Peer mentorship to reduce suicide attempts among high-risk adults (PREVAIL): Rationale and design of a randomized controlled effectiveness-implementation trial.
Peer mentorship to reduce suicide attempts among high-risk adults (PREVAIL): Rationale and design of a randomized controlled effectiveness-implementation trial.
复制标题
同伴指导减少高危成年人的自杀企图（PREVAIL）：随机对照有效性实施试验的基本原理和设计。
DOI：
10.1016/j.cct.2019.105850
复制
发表时间：
2019
影响因子：
2.2
通讯作者：
Pfeiffer,PaulN
中科院分区：
文献类型：
--
作者：
Lapidos,Adrienne;Abraham,KristenM;Jagusch,Jennifer;Garlick,James;Walters,Heather;Kim,HMyra;Vega,Eduardo;Damschroder,Laura;Forman,Jane;Ahmedani,Brian;King,CherylA;Pfeiffer,PaulN
需要新的自杀预防方法来解决自杀死亡率上升的问题。研究表明，由认证同行专家领导的干预措施可能会改善自杀保护因素，如希望和连通性，但是，减少自杀想法或行为的同行专家干预的有效性以前没有被testedempiric.DesignWe描述的方法随机对照混合有效性-实施试验的同行专家干预被称为PREVAIL（有价值的生活同行）。主要有效性目的是确定3个月的同伴指导干预与最低限度增强的常规护理条件相比，是否减少了精神科住院的自杀高危成年人的自杀企图和自杀意念。次要有效性结局包括根据病历审查的医学上严重的自杀企图和自我报告的避免自杀的自我效能。我们还描述了自杀风险管理，监督和忠诚度监测的背景下，同行专家供应商和我们的方法来评估实施障碍和facilitator.ConclusionThe PREVAIL试验将展示新的方法，将同行供应商纳入自杀预防的有效性试验与高风险的研究参与者。PREVAIL的混合有效性-实施设计旨在最大限度地提高社区快速实施的可能性，如果证明是有效的。
RationaleNovel approaches to suicide prevention are needed to address increasing rates of suicide deaths. Research suggests that interventions led by certified Peer Specialists may improve suicide protective factors such as hope and connectedness; however, the effectiveness of a Peer Specialist intervention for reducing suicidal thoughts or behaviors has not previously been tested empirically.DesignWe describe the methodology of a randomized controlled hybrid effectiveness-implementation trial of a peer specialist intervention known as PREVAIL (Peers for Valued Living). The primary effectiveness aim is to determine whether the 3-month peer mentorship intervention compared to a minimally enhanced usual care condition reduces suicide attempts and suicidal ideation among adults at high risk for suicide who have been psychiatrically hospitalized. Secondary effectiveness outcomes include medically serious suicide attempts according to chart review and self-reported self-efficacy to avoid suicide. We also describe suicide risk management, supervision, and fidelity monitoring in the context of Peer Specialist providers and our methods for assessing implementation barriers and facilitators.ConclusionThe PREVAIL trial will demonstrate novel methods for incorporating peer providers into a suicide prevention effectiveness trial with high-risk study participants. PREVAIL's hybrid effectiveness-implementation design aims to maximize the likelihood of rapid implementation in the community if shown to be effective.