biostudies-literatureUnknown14Chalker S<h4>Background</h4>Veterans with serious mental illness (SMI) have significantly elevated suicide risk compared to those without SMI. This group may also experience cognitive and functional impairments that complicate suicide prevention care.<h4>Objective</h4>We detail a pilot randomized controlled trial protocol evaluating a novel peer specialist-delivered suicide prevention intervention tailored to SMI called Suicide Prevention by Peers Offering Recovery Tactics (SUPPORT). In SUPPORT, peer specialists are trained in foundational suicide prevention information and intervention delivery. Once a week for 50 minutes, a peer specialist meets with a veteran via telehealth or in person to deliver the 4 SUPPORT modules that focus on recovery and suicide prevention. The peer specialist conducts 2JMIR research protocolse66182https://www.ebi.ac.uk/biostudies/studies/S-EPMC12409174biostudies-literatureA Recovery-Oriented Suicide Prevention Program Led by Peer Specialists for Veterans With Serious Mental Illness: Protocol for a Pilot Randomized Controlled Trial.PMC12409174Carter JChalker SDepp CChinman MImai YfalseA Recovery-Oriented Suicide Prevention Program Led by Peer Specialists for Veterans With Serious Mental Illness: Protocol for a Pilot Randomized Controlled Trial.<h4>Background</h4>Veterans with serious mental illness (SMI) have significantly elevated suicide risk compared to those without SMI. This group may also experience cognitive and functional impairments that complicate suicide prevention care.<h4>Objective</h4>We detail a pilot randomized controlled trial protocol evaluating a novel peer specialist-delivered suicide prevention intervention tailored to SMI called Suicide Prevention by Peers Offering Recovery Tactics (SUPPORT). In SUPPORT, peer specialists are trained in foundational suicide prevention information and intervention delivery. Once a week for 50 minutes, a peer specialist meets with a veteran via telehealth or in person to deliver the 4 SUPPORT modules that focus on recovery and suicide prevention. The peer specialist conducts 22025-01-01T00:00:00Z2025 Aug2026-05-29T19:51:31.516Z2026-04-08T05:52:36.428ZS-EPMC124091744083440010.2196/66182