KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium.
University Psychiatric Centre KU Leuven, Leuven-Kortenberg, Belgium.
Pan Afr Med J. 2023 May 31;45:70. doi: 10.11604/pamj.2023.45.70.40093. eCollection 2023.
people with HIV/AIDS have higher rates of suicidal ideation than the general population. Consequently, HIV counselling settings should implement suicide risk reduction initiatives. Physical activity (PA) counselling could be a relevant add-on intervention. The aim of this secondary analysis from a single-arm pre- and post-study exploring the efficacy of PA counselling for HIV/AIDS patients with mental health problems was to investigate the efficacy of PA counselling on reducing suicidal ideation.
out of 41 participants in an 8-week PA counselling intervention, 15 participants reported suicidal ideation. These 15 (15♀, median age=42 years, interquartile range=24 years) participants completed the Patient Health Questionnaire-9 (PHQ-9), Alcohol Use Disorder Identification Test -10 (AUDIT-10), and the Simple Physical Activity Questionnaire (SIMPAQ) pre- and immediately post-intervention.
the prevalence of suicidal ideation (PHQ-9 item 9≥1) dropped to 20% post-intervention, i.e. only three patients with HIV still reported suicidal ideation. Also, following the intervention significant (P<0.05) increases in walking and incidental PA (SIMPAQ) levels, and reductions in depressive and alcohol abuse symptoms were observed.
our data demonstrate that PA counselling might be promising in reducing suicidal ideation in most HIV patients in low-resourced settings. Randomized controlled trials are warranted to confirm these beneficial findings.
艾滋病病毒/艾滋病患者的自杀意念发生率高于普通人群。因此，艾滋病毒咨询机构应实施减少自杀风险的举措。身体活动（PA）咨询可能是一种相关的附加干预措施。本研究对一项旨在探索针对有心理健康问题的艾滋病毒/艾滋病患者进行 PA 咨询的疗效的单臂前后研究进行了二次分析，目的是调查 PA 咨询对减少自杀意念的疗效。
在一项为期 8 周的 PA 咨询干预中，有 41 名参与者中有 15 名报告了自杀意念。这 15 名参与者（15 名女性，中位年龄为 42 岁，四分位间距为 24 岁）在干预前和干预后立即完成了患者健康问卷-9（PHQ-9）、酒精使用障碍识别测试-10（AUDIT-10）和简单身体活动问卷（SIMPAQ）。
自杀意念的发生率（PHQ-9 项目 9≥1）在干预后降至 20%，即只有 3 名 HIV 患者仍报告有自杀意念。此外，干预后观察到步行和偶然 PA（SIMPAQ）水平显著增加（P<0.05），抑郁和酒精滥用症状减少。
我们的数据表明，PA 咨询可能在减少资源匮乏环境中大多数 HIV 患者的自杀意念方面具有前景。需要进行随机对照试验来证实这些有益的发现。
