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Exercise significantly reduces suicide attempts

Exercise significantly reduces suicide attempts

 


April 3, 2023

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Disclosure: Fabiano does not report related financial disclosures. See research for relevant financial disclosures of all other authors.


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Important points:

  • Exercise was effective in reducing suicide attempts, but not suicidal ideation.
  • Researchers say primary care providers should prescribe exercise more often to patients with physical or mental illnesses.

Researchers found that exercise significantly reduced suicide attempts, highlighting the importance of prescribing exercise to people with mental illness.

Previous research has shown that exercise is beneficial for mental health management. in fact, recent umbrella reviews We found that all modes of physical activity were effective in improving both anxiety and depression and should be used more frequently for mental health management. Little is known about how



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Data source: Fabiano N, et al. J-influence upset2023;doi:10.1016/j.jad.2023.02.071.

Nicholas Fabiano, MD A psychiatric resident at the University of Ottawa told Healio, “People with mental or physical illnesses are at higher risk of suicide than the general population.”

“Suicide rates are on the rise, so it’s important to find ways to combat this,” he said. “I can personally speak to the beneficial cognitive and physical aspects of regular exercise. My anxiety levels have decreased and my academic performance has improved significantly.”

To better understand how exercise affects suicidal ideation and risk, Fabiano and colleagues conducted a systematic review and meta-analysis of 17 randomized controlled trials involving 1,021 participants. Did. Their findings recently Affective Disorder Journal.

The researchers said depression was the most common condition included in the review, 59%, and aerobic exercise was the most common form of exercise studied, 53%. Exercise included mind-body training (17.6%) and strength training (17.6%).

Fabiano and colleagues found that exercise significantly reduced suicide attempts (OR = 0.23; CI 0.09–0.67). However, there was no significant reduction in mortality or suicidal ideation between control and exercise groups (standardized mean difference = -1.09; 95% CI, -3.08 to 0.9).

“However, the lack of these associations is likely due to the limited number and sample size of existing studies,” Fabiano said. As it is implemented, it is hoped that both suicidal ideation and suicide deaths will decrease as the sample size increases.”

These findings “indicate that exercise may be an effective way to reduce suicidal behavior among people with mental or physical illness,” Fabiano said.

According to Fabiano, a common misconception among primary care providers is that “patients, especially those suffering from mental or physical illness, are not sufficiently willing or motivated to participate in exercise therapy.” ‘ said. Those with physical or mental illness.

“In our study, there was no significant difference in dropout between the randomly exercised group and the inactive controls. are able to adhere to exercise regimens,” he said. .”

Fabiano and colleagues write that their review “was an important first step in understanding the impact of exercise on suicide in people with mental or physical illness”, but that “the We called for “higher-quality randomized controlled trials investigating the effects of exercise on areas of mental and physical health, to obtain a more complete picture.” ”

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