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All Journal Jurnal Biologi Tropis
Astika, Nensy Dwi
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Immunology & microbiology

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The Relationship Between Insomnia and Suicidal Behavior in Adolescents at SMAN 11 Mataram Astika, Nensy Dwi; Diatmika, I Putu; Elizar, Lale Justin Amelinda; Syamsun, Arfi
Jurnal Biologi Tropis Vol. 26 No. 3 (2026): in Progress
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v26i3.12264

Abstract

Adolescence is a vulnerable period for mental health problems, including suicidal behavior. Insomnia is frequently experienced by adolescents and may be associated with emotional dysregulation and psychological distress. This intention of this study was to analyze relationship between insomnia and suicidal behavior among adolescents at SMAN 11 Mataram. This analytical observational study used a cross-sectional design involving 89 students of SMAN 11 Mataram. The sample size was determined using the Slovin from a population of 113 students with a 5% margin of error. Sampling was conducted using stratified random sampling based on grade level: grade 10(29 students), grade 11(36 students), and grade 12(48 students), with proportional random selection resulting in 23, 28, and 37 students, respectively. Data were collected using the validated Indonesian version of the Insomnia Severity Index (ISI) and Suicide Behaviors Questionnaire-Revised (SBQ-R). Insomnia was categorized based on ISI score ≥10, while suicidal behavior risk was identified using SBQ-R score ≥7. Reliability analysis showed Cronbach’s alpha values of 0.750 for ISI and 0.896 for SBQ-R.Spearman’s rank correlation test showed a significant association between insomnia and suicidal behavior (r = 0.229; p = 0.031). It was concluded there is a positive association between insomnia and suicidal with a weak correlation.    
Necrotizing Erythema Nodosum Leprosum (ENL) Post-MDT in Multibacillary Hansen’s Disease: A Case Report Rahma, Mira Nupila; Susana, Made Prajnana Adhi Parasikan; Muhtaram, Wibisono Hasanul; Fadlila, Ashila Sallama Nur; Tiffani, Indri; Mubarak, Lalu Abdul; Utami, Retno Dwi; Isqie, Baiq Mayada; Gunawan, Florentcia Davina; Astika, Nensy Dwi; Oka, Pande Komang Inten Widya Iswara; Kurniati, Kurniati; Hapsari, Yunita
Jurnal Biologi Tropis Vol. 26 No. 3 (2026): in Progress
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v26i3.12326

Abstract

Necrotic erythema nodosum leprosum (ENL) is a rare and severe type 2 leprosy reaction that mainly affects patients with multibacillary Hansen's disease and may progress to tissue necrosis. We report the case of a 26-year-old woman with released-from-treatment (RFT) multibacillary Hansen's disease who presented with recurrent painful erythematous nodules, cutaneous necrosis, paresthesia, numbness, and peripheral neuropathy. Clinical examination revealed enlarged and tender peripheral nerves with sensory and motor impairment, while slit-skin smear demonstrated a bacteriological index of +3. Laboratory findings showed leukocytosis, neutrophilia, and mild microcytic anemia, indicating an active inflammatory process. The patient was diagnosed with recurrent necrotic ENL after completion of multidrug therapy and was treated with systemic corticosteroids, analgesics, wound care, emollients, neurotropic supplementation, and iron therapy. Clinical improvement and a reduction in the bacteriological index were observed during follow-up, although recurrent skin lesions and residual sensory neuropathy persisted. This case emphasizes that necrotic ENL may occur after RFT and highlights the importance of early recognition, appropriate treatment, and close follow-up to reduce recurrence, prevent irreversible nerve damage, and improve long-term outcomes.
Co-Authors Arfi Syamsun Diatmika, I Putu Elizar, Lale Justin Amelinda Fadlila, Ashila Sallama Nur Gunawan, Florentcia Davina Hapsari, Yunita Isqie, Baiq Mayada Kurniati Kurniati Mubarak, Lalu Abdul Muhtaram, Wibisono Hasanul Oka, Pande Komang Inten Widya Iswara Rahma, Mira Nupila Susana, Made Prajnana Adhi Parasikan Tiffani, Indri Utami, Retno Dwi