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

Abstract Background Suicide 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 offe...

Full description

Bibliographic Details
Main Authors: Katie Beck-Felts, Marianne Goodman, Luz H. Ospina, Melanie Wall, Joseph McEvoy, Lars F. Jarskog, Jacob S. Ballon, Matthew N. Bartels, Richard Buchsbaum, Richard P. Sloan, T. Scott Stroup, David Kimhy
Format: Article
Language:English
Published: BMC 2020-10-01
Series:Trials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13063-020-04788-z
_version_ 1831762006289416192
author Katie Beck-Felts
Marianne Goodman
Luz H. Ospina
Melanie Wall
Joseph McEvoy
Lars F. Jarskog
Jacob S. Ballon
Matthew N. Bartels
Richard Buchsbaum
Richard P. Sloan
T. Scott Stroup
David Kimhy
author_facet Katie Beck-Felts
Marianne Goodman
Luz H. Ospina
Melanie Wall
Joseph McEvoy
Lars F. Jarskog
Jacob S. Ballon
Matthew N. Bartels
Richard Buchsbaum
Richard P. Sloan
T. Scott Stroup
David Kimhy
author_sort Katie Beck-Felts
collection DOAJ
description Abstract Background Suicide 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. Methods Employing 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. Discussion It 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 registration Clinicaltrials.gov, NCT03270098 . Registered on September 1, 2017.
first_indexed 2024-12-22T04:59:15Z
format Article
id doaj.art-ddf2072d6c774238853c46af9624cf2f
institution Directory Open Access Journal
issn 1745-6215
language English
last_indexed 2024-12-22T04:59:15Z
publishDate 2020-10-01
publisher BMC
record_format Article
series Trials
spelling doaj.art-ddf2072d6c774238853c46af9624cf2f2022-12-21T18:38:19ZengBMCTrials1745-62152020-10-0121111310.1186/s13063-020-04788-zSuicide 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 schizophreniaKatie Beck-Felts0Marianne Goodman1Luz H. Ospina2Melanie Wall3Joseph McEvoy4Lars F. Jarskog5Jacob S. Ballon6Matthew N. Bartels7Richard Buchsbaum8Richard P. Sloan9T. Scott Stroup10David Kimhy11Department of Psychiatry, Icahn School of Medicine at Mount SinaiMIRECC, James J. Peters VA Medical CenterDepartment of Psychiatry, Icahn School of Medicine at Mount SinaiDepartment of Psychiatry, Columbia UniversityDepartment of Psychiatry and Health Behavior, Georgia Regents UniversityDepartment of Psychiatry, University of North CarolinaDepartment of Psychiatry and Behavioral Sciences, Stanford UniversityDepartment of Rehabilitation Medicine, Albert Einstein College of Medicine/Montefiore Medical CenterDepartment of Psychiatry, Columbia UniversityDepartment of Psychiatry, Columbia UniversityDepartment of Psychiatry, Columbia UniversityDepartment of Psychiatry, Icahn School of Medicine at Mount SinaiAbstract Background Suicide 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. Methods Employing 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. Discussion It 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 registration Clinicaltrials.gov, NCT03270098 . Registered on September 1, 2017.http://link.springer.com/article/10.1186/s13063-020-04788-zSchizophreniaSuicideExerciseAerobic fitnessVO2max
spellingShingle Katie Beck-Felts
Marianne Goodman
Luz H. Ospina
Melanie Wall
Joseph McEvoy
Lars F. Jarskog
Jacob S. Ballon
Matthew N. Bartels
Richard Buchsbaum
Richard P. Sloan
T. Scott Stroup
David Kimhy
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
Schizophrenia
Suicide
Exercise
Aerobic fitness
VO2max
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Schizophrenia
Suicide
Exercise
Aerobic fitness
VO2max
url http://link.springer.com/article/10.1186/s13063-020-04788-z
work_keys_str_mv AT katiebeckfelts suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT mariannegoodman suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT luzhospina suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT melaniewall suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT josephmcevoy suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT larsfjarskog suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT jacobsballon suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT matthewnbartels suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT richardbuchsbaum suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT richardpsloan suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT tscottstroup suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia
AT davidkimhy suicidereductioninschizophreniaviaexercisesunrisestudyprotocolforamultisitesingleblindrandomizedclinicaltrialofaerobicexerciseforsuicideriskreductioninindividualswithschizophrenia