http://localhost:8080/xmlui/handle/123456789/10514 2026-04-16T22:40:04Z 2026-04-16T22:40:04Z Yunitri, Ninik Rochmawati, Erna Dwi Susanti, Henny Nuraenah, Nuraenah Rayasari, Fitrian Chairunnisa, Dea Salsabila, Sephia Septiawantari, Rani Slametiningsih, Slametiningsih http://localhost:8080/xmlui/handle/123456789/12327 2025-07-28T02:39:56Z 2025-01-01T00:00:00Z

Title: A survey of suicide risk among university students across three regions in Java, Indonesia Authors: Yunitri, Ninik; Rochmawati, Erna; Dwi Susanti, Henny; Nuraenah, Nuraenah; Rayasari, Fitrian; Chairunnisa, Dea; Salsabila, Sephia; Septiawantari, Rani; Slametiningsih, Slametiningsih Abstract: Introduction: Suicide remains a significant global health and social problem, with Indonesia showing a lower suicide rate compared to other Asian countries. However, the underreporting of cases in Indonesia suggests that the incidence rate of suicide is higher than documented. This study aimed to identify the risk of suicide among Indonesian college students. Methods: A cross-sectional study was conducted involving 557 students from three universities across Java Island, recruited using the purposive sampling method. The Beck Scale for Suicide Ideation (BSSI) was used to assess suicide risk. The data was analyzed using descriptive statistics to determine the prevalence of suicide-related outcomes. Additionally, linear regression analysis was conducted to examine the associations between suicide risk, suicidal ideation, suicide planning, and self-control in relation to age, sex, and year of study. Results: The average suicide risk among college students was 4.04 (SD= 6.60; 95%CI = 3.49 – 4.59) out of 38, indicating a generally low risk. However, 34.6% of students experienced the desire to die at least once, and 12.7% had a strong desire to make active suicide attempts. Furthermore, 15.8% of students found suicide an acceptable solution to their problems. Gender was found to be significant predictor of overall suicide risk, ideation and self-control. Conclusions: These findings highlight the need for targeted interventions and support for college students to prevent suicide and promote mental well-being.

2025-01-01T00:00:00Z Ardian Cahya Laksana, Muhammad Anita Damayanti, Nyoman Hanindito Habibie, Pandu Hud Suhargono, Mochammad Rosita Dewi, Erni Santoso, Budi Sukarjiyah, Waritsyah Izza, Alifina Zulfa Zakiya, Nurani http://localhost:8080/xmlui/handle/123456789/12326 2025-07-28T02:35:12Z 2025-01-01T00:00:00Z

Title: Strengthening maternal referral systems during public health emergencies: insights from Indonesia’s COVID-19 response Authors: Ardian Cahya Laksana, Muhammad; Anita Damayanti, Nyoman; Hanindito Habibie, Pandu; Hud Suhargono, Mochammad; Rosita Dewi, Erni; Santoso, Budi; Sukarjiyah, Waritsyah; Izza, Alifina; Zulfa Zakiya, Nurani Abstract: Introduction: Despite the World Health Organization (WHO) declaring the end of the Coronavirus Disease (COVID-19) Public Health Emergency of International Concern (PHEIC) in May 2023, the pandemic highlighted critical gaps in hospital emergency preparedness, particularly in maternal healthcare. East Java, Indonesia, was among the most severely affected provinces, reporting an 11.02% increase in maternal deaths. This study assesses hospital readiness in maternal referral hospitals six months after the onset of the pandemic, aiming to inform future public health emergency responses. Methods: A descriptive and exploratory mixed-methods design was employed. Surveys and focus group discussions were conducted with 127 hospitals in the COVID-19 maternal referral hospitals by the East Java Provincial Government using the modified WHO hospital readiness checklist for COVID-19 2020. Quantitative data were analyzed descriptively, and qualitative data from focus group discussions were thematically analyzed to get deeper insights into the challenges faced by hospitals. Results: A total of 105 hospitals (83%) responded to the survey. While PPE supplies were largely adequate, gaps in infrastructure, including negative-pressure rooms, isolation areas, and diagnostic capacity, persisted. Financial constraints, particularly delays in the National Health Insurance Scheme (BPJS Kesehatan) claims, further strained hospital operations. FGDs revealed that PCR delays, staffing shortages, and underdeveloped referral coordination systems hindered the delivery of maternal services. Conclusions: Strengthening maternal referral systems requires improving diagnostic capabilities, investing in essential infrastructure, and ensuring timely financial reimbursement. Collaborative efforts among the Ministry of Health, BPJS Kesehatan, and healthcare facilities are crucial to enhancing maternal healthcare resilience during future public health emergencies.

2025-01-01T00:00:00Z Indra Wiguna, Reza Yoga Pudya Ardhana, Valian Pratiwi Safitri, Rias Fitria Frisma lita, Baiq Qamal Pa’ni, D Mustamu Arian Apriani, Lia http://localhost:8080/xmlui/handle/123456789/12325 2025-07-28T02:29:00Z 2025-01-01T00:00:00Z

Title: Digital innovations for adolescent mental health: evaluating the impact of genziheal web-based education model Authors: Indra Wiguna, Reza; Yoga Pudya Ardhana, Valian; Pratiwi Safitri, Rias; Fitria Frisma lita, Baiq; Qamal Pa’ni, D Mustamu; Arian Apriani, Lia Abstract: Introduction: Mental health problems among adolescents remain a global public health concern, highlighting the need for accessible and innovative educational interventions. This study evaluated the effectiveness of a web-based mental health education model through the Genziheal platform in improving knowledge levels and reducing symptoms of mental health disorders among adolescent students. Methods: A quasi-experimental, pretest-posttest control group design was employed involving 130 senior high school students (intervention group: n=80; control group: n=50). Data were collected using the Self-Reporting Questionnaire-29 (SRQ-29) and a validated mental health knowledge questionnaire. Paired t-test and Mann-Whitney tests were used for analysis. Results: The intervention group demonstrated a significant increase in mental health knowledge (mean score improved from 11.0 ± 2.8 to 12.2 ± 3.2; p = 0.008), while no significant change was observed in the control group. However, no significant differences were found in mental health symptoms between pre- and post-test stages in both groups (p > 0.05). Conclusions: The Genziheal platform effectively enhanced students’ mental health literacy but did not significantly reduce symptoms of mental health disorders. These findings suggest that web-based educational tools can support mental health awareness among adolescents but should be complemented with parental involvement and professional support to address psychological symptoms. This study also highlights the potential integration of digital mental health interventions into school-based health promotion programs. The findings contribute to the development of scalable, culturally contextualized digital health promotion tools, particularly in resource-constrained settings such as Indonesia

2025-01-01T00:00:00Z Proboningsih, Jujuk Sriyono, Sriyono Ambarwati, Rini Hardi Wuryaningsih, Sri Joeliantina, Anita http://localhost:8080/xmlui/handle/123456789/12324 2025-07-28T02:25:21Z 2025-01-01T00:00:00Z

Title: Optimisation of the role of families of chronic hypertension patients based on the mcmaster model of family functioning in self-care agency Authors: Proboningsih, Jujuk; Sriyono, Sriyono; Ambarwati, Rini; Hardi Wuryaningsih, Sri; Joeliantina, Anita Abstract: Introduction: Hypertension, often symptomless, poses a deadly risk if poorly managed, especially when family support in helping patients adhere to treatment and maintain a healthy lifestyle is insufficient. This study aims to analyse the impact of the McMaster Model of Family Functioning (MMFF) on the self-care agency of patients with chronic hypertension in Surabaya. Methods: This study employs an analytical observational design with a cross-sectional approach, involving 300 respondents from families of patients with hypertension who meet the inclusion criteria. The independent variables examined include the six dimensions of the McMaster Model of Family Functioning (MMFF): problem-solving, communication, family roles, affective responsiveness, affective involvement, and behaviour control. Meanwhile, the dependent variable is self-care agency, which consists of medication, physical activity, and diet. Hypothesis testing was conducted using SEM-PLS, which was processed with SmartPLS 4.0.4 software. Results: The analysis results indicate that the MMFF has a positive and significant effect on self-care agency, with a coefficient of 0.340 (CI = 0.247 – 0.445). The effect size result obtained an effect size value of 0.131. Structured and adaptive family support, particularly in communication and affective involvement, has enhanced patients' motivation to adhere to medication and engage in self-care activities. Conclusions: This study expands on previous research on the role of family support in self-care agencies, by involving the McMaster Family Function Model (MMFF) to analyse the specific role of family functions in improving self-care agencies in chronic hypertension patients, thus providing a more comprehensive, contextual, and relevant perspective for family-based interventions. These results also enrich other theoretical studies, namely the Family-Centred Care (FCC) Model, Social Support Theory, and Health Belief Model (HBM).

2025-01-01T00:00:00Z