The cross-sectional, longitudinal, and transitional associations between perceived support and suicidal ideation and behavior in late adolescence and emerging adulthood: Adjacent-category logit models

Introduction Suicidal ideation (SI) and attempts (SA) are prevalent in late adolescence and emerging adulthood. Prior research has identified perceived support as a correlate of SI and SA. Less is known, though, about the role of perceived support in differentiating among suicidal outcomes and between the incremental escalation of suicidal outcomes from SI to SA […]

A psychoeducational support group intervention for people who have attempted suicide: An open trial with promising preliminary findings

Psychoeducational groups have been used to address many health needs. Yet, there are few such options available for people who have attempted suicide. This study presents preliminary findings from an open trial of Eclipse, an 8-week closed, psychoeducational group for people who have attempted suicide. It examined the effectiveness of the Eclipse program in reducing […]

A peer approach to suicide prevention and recovery: Study protocol for a feasibility and acceptability trial of Caring Cards for veterans

Introduction There is a need to develop, evaluate, and implement interventions that reduce Veteran suicide. Caring Cards (CC) is a novel intervention that integrates aspects of caring contacts and peers (i.e., persons with lived mental health experience). In CC, Veterans meet in a weekly group to create hope-filled cards that are sent to Veterans with […]

Healing from recurrent suicide attempts: The impact of being a peer facilitator

This paper presents findings of a phenomenological study entitled: Healing from Recurrent Suicide Attempts: The Impact of Being a Peer Facilitator. The study examined the impact of being a peer facilitator (PF) in the Skills for Safer Living: A Psychosocial/Psychoeducational Intervention for People with Recurrent Suicide Attempts (SfSL/PISA) group on the PFs’ healing journey. Using eight […]

Implementing a peer advocate mental health digital intervention program for Ohio youth: Descriptive pilot study

Background: In the United States, millions of adolescents report poor mental health, where 1 in 5 teenagers considers suicide. Reducing stigma and fostering peer support remains critical for positive mental health interventions and programs. Increasingly, digital mental health tools have emerged with great promise, leveraging social networks. Despite the potential, limited understanding of such comprehensive […]

Considerations in designing digital peer support for mental health: Interview study among users of a digital support system (Buddy Project)

Background: Peer support is an approach to cope with mental illness, and technology provides a way to facilitate peer support. However, there are barriers to seeking support in offline and technology-mediated contexts. Objective: This study aims to uncover potential ways to design digital mental health peer support systems and to outline a set of principles for future […]

The impact of working as a peer worker in mental health services: A longitudinal mixed methods study

Background Peer workers are increasingly employed in mental health services to use their own experiences of mental distress in supporting others with similar experiences. While evidence is emerging of the benefits of peer support for people using services, the impact on peer workers is less clear. There is a lack of research that takes a […]

Feasibility of peer-delivered suicide safety planning in the emergency department: Results from a pilot trial

Objective: The emergency department (ED) is an important site for suicide prevention efforts, and safety planning has been identified as a best practice for suicide prevention among ED patients at increased suicide risk. However, few ED clinicians are prepared to assess suicide risk or guide patients in the creation of safety plans. This study was […]

“All I need is someone to talk to”: Evaluating DISCHARGED suicide peer support

Alternatives to Suicide is a different and emerging approach to the suicide prevention paradigm, utilising peer support groups to focus on connection and relationship-building. The groups are a space where people can share  openly and authentically about their suicidal thoughts and feelings, without fear of a clinical intervention. This research project evaluated the impact experienced […]

Group treatments for individuals at risk for suicide: A PRISMA scoping review

Background: This PRISMA scoping review explored worldwide research of interventions for suicide prevention delivered within a group setting. Research on group treatments underscores the importance of peer connection in diminishing social isolation and increasing social support. Additional benefits of group treatment include cost efficiency and maximization of staff time. However, the clinical outcomes of group treatments […]

Effectiveness of a peer-led gatekeeper program: A longitudinal mixed-method analysis

Objective The current study evaluated the long-term effectiveness of a peer delivered suicide prevention gatekeeper training program for college students. Participants: 1,345 undergraduate students (Mage = 20.24, SD = 3.27; 89.6% White) received the peer led training during a single class-period. Method: Participants completed pre- post- and 3-month follow-up surveys assessing knowledge, perceived intervention skills, willingness to intervene, and […]

Considerations in designing digital peer support for mental health: Interview study among users of a digital support system (Buddy Project)

Background: Peer support is an approach to cope with mental illness, and technology provides a way to facilitate peer support. However, there are barriers to seeking support in offline and technology-mediated contexts. Objective: This study aims to uncover potential ways to design digital mental health peer support systems and to outline a set of principles […]

Suicidal ideations and attempts within the family context: The role of parent support, bonding, and peer experiences with suicidal behaviors.

The rate of suicidality is increasing faster in Black American youth than in any other group in the USA. Researchers have found that family-level factors are important environmental factors for predicting depression and anxiety among Black youth, but less is known about how family- and friendship-level factors are associated with suicidal ideation and attempts among […]

Providing virtual suicide prevention groups for people experiencing suicidality: Pivoting service delivery during the COVID-19 pandemic

Skills for Safer Living is a 20-week group intervention for people with recurrent suicide attempts. This article details how it pivoted from in-person to virtual groups due to the COVID-19 pandemic. Concerns of privacy, client safety, and how to deliver the program virtually are explored, along with lessons learned.

Lean on me: Exploring suicide prevention and mental health-related peer support in Melbourne’s LGBTQ communities

Lean on Me demonstrates that the responsibility for providing suicide prevention in LGBTQ communities in Melbourne, Australia, frequently falls on peers with little or no training in responding to a mental health crisis. This report explores how LGBTQ individuals experiencing mental health concerns turn to their peers. Those being leant on provide crucial support. In some […]

Program evaluation of a student-led peer support service at a Canadian university

Background University students often experience numerous financial, social and emotional stressors that can affect their mental health. The Peer Support Centre (PSC) is a pilot project that was established to provide peer support to students in these stressful conditions. We wanted to investigate whether peer support is a viable form of support that would benefit […]

Peer support as a protective factor against suicide in trans populations: A scoping review

Rationale There is a growing body of research involving transgender (trans) individuals that foregrounds elevated rates of suicidality in trans populations. Although peer support is increasingly studied as a protective factor against suicide among trans persons, the scholarship in this area continues to be limited and has yet to be synthesized and appraised. Objective In this paper, […]

Peer-based interventions targeting suicide prevention: A scoping review

Peers of individuals at risk for suicide may be able to play important roles in suicide prevention. The aim of the current study is to conduct a scoping review to characterize the breadth of peer-delivered suicide prevention services and their outcomes to inform future service delivery and research. Articles were selected based on search terms […]

The Airman’s Edge Project: A peer-based, injury prevention approach to preventing military suicide

In light of data indicating military personnel are more likely to reach out to peers during times of need, peer-to-peer (P2P) support programs have been implemented for military suicide prevention. Often designed to reduce suicidal thoughts and behaviors by reducing mental health symptom severity, existing data suggest that P2P programs have little to no effect […]

You feel it was written about you: Client acceptability of a group intervention for repeat suicide attempts

Background: Repeat attempts increase risk of death by suicide. The Psychosocial/psychoeducational Intervention for People with recurrent Suicide Attempts (PISA)/Skills for Safer Living (SfSL) is a group intervention targeting repeat attempts. Aims: To evaluate the acceptability of PISA/SfSL to clients and identify key model components influencing this. Methods: This exploratory mixed-methods study involved adults who completed PISA/SfSL (N = 16). […]

You feel it was written about you: Client acceptability of a group intervention for repeat suicide attempts.

Background Repeat attempts increase risk of death by suicide. The Psychosocial/psychoeducational Intervention for People with recurrent Suicide Attempts (PISA)/Skills for Safer Living (SfSL) is a group intervention targeting repeat attempts. Aims To evaluate the acceptability of PISA/SfSL to clients and identify key model components influencing this. Methods This exploratory mixed-methods study involved adults who completed […]

Social ties cut both ways: Self-harm and adolescent peer networks

Peers play an important role in adolescence, a time when self-harm arises as a major health risk, but little is known about the social networks of adolescents who cut. Peer network positions can affect mental distress related to cutting or provide direct social motivations for self-harm. This study uses PROSPER survey data from U.S. high […]

Suicide grief support program

Grieving a loss to suicide can seem overwhelming, but the support and understanding of others can be a powerful source of strength. Our Suicide Bereavement Support Groups welcome anyone who has lost someone to suicide. Each group includes 3 modules covered over a 12-week period. Participants must attend an intake session prior to joining a group.