Suicide Clinical Trial
Suicide is a major public health issue with estimated 1 million deaths worldwide within the
last year. Physical activity and nature recreation might be protective factors against
suicidal behaviour, suicidal ideation and contributing factors like depression and
hopelessness.
In this randomized controlled cross-over intervention study the investigators aim to
investigate the physical and psychological effects of a 9 weeks hiking program in
chronically suicidal patients. The investigators aim to enroll 24 patients suffering from
chronic suicidality, defined as at least one attempted suicide and a hopelessness greater
than 26 in Beck's Hopelessness Scale summary score. At baseline patients will undergo
pre-tests including questionnaires to assess suicide ideation, hopelessness, depression,
anxiety, quality of life and health-related physical activity, physiological investigations
to assess exercise capacity and blood investigations. Randomly assigned 12 patients start
with the 9 weeks supervised mountain hiking program followed by a 9-week-period without
supervised exercise program. The other 12 patients start with 9 weeks without supervised
exercise program followed by a 9-week-period of supervised mountain hiking program. The
mountain hiking program includes 2 training sessions per week with a duration of 3 hours per
session. The hiking intervention will be performed within 70-85% of heart rate reserve and
gymnastics for body and nature perception, mobilisation and stretching will enrich the
training program. Further investigations including questionnaire-assessments, assessment of
exercise capacity and blood investigations will be scheduled 9 and 18 weeks after the study
start. In addition a daily assessment of several suicide risk-factors based on a web-based
questionnaire will be done over the full study period. Within this mountain hiking program
the investigators hope to reduce hopelessness in chronically suicidal patients.
n/a
Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care
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