Suicide is a leading preventable cause of death (Centers for Disease Control and Prevention, 2018). Recent research identifies the time following hospital discharge after a suicide attempt as a critical window whereby suicide risk is heightened. As a result, suicide aftercare services that emphasize timely follow-up intervention are increasingly popular. There is a lack of research exploring the role of peer-workers in the context of suicide prevention aftercare. This is surprising given that peer-work has been hypothesized to promote belongingness, engagement, and hope; all factors theorized as critical to suicide ideation and behavior. This project aimed to address this research gap by exploring the perspectives of six peer-workers and five clinicians (n = 11) employed in a suicide prevention aftercare program. Qualitative data were collected via an online survey and telephone interviews. Interviews explored what processes were perceived by peer-workers and clinicians as critical in facilitating change within the context of a suicide prevention service. Thematic analysis identified four themes encapsulating factors that promote change: (1) utilizing lived experience; (2) emotional availability of peers; (3) building lives worth living; and (4) consumer driven care. Our analysis also identified an additional, but less direct, mechanism of change: Consultation in the context of risk. Our findings show that peer-work in suicide prevention is regarded as largely positive by both peer-workers and clinicians. Peer-workers and clinicians highlighted the importance of collaboration and consultation to facilitate effective management of risk and supervision given the complex nature of suicide prevention work. Finally, workers emphasized the importance of promoting agency amongst service-users, which they viewed as particularly important within the context of suicide prevention. Implications for suicide prevention services are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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下一步：一项定性研究，检查包含同行工作者的自杀预防计划的变化过程。

自杀是可预防的主要死亡原因（疾病控制和预防中心，2018 年）。最近的研究将自杀未遂后出院后的时间确定为自杀风险增加的关键窗口。因此，强调及时跟进干预的自杀善后服务越来越受欢迎。缺乏研究探索同伴工作者在预防自杀后护理方面的作用。这是令人惊讶的，因为已经假设同伴工作可以促进归属感、参与度和希望。所有理论上对自杀意念和行为都至关重要的因素。该项目旨在通过探索参与自杀预防善后计划的六名同行工作者和五名临床医生（n = 11）的观点来解决这一研究空白。定性数据是通过在线调查和电话采访收集的。访谈探讨了同行工作者和临床医生认为哪些过程对于在自杀预防服务的背景下促进变革至关重要。主题分析确定了四个主题，其中包含促进变革的因素：（1）利用生活经验；(2) 同伴的情感可用性；(3) 建设值得过的生活；(4) 消费者驱动的护理。我们的分析还确定了一种额外但不那么直接的变革机制：风险背景下的协商。我们的研究结果表明，同行工作者和临床医生都认为预防自杀的同行工作在很大程度上是积极的。鉴于自杀预防工作的复杂性，同行工作者和临床医生强调了协作和协商对于促进有效管理风险和监督的重要性。最后，工作人员强调了在服务使用者中促进代理的重要性，他们认为这在预防自杀的背景下尤为重要。讨论了自杀预防服务的意义。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。