Scientia Psychiatrica

Developing Culturally Sensitive Suicide Prevention Programs for Medical Professionals in Indonesia

2024-11-13T05:33:24+00:00

Introduction: Medical professionals in Indonesia experience high levels of stress, increasing their risk for mental health problems and suicidal behavior. Culturally appropriate suicide prevention programs are critical to address this issue. This study aimed to develop and evaluate the feasibility and acceptability of a culturally adapted suicide prevention program for Indonesian medical professionals.

Methods: This mixed-methods study had two phases. Phase 1 involved program development, adapting an existing evidence-based suicide prevention program using a Delphi method with Indonesian mental health experts (n=10) and cultural consultants (n=5). Phase 2 comprised a pilot implementation of the program with 30 medical professionals. Quantitative data on program feasibility (attendance, completion rates) and acceptability (satisfaction surveys, qualitative feedback) were collected and analyzed.

Results: The Delphi method resulted in a culturally adapted program incorporating Indonesian values related to collectivism, family support, religious beliefs, and stigma associated with mental health. Pilot implementation showed high attendance (87%) and program completion rates (93%). Participants expressed high satisfaction with the program's content, cultural relevance, and delivery format. Qualitative feedback emphasized the importance of peer support, spiritual integration, and addressing workplace stressors.

Conclusion: This study provides preliminary evidence for the feasibility and acceptability of a culturally sensitive suicide prevention program for Indonesian medical professionals. Further research is needed to evaluate the program's effectiveness in reducing suicidal ideation and behavior.

A Predictive Score for Bullying-Related Burnout in Healthcare Professionals: Implications for Organizational Interventions in Indonesia

2024-11-13T07:54:49+00:00

Introduction: Workplace bullying is a pervasive issue with detrimental effects on the mental health and well-being of healthcare professionals. This study aimed to develop and validate a predictive score for bullying-related burnout among healthcare professionals in Indonesia and explore its implications for organizational interventions.

Methods: A cross-sectional study was conducted involving 785 healthcare professionals from various hospitals in Indonesia. Data were collected using self-reported questionnaires, including the Indonesian versions of the Negative Acts Questionnaire-Revised (NAQ-R), the Copenhagen Burnout Inventory (CBI), and the Workplace Bullying Scale (WBS). Sociodemographic and work-related factors were also assessed. Multiple linear regression analysis was used to develop the predictive score, and its performance was evaluated using receiver operating characteristic (ROC) curve analysis.

Results: The prevalence of workplace bullying was 32.1%, with verbal bullying being the most common type. Burnout was significantly associated with bullying experiences (p<0.001). The final predictive score included age, gender, profession, years of experience, work hours per week, perceived social support, and exposure to different types of bullying. The score demonstrated good predictive accuracy (AUC=0.88, 95% CI: 0.84-0.90) for identifying individuals at high risk of burnout.

Conclusion: This study provides a validated predictive score for bullying-related burnout in Indonesian healthcare professionals. The score can be used to identify high-risk individuals and guide targeted organizational interventions to prevent and mitigate the negative consequences of workplace bullying.

Beyond the Binary: Exploring the Lived Experiences of Gender Dysphoric Adolescents in Indonesia

2024-11-14T01:24:34+00:00

Introduction: Gender dysphoria among adolescents is increasingly recognized globally, yet research on the lived experiences of transgender youth in Indonesia remains limited. This study aimed to explore the unique challenges, coping mechanisms, and support needs of Indonesian adolescents navigating gender dysphoria within a sociocultural context characterized by traditional gender norms and limited access to specialized healthcare.

Methods: In-depth, semi-structured interviews were conducted with 15 adolescents (aged 13-19) who identified as experiencing gender dysphoria. Participants were recruited through LGBTQ+ youth organizations and community centers in Jakarta and Surabaya. Data were analyzed using thematic analysis to identify key themes and patterns within their narratives.

Results: Four major themes emerged: (1) Early Recognition and Internal Conflict: Participants described an early awareness of their gender identity incongruence, often accompanied by feelings of confusion, shame, and fear due to societal expectations and potential rejection. (2) Navigating Disclosure and Social Support: Coming out to family and peers was a significant challenge, with varied responses ranging from acceptance to rejection. Support networks, primarily found within online communities and LGBTQ+ organizations, played a crucial role in fostering resilience. (3) Barriers to Accessing Healthcare: Participants reported significant obstacles in accessing gender-affirming care, including limited availability of specialized healthcare providers, financial constraints, and lack of family support. (4) Resilience and Hope for the Future: Despite the challenges, participants expressed resilience, hope, and a strong desire to live authentically. They emphasized the importance of self-acceptance, peer support, and advocacy for greater understanding and acceptance of gender diversity in Indonesia.

Conclusion: This study provides valuable insights into the experiences of gender dysphoric adolescents in Indonesia. Findings highlight the urgent need for increased awareness, improved access to gender-affirming care, and supportive interventions to promote the well-being of this vulnerable population.

Climate Change and Mental Health: Exploring the Psychological Impacts of Environmental Distress in Indonesia

2024-11-14T04:04:30+00:00

Introduction: Climate change is a global crisis with profound implications for mental health. Indonesia, as a highly vulnerable country, faces escalating environmental challenges that can significantly impact the psychological well-being of its population. This study investigates the psychological impacts of environmental distress related to climate change in Indonesia.

Methods: A mixed-methods approach was employed, combining quantitative and qualitative data collection. A cross-sectional survey was conducted with a representative sample of 1,500 Indonesian adults to assess the prevalence of mental health issues associated with climate change concerns and experiences. Qualitative data were gathered through in-depth interviews with 50 individuals from diverse backgrounds who reported experiencing significant environmental distress.

Results: Quantitative analysis revealed a strong correlation between climate change concerns and various mental health problems, including anxiety, depression, and post-traumatic stress disorder (PTSD). Individuals directly affected by extreme weather events exhibited higher levels of psychological distress. Qualitative findings highlighted the complex interplay of factors contributing to environmental distress, including fear of future impacts, loss of livelihoods, displacement, and cultural disruption.

Conclusion: Climate change poses a significant threat to mental health in Indonesia. The findings underscore the urgent need for comprehensive mental health support services and community-based interventions to address the psychological impacts of environmental distress. Further research is needed to explore the long-term effects of climate change on mental health and develop culturally appropriate coping strategies.

Early Detection of Bullying Victimization in Indonesian Adults: A Predictive Scoring System

2024-11-14T08:15:19+00:00

Introduction: Bullying victimization among adults is a pervasive problem with significant mental health implications, including depression, anxiety, and even suicidal ideation. Early detection of individuals at risk is crucial for timely intervention and support. This study aimed to develop and validate a predictive scoring system for bullying victimization in Indonesian adults.

Methods: A cross-sectional study was conducted with 1,500 Indonesian adults aged 18-55 years. Data were collected using validated questionnaires, including the Indonesian Workplace Bullying Scale, the Kessler Psychological Distress Scale (K10), and the Rosenberg Self-Esteem Scale. Sociodemographic information and history of adverse childhood experiences were also collected. Logistic regression analysis was used to identify predictors of bullying victimization and develop a predictive scoring system. The model's performance was evaluated using receiver operating characteristic (ROC) curve analysis.

Results: The prevalence of bullying victimization in the sample was 18.7%. Significant predictors included female gender, younger age, lower socioeconomic status, history of childhood trauma, low self-esteem, and high psychological distress. The predictive scoring system demonstrated good discriminatory ability, with an area under the ROC curve (AUC) of 0.82 (95% CI: 0.79-0.85).

Conclusion: This study provides a validated predictive scoring system for identifying Indonesian adults at risk of bullying victimization. This tool can assist mental health professionals, employers, and policymakers in implementing targeted prevention and intervention programs to mitigate the adverse mental health consequences associated with bullying.