Suicide Reduction in Schizophrenia via Exercise (SUnRISE): study protocol for a multi-site, single-blind, randomized clinical trial of aerobic exercise for suicide risk reduction in individuals with schizophrenia

Trials

Jacob S. Ballon¹  Joseph McEvoy²  Richard Buchsbaum³  T. Scott Stroup³  Melanie Wall³  Richard P. Sloan³  Luz H. Ospina⁴  Katie Beck-Felts⁴  David Kimhy⁵  Lars F. Jarskog⁶  Matthew N. Bartels⁷  Marianne Goodman⁸ 

[1] Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, USA;Department of Psychiatry and Health Behavior, Georgia Regents University, Augusta, GA, USA;Department of Psychiatry, Columbia University, New York, NY, USA;Department of Psychiatry, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1230, 10029, New York, NY, USA;Department of Psychiatry, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1230, 10029, New York, NY, USA;MIRECC, James J. Peters VA Medical Center, Bronx, NY, USA;Department of Psychiatry, University of North Carolina, Chapel Hill, NC, USA;Department of Rehabilitation Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA;MIRECC, James J. Peters VA Medical Center, Bronx, NY, USA;

关键词: Schizophrenia;    Suicide;    Exercise;    Aerobic fitness;    VOmax;   

DOI  :  10.1186/s13063-020-04788-z

来源: Springer

【 摘 要 】

BackgroundSuicide risk among individuals with schizophrenia (SZ) is intractably high, with over 40% of individuals attempting to take their own lives during their lifetime and an estimated 5–10% completing suicide. At present, available pharmacological and psychotherapeutic treatments offer limited risk reduction benefits, and thus, there remains an urgent need to explore novel interventions that will ameliorate this risk. Aerobic exercise (AE) has been shown to improve a number of predictors of suicide risk (e.g., depressed mood, sleeping difficulties). As individuals with SZ display a highly sedentary lifestyle, AE may reduce suicide risk.MethodsEmploying a multi-site, single-blind, randomized clinical trial design, we will examine the impact of AE on risk for suicide and related variables in individuals with SZ. Participants will be randomized to one of two 12-week exercise interventions: AE or a stretching and toning (ST) control intervention. Primary outcome measures will include suicide risk (Columbia Suicide Severity Rating Scale, C-SSRS) and aerobic fitness (VO2max), along with additional measures of suicide risk, mood, emotion regulation, sleep, cognition, and physical activity, with assessments completed at baseline and after 6 and 12 weeks of interventions.DiscussionIt is hypothesized that AE will reduce suicide risk among individuals with SZ. This study may offer support for a more efficacious treatment method for this population in addition to the pre-existing pharmacological and psychotherapeutic treatment regimens.Trial registrationClinicaltrials.gov, NCT03270098. Registered on September 1, 2017.

【 授权许可】

CC BY