The Effects of Regular Mountain Hiking on Hopelessness in Chronically Suicidal Patients
NCT ID: NCT01152086
Last Updated: 2011-09-23
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
PHASE4
24 participants
INTERVENTIONAL
2010-07-31
2010-12-31
Brief Summary
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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.
Detailed Description
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Conditions
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Study Design
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RANDOMIZED
CROSSOVER
SUPPORTIVE_CARE
SINGLE
Study Groups
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Hiking first
This group first starts with mountain hiking over 9 weeks followed by a 9 weeks control period.
Mountain hiking in the Austrian and Bavarian Alps
Regularly supervised physical exercise training program.
Duration over all: 9 weeks; Frequency: 2 times per week; Duration one training-unit: 3 hours;
Program:
* Endurance training (performed within 70-85% of the maximum heart rate)
* Short exercises before hiking (Mobilisation, Body and nature perception, ca. 5 min)
* Stretching after hiking (ca. 5 min)
* Short break at half-time (ca. 15 min)
Control first
This group first starts with the control period (9 weeks) followed by the 9 weeks mountain hiking intervention.
Mountain hiking in the Austrian and Bavarian Alps
Regularly supervised physical exercise training program.
Duration over all: 9 weeks; Frequency: 2 times per week; Duration one training-unit: 3 hours;
Program:
* Endurance training (performed within 70-85% of the maximum heart rate)
* Short exercises before hiking (Mobilisation, Body and nature perception, ca. 5 min)
* Stretching after hiking (ca. 5 min)
* Short break at half-time (ca. 15 min)
Interventions
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Mountain hiking in the Austrian and Bavarian Alps
Regularly supervised physical exercise training program.
Duration over all: 9 weeks; Frequency: 2 times per week; Duration one training-unit: 3 hours;
Program:
* Endurance training (performed within 70-85% of the maximum heart rate)
* Short exercises before hiking (Mobilisation, Body and nature perception, ca. 5 min)
* Stretching after hiking (ca. 5 min)
* Short break at half-time (ca. 15 min)
Eligibility Criteria
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Inclusion Criteria
* at least one attempted suicide
* BHS summary scale \> 26
Exclusion Criteria
* not oriented in time and space
* demented
* acute psychotic
* cognitively impaired
* insufficient german language skills
18 Years
ALL
No
Sponsors
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Paracelsus Medical University
OTHER
Responsible Party
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Prof. Josef Niebauer M.D., Ph.D.
Prim. Prof. MD, PhD, MBA
Principal Investigators
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Reinhold Fartacek, MD, MBA
Role: STUDY_CHAIR
Paracelsus Medical University
References
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Babiss LA, Gangwisch JE. Sports participation as a protective factor against depression and suicidal ideation in adolescents as mediated by self-esteem and social support. J Dev Behav Pediatr. 2009 Oct;30(5):376-84. doi: 10.1097/DBP.0b013e3181b33659.
Brown DR, Galuska DA, Zhang J, Eaton DK, Fulton JE, Lowry R, Maynard LM. Psychobiology and behavioral strategies. Physical activity, sport participation, and suicidal behavior: U.S. high school students. Med Sci Sports Exerc. 2007 Dec;39(12):2248-57. doi: 10.1249/mss.0b013e31815793a3.
Simon TR, Powell KE, Swann AC. Involvement in physical activity and risk for nearly lethal suicide attempts. Am J Prev Med. 2004 Nov;27(4):310-5. doi: 10.1016/j.amepre.2004.07.003.
Taliaferro LA, Rienzo BA, Pigg RM Jr, Miller MD, Dodd VJ. Associations between physical activity and reduced rates of hopelessness, depression, and suicidal behavior among college students. J Am Coll Health. 2009 Jan-Feb;57(4):427-36. doi: 10.3200/JACH.57.4.427-436.
Tao FB, Xu ML, Kim SD, Sun Y, Su PY, Huang K. Physical activity might not be the protective factor for health risk behaviours and psychopathological symptoms in adolescents. J Paediatr Child Health. 2007 Nov;43(11):762-7. doi: 10.1111/j.1440-1754.2007.01217.x.
Other Identifiers
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Hiking2010
Identifier Type: -
Identifier Source: org_study_id