Exploring the Use of Sea Swimming in Youth Mental Health Services

Ocean waves on a bright sunny day

Can Sea Swimming Help Young People with Mental Health Challenges?

Possibly. In this small interview study from Ireland, young people in mental health services said sea swimming gave them a lasting sense of well-being and social connection, and they preferred it to other therapies. Staff members acknowledged the risks but emphasized the importance of positive risk-taking given the benefits.

About one-third of young people experience some degree of psychological distress, and 13% experience emotional or mental distress. The COVID-19 pandemic made things worse, with lockdowns and school closures increasing isolation, anxiety, and depression among youth. Researchers in Ireland wanted to understand whether sea swimming could help.

Dr. Kumar’s Take

This study gives voice to young people themselves. They describe sea swimming not just as exercise but as an experience that helped them face challenges, and they compared entering cold water to their recovery journey. While this is qualitative research rather than a controlled trial, it suggests sea swimming deserves further study as an intervention for youth mental health.

Study Design

Researchers from Ireland interviewed 14 participants: 8 young people receiving services from child and adolescent mental health services (CAMHS) and 6 staff members. They used reflexive thematic analysis to identify patterns in the interviews.

Five Key Themes

The researchers identified five themes from the interviews:

1. Young people preferred sea swimming over other therapies. This was an important finding. When young people find an intervention appealing, they’re more likely to engage with it consistently.

2. Enhanced sense of well-being. Young people reported feeling better after sea swimming, and importantly, this feeling lasted beyond the swimming session itself.

3. Leaving the comfort zone. Participants related the challenge of entering cold water to their recovery journey. Learning to push through discomfort in one area helped them face challenges in other areas of life.

4. Social connection. Sea swimming created a sense of belonging and community among participants. This social aspect may be as important as the physical effects of cold water.

5. Staff perspectives on risk. Staff acknowledged that open sea swimming carries risks but emphasized that the benefits justified positive risk-taking.

Why Young People Like Sea Swimming

Young people in the study explained why they preferred sea swimming to other options:

  • They preferred it to talk therapies and to the other outings offered on the unit
  • It let them connect with their body first and feel regulated
  • The group experience created a sense of belonging
  • Pushing past the discomfort of cold water felt like a step in their recovery

Connection to Nature

Earlier research cited by the authors suggests that immersing in the sea can create a strong connection with the natural world, with swimmers synchronizing their movements with the water. This shift in perspective may help young people see their problems differently.

Previous research with adults found similar benefits: feelings of being alive, energetic, elated, calm, and relaxed. Some adults described the experience as life-changing.

Prior Research with Youth

One earlier study by Gardiner and colleagues involved four young people with low-level anxiety and mood difficulties. They reported a 15% improvement in emotional well-being following a sea swimming intervention. The researchers called for more research with this population.

Practical Takeaways

  • Sea swimming may appeal to young people who don’t engage well with traditional therapies
  • The combination of cold water challenge and social connection appears to be beneficial
  • Safety considerations are important but shouldn’t prevent exploration of this intervention
  • Mental health services might consider sea swimming as part of their offerings

FAQs

Is sea swimming safe for young people with mental health challenges?

The study’s staff members acknowledged the risks but emphasized positive risk-taking. Any sea swimming program should include proper supervision, safety training, and assessment of individual capabilities.

How does sea swimming compare to other interventions?

In this study, young people expressed a preference for sea swimming over other therapies. However, this doesn’t mean it should replace established treatments. It may work best as an addition to standard care.

How often should young people swim?

The study doesn’t specify an optimal frequency. Programs should start gradually and adjust based on individual responses and preferences.

Bottom Line

This qualitative study from Ireland offers early, encouraging accounts that sea swimming may benefit young people with mental health challenges. Participants reported improved well-being and stronger social connections. They related the challenge of entering cold water to their broader recovery journey. While more rigorous research is needed, the authors see potential for child and adolescent mental health services to use sea swimming more often. The fact that young people prefer it over other therapies is particularly significant, as engagement is often the biggest barrier to effective treatment.

Read the full study

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