BEHAVIORAL; Name: Informational sessions describing BPD characteristics; Assigned to Arm(s): Informational Sessions | Intervention Type: BEHAVIORAL; Name: Condensed-DBT treatment intervention; Assigned to Arm(s): Condensed-DBT treatment intervention
D: Arm Label: brief intervention to prevent suicide attempt; Type: EXPERIMENTAL; Interventions: Behavioral: Brief intervention to prevent suicide attempt | Arm Label: standard of care; Type: OTHER; Interventions: Behavioral: Enhanced treatment as usual | Intervention Type: BEHAVIORAL; Name: Brief intervention to prevent suicide attempt; Assigned to Arm(s): brief intervention to prevent suicide attempt | Intervention Type: BEHAVIORAL; Name: Enhanced treatment as usual; Assigned to Arm(s): standard of care

Answer: A