scholarly journals Asuhan Keperawatan Jiwa pada Klien Skizofrenia dengan Risiko Bunuh Diri

2020 ◽  
Vol 8 (2) ◽  
pp. 211
Author(s):  
Itsnaini Wahyu Puspita ◽  
Erna Erawati

Kesehatan mental merupakan sektor penting dalam mewujudkan kesehatan manusia secara menyeluruh. Berbagai solusi dapat dilakukan seseorang ketika muncul stressor, salah satunya bunuh diri. Beberapa orang menganggap bunuh diri adalah solusi yang tepat untuk menyelesaikan masalah. Bunuh diri   merupakan   tindakan   yang   secara   sadar   dilakukan   oleh   seseorang   untuk mengakhiri  kehidupannnya. Salah satu seseorang yang mempunyai resiko untuk melakukan bunuh diri adalah pasien skizofrenia.  Perilaku  bunuh  diri  terdiri  dari  tiga  tingkatan  yaitu ide/isyarat  bunuh  diri,  ancaman  bunuh  diri,  dan  percobaan  bunuh  diri. Tujuan penelitian menggambarkan pengelolaan asuhan keperawatan skizofrenia dengan fokus studi risiko bunuh diri. Penelitian ini termasuk field research (penelitian lapangan) dengan menggunakan pendekatan deskriptif kualitatif, langkah-langkah yang dilakukan peneliti dalam penelitian ini yaitu wawancara, observasi, dokumentasi, dan reduksi data. Hasil penelitian ini menunjukkan bahwa pemberian asuhan keperawatan pada klien skizofrenia dengan risiko bunuh diri menunjukkan hasil yang signifikan adanya intervensi dari perawat sesuai dengan respon verbal dan non verbal klien. Kata kunci: asuhan keperawatan, klien skizofrenia, risiko bunuh diri NURSING CARE FOR SCHIZOPHRENIA CLIENTS WITH RISK OF  SELF-RISK ABSTRACTMental health is an important sector in realizing overall human health. Various solutions can be done when someone appears stressor, one of them suicide. Some people consider suicide to be the right solution to solve a problem. Suicide is an act that is consciously carried out by someone to end his life. One person at risk for suicide is a schizophrenic patient. Suicidal behavior consists of three levels, namely suicide ideation / cues, suicide threats, and attempted suicide. The aim of the study is to describe the management of schizophrenia nursing care with a focus on suicide risk studies. This research includes field research using a descriptive qualitative approach, the steps taken by researchers in this study are interviews, observation, documentation, and data reduction. The results of this study indicate that the provision of nursing care to schizophrenic clients with suicide risk shows a significant result of the intervention of the nurse in accordance with the client's verbal and non verbal responses. Keywords: nursing care, schizophrenia clients, suicide risk

Harmoni ◽  
2021 ◽  
Vol 20 (1) ◽  
pp. 129-143
Author(s):  
Hendrik A.E Lao ◽  
Ezra Tari ◽  
Merensiana Hale

This paper focuses on interpersonal communication in interfaith families. Interfaith families are smallunits of society whose members are of different religions. Differences are often a source of conflict between husband and wife, including religion. In the way of life of interfaith couples, different opinions about beliefs cause problems. Differences are still unavoidable in families married to different religions. Religious differences can lead to prolonged conflicts. Although different religions, of course, the family has the right to live in peace and happiness as a family in general. However, it is undeniable that interfaith families cannot last long. Therefore, efforts are needed for families to be able to live with each other accepting differences in terms of different religions. Communication is one of the efforts to maintain family harmony. Lack of communication can cause rifts in the household. The purpose of the study was to describe the effectiveness of interpersonal communication for families of different religions. The research method used is a descriptive qualitative approach. This approach seeks to find problems and solutions in the field. Research results in interpersonal communication are communication between individuals or between groups. Interpersonal communication will be more effective if the atmosphere is equal. That is, there must be a tacit acknowledgement that both parties are equally valuable and valuable. Husbands and wives have something important to contribute. In an interpersonal relationship characterized by equality, disagreement and conflict are seen as an attempt to understand differences. This communication helps in avoiding and reducing various problems and can share knowledge and experiences with family members. There are five general qualities of interpersonal communication effectiveness for interfaith families: 1) Openness, 2) Empathy, 3) Supportive Attitude, 4) Positive Attitude, 5) Equality.


2018 ◽  
Vol 34 (4) ◽  
pp. 265-271 ◽  
Author(s):  
Milena Zucca ◽  
Elisa Rubino ◽  
Alessandro Vacca ◽  
Flora Govone ◽  
Annalisa Gai ◽  
...  

Aim: The purpose of the study was to determine the prevalence of suicidal ideation and attempts in patients with behavioral variant frontotemporal dementia (bvFTD), evaluating possible risk factors for suicidality. Methods: Risk of suicide was assessed using the Scale for Suicide Ideation (SSI) in 35 patients with bvFTD and 25 controls. Results: According to SSI, 40% of patients with bvFTD had suicidal ideation in comparison to 8% of controls ( P = .009). Four patients with bvFTD have attempted suicide versus none control ( P = .006). Patients with bvFTD with suicide risk showed higher levels of anxiety, depression, stress, and hopelessness than patients without suicide risk ( P < .001). Patients who attempted suicide were younger and had a longer disease duration than those with only suicide ideation. Intriguingly, 40% of patients with parkinsonism presented high level of suicide ideation. Conclusions: Our findings show that patients with bvFTD have a high risk of suicide. Additional studies in larger populations are needed to confirm our results.


2016 ◽  
Vol 18 (2) ◽  
pp. 183-190 ◽  

More than 800 000 people die every year from suicide, and about 20 times more attempt suicide. In most countries, suicide risk is highest in older males, and risk of attempted suicide is highest in younger females. The higher lethal level of suicidal acts in males is explained by the preference for more lethal methods, as well as other factors. In the vast majority of cases, suicidal behavior occurs in the context of psychiatric disorders, depression being the most important one. Improving the treatment of depression, restricting access to lethal means, and avoiding the Werther effect (imitation suicide) are central aspects of suicide prevention programs. In several European regions, the four-level intervention concept of the European Alliance Against Depression (www.EAAD.net), simultaneously targeting depression and suicidal behavior, has been found to have preventive effects on suicidal behavior. It has already been implemented in more than 100 regions in Europe.


2019 ◽  
Vol 8 (1) ◽  
pp. 86-109
Author(s):  
Luluk Shoviana ◽  
Zahrotun Navish Abdillah

This study aims to determine the provisions of the role of women as female workers in the perspective of Islamic law, and the provisions of the role of women as female workers from the perspective of positive Indonesian law. The type of research used is field research using a qualitative approach. The data collection instrument use is the interview and observation studies. This study uses descriptive analytic. The results of this study indicate that The role of women as female workers in the perspective of Islamic law is basically permissible, due to seeking the living to fulfill the means of life is the right and obligation of both men and women as long as a wife does not neglect her obligations to her husband and children. The role of women as female workers  in the perspective of positive Indonesian law is also permissible, because a woman is able to carry out activities both inside and outside the employment relationship to produce goods or services to meet their own needs and community needs.


2017 ◽  
Vol 25 (7) ◽  
pp. 1004-1013 ◽  
Author(s):  
Michael L Goodman ◽  
Eve S Puffer ◽  
Philip H Keiser ◽  
Stanley Gitari

Suicide is a leading cause of global mortality. Suicide clusters have recently been identified among peer networks in high-income countries. This study investigates dynamics of suicide clustering within social networks of young Kenya men ( n = 532; 18–34 years). We found a strong, statistically significant association between reported number of friends who previously attempted suicide and present suicide ideation (odds ratio = 1.9; 95% confidence interval (1.42, 2.54); p < 0.001). This association was mediated by lower collective self-esteem (23% of total effect). Meaning in life further mediated the association between collective self-esteem and suicide ideation. Survivors of peer suicide should be evaluated for suicide risk.


2011 ◽  
Vol 26 (S2) ◽  
pp. 2012-2012
Author(s):  
G. Zalsman

PurposeSuicide is a major cause of death in adolescents with first-episode schizophrenia (FES). We compared suicide-related traits between subjects with FES and with other psychopathologies in order to evaluate risk factors for suicidal behavior.Subjects and methodsTwenty-five inpatient adolescents with FES and a control group of 28 psychiatric inpatients matched for gender and age were assessed for depression, anger, criminal behavior, aggression, and suicidal ideation, risk and potential.ResultsThe adolescents with FES had significantly lower depression (p=0.003) anger (p=0.025) and criminal behavior (p=0.022) than did the controls. However, while suicide ideation was greater in the subjects with FES (p=0.003), suicide risk was significantly lower than controls (p=0.004).DiscussionDecreased levels of both depression and anger as part of affective constriction in the schizophrenia group could explain why the increased suicide ideation did not lead to a higher suicide risk in these inpatients.ConclusionThis study highlights the importance of distinguishing between suicidal ideation and actual suicide risk. We demonstrated that thoughts of suicide do not necessarily translate into an actual risk of suicidal behavior in adolescents with schizophrenia.


2019 ◽  
Vol 72 (6) ◽  
pp. 1450-1456
Author(s):  
Cíntia Mesquita Correia ◽  
Nadirlene Pereira Gomes ◽  
Normélia Maria Freire Diniz ◽  
Isabela Carolyne Sena de Andrade ◽  
Cátia Maria Costa Romano ◽  
...  

ABSTRACT Objective: To unveil expressions of intrafamily violence experienced in childhood and/or adolescence by women who attempted suicide. Method: This is a study with a qualitative approach based on Oral Story. Participants were ten women with a history of suicide attempt, who experienced intrafamily violence in childhood and/or adolescence. The research was carried out at the Center for the Study and Prevention of Suicide, linked to a Toxicological Information Center in the city of Salvador, Bahia, Brazil. Results: From the orality of women, the study allowed the emergence of the following representative categories of intrafamily abuse experienced in childhood and/or adolescence: psychological violence, rejection, neglect, physical violence and sexual violence. Final considerations: The study alerts to intrafamily violence as an aggravation related to suicidal behavior, offering elements that help in the identification of their expressions, which will raise awareness to suicidal behavior and consequently suicide prevention.


2021 ◽  
Vol 10 (1) ◽  
pp. 67-84
Author(s):  
Muhammad Sufyan As-Tsauri

The purpose of this research is to see the implementation, evaluation, and advantages and disadvantages of the Tami Otaka Method. The Tami Otaka Method is a method of memorizing by using the ability of the right brain by means of the students memorizing the Qur’an while moving their hands from the verse they are reading. The type of research taken is field research using a qualitative approach. The object of this research is TK PINTAR Bandung, which includes the principal, tahfidz teacher, curriculum, and students. To obtain research data, researcher used observation, interview, and documentation techniques. This research uses descriptive qualitative analysis, so that the results of this study are manifested in the form of words both orally and verbally. The results obtained are as follows: first, to achieve purpose of the learning, TK PINTAR Bandung uses the Tami Otaka method with the help of audio, visual, audio-visual and body movements of a teacher. Second, the curriculum used is a synthesis of the National Curriculum and the Typical Curriculum of TK PINTAR Bandung. Third, learning is carried out in groups. Fourth, the evaluation is given continuously everyday and there is also an evaluation every semester.   Tujuan dari penelitian ini adalah untuk mengetahui pelaksanaan, penerapan, evaluasi serta kelebihan dan kekurangan dari Metode Tami Otaka. Metode Tami Otaka adalah Metode menghafal menggunakan kemampuan otak kanan dengan cara siswa menghafal Al-Qur’an sambil menggerakkan tangan dari arti ayat yang dibaca. Jenis penelitian yang diambil adalah penelitian lapangan dengan menggunakan pendekatan kualitatif. Objek penelitian ini adalah lembaga TK PINTAR Bandung yang di dalamnya ada kepala sekolah, guru tahfidz, kurikulum, dan siswa. Untuk memperoleh data penelitian, peneliti menggunakan teknik observasi, wawancara, dan dokumentasi. Penelitian ini menggunakan analisis kualitatif deskriptif, sehingga hasil dari penelitian ini diwujudkan dalam bentuk kata-kata baik tulisan maupun lisan. Hasil penelitian diperoleh sebagai berikut: pertama, untuk mencapai tujuan pembelajaran, TK PINTAR Bandung menggunakan metode Tami Otaka dengan dibantu media auido, visual, audio-visual dan gerakan tubuh dari seorang guru. Kedua, kurikulum yang digunakan sintesis dari kurikulum Nasional dan kurikulum khas TK PINTAR Bandung. Ketiga, pembelajaran dilakukan secara berkelompok. Keempat, evaluasi diberikan terus menerus setiap harinya dan ada juga evaluasi tiap semester.  


Author(s):  
Jael S Van Bentum ◽  
Marit Sijbrandij ◽  
Marcus Huibers ◽  
Annemiek Huisman ◽  
Arnoud Arntz ◽  
...  

Suicide and suicidal behavior are major public health concerns and affect 3-9% of the population worldwide. Despite growing evidence, there are still few effective interventions available to reduce suicide risk. In this article, we describe theoretical models of suicide ideation and behavior and propose to examine the possible effectiveness of a new and innovative preventive strategy. A model of suicidal intrusion (mental imagery related to suicide, also referred to as suicidal flash-forwards) is presented describing one of the assumed mechanisms in the etiology of suicide and the mechanism of therapeutic change. We provide a brief rationale for an Eye Movement Dual Task (EMDT) treatment for suicidal intrusions describing techniques that can be used to target these suicidal mental images and thoughts to reduce overall behavior. Based on the available empirical evidence for the mechanisms of suicidal intrusions, this approach appears to be a promising new treatment to prevent suicidal behavior as it potentially targets one of the linking pins between suicidal ideation and suicidal actions.


Author(s):  
Ni Putu Januaryanti Pande

Article 4 letter C the Laws no 8 of 1999 about Consumer Protection states that consumers have the right of correct, clear and truthful information about the condition and the guarantee of goods and/or services. Without distribution license from BPPOM meaning there is no guarantee that thise cosmetics are safe to use . The decision of the head of the BPOM of Republic of Indonesia no HK.00.05.4.1745 about cosmetics, also regulate the distribution of imported cosmetics that are not registered to be against the regulation of Article 2 letter c and Article 10 (1). But the facts in the field the implementation of the regulations of registering the imported cosmetic products are still met to n ot be according to the regulation of the laws. The primary data of this research is obtained through field research in the way of interviewing some informants and respondents. The secondary data in this research is obtained through the literature of the primary, secondary and thirdly legal materials,  according to the problems that will be discussed.  The data that has been collected whether from field's research or literature that has been treated with qualitative approach. From the research above, can be taken the conclusion that the implementation of the protection of the law to the consumers that suffer the loss from imported cosmetics that has not been registered is not implemented effectively. Other factors that influence the implementation of labelling Indonesian language on the packaging of the product is from the consumer's and the producer's awareness and also the obstacle of the related goverment's performance. Pasal 4 huruf c Undang-Undang Nomor 8 Tahun 1999 tentang Perlindungan Konsumen menyatakan bahwa konsumen berhak atas informasi yang benar, jelas dan jujur mengenai kondisi dan jaminan barang dan/atau jasa. Tanpa ada izin edar dari BBPOM maka tidak ada jaminan bahwa kosmetik tersebut aman untuk digunakan. Keputusan Kepala BPOM Republik Indonesia nomor HK.00.05.4.1745 tentang kosmetik, juga mengatur  peredaran kosmetik impor yang tidak terdaftar melanggar ketentuan Pasal 2 huruf c dan Pasal 10 ayat (1). Namun faktanya di lapangan penerapan ketentuan pendaftaran produk kosmetik impor masih banyak dijumpai tidak mematuhi aturan perundang-undangan yang berlaku. Jenis penelitian yang digunakan dalam penelitian ini yakni penelitian hukum empiris yang mengkaji kesenjangan antara ketentuan peraturan pendaftaran kosmetik impor di BBPOM dengan pelaksanaannya di lapangan. Data primer dalam penelitian ini diperoleh melalui penelitian lapangan yaitu dengan cara melakukan wawancara langsung ke beberapa informan dan responden yang terkait. Data sekunder dalam penelitian ini diperoleh melalui penelitian kepustakaan terhadap bahan hukum primer, sekunder, dan tertier sesuai permasalahan yang akan dibahas. Data yang telah dikumpulkan baik dari penelitian lapangan maupun kepustakaan di olah dengan pendekatan  kualitatif. Dari hasil penelitian tersebut diatas, dapat diperoleh kesimpulan bahwa implementasi perlindungan hukum terhadap konsumen yang menderita kerugian akibat kosmetik impor yang tidak terdaftar belum efektif diterapkan. Faktor-faktor yang mempengaruhi implementasi pencantuman label berbahasa Indonesia pada kemasan produk kosmetik impor adalah  dari kesadaran konsumen, produsen dan adanya hambatan kinerja pemerintah terkait.


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