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I looked for safety topic and found almost none (just brief mention in introduction). This research’s scope is mental health so it’s understandably out of their scope, but endorsing something should always weight both benefit and risks.
Natural water body never guaranteed to be safe, no matter how it looks on surface. Many lives lost because of OWS every year. Personal floating jacket is bare minimum, won’t guarantee safety either.
Especially risky in fresh water, even with tight environmental controls you are going to get agriculture and ground water run off, storm overflows. A river may have good ecological health but still not be something you’d want to swim in!