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All Journal International Journal of Public Health Science (IJPHS) PROSIDING SEMINAR NASIONAL Jurnal Keperawatan Indonesia Idea Nursing Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes Jurnal Ilmiah Universitas Batanghari Jambi Jurnal Keperawatan Padjadjaran Journal Of Nursing Practice Jurnal Keperawatan Silampari Jurnal Kesehatan Manarang Nursing Current : Jurnal Keperawatan Jurnal Keperawatan Abdurrab Journal of Islamic Nursing Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Jambura Nursing Journal Jurnal Ilmu Keperawatan Jiwa Jurnal Kesehatan South East Asia Nursing Research JPP Jurnal Kesehatan Poltekkes Palembang Jurnal Keperawatan Widya Gantari Indonesia JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Community Development Journal: Jurnal Pengabdian Masyarakat Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Jurnal Ners Widya Husada Jurnal Kesehatan MAHESA : Malahayati Health Student Journal Borobudur Nursing Review Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Sahabat Keperawatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan
Novy Helena Chatarina Daulima
Faculty Of Nursing Universitas Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Comprehensive approaches to suicide prevention in undergraduate students: A scoping review of psychological, social, and institutional strategies Yuniar Mansye Soeli; Novy Helena Catharina Daulima; Mustikasari Mustikasari; Evi Martha
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2763

Abstract

Background: Suicide represents a significant mental health issue worldwide, particularly among undergraduate students, and is intensified by various psychological, social, and institutional stressors. Despite heightened awareness of the problem, existing prevention strategies frequently concentrate on discrete interventions while overlooking broader systemic and societal factors that influence student well-being. Objective: This scoping review seeks to investigate current suicide prevention methods aimed at undergraduate students by organizing these strategies into three main domains: psychological, social, and institutional. Methods: The research adhered to Arksey and O’Malley’s (2005) framework for scoping reviews as well as PRISMA-ScR guidelines. A comprehensive search was performed across numerous databases—such as PubMed, ScienceDirect, ProQuest, and Google Scholar—for studies published between 2010 and 2024. The inclusion criteria targeted interventions specifically designed for undergraduate populations utilizing either psychological or social approaches within an institutional context. Thematic synthesis facilitated the categorization of intervention types while descriptive statistics provided a summary of study characteristics. Results: Seventeen studies were included in this review that assessed suicide prevention initiatives across different levels. Psychological approaches like cognitive-behavioral therapy (CBT), digital mental health resources, along with peer support programs demonstrated considerable effectiveness in reducing suicide risk and improving overall mental wellness. Social elements such as family involvement，cultural sensitivity，and community-based programs were identified as vital contributors to emotional resilience enhancement. Institutional measures—including gatekeeper training sessions，crisis response policies，and adaptable academic accommodations were highlighted as essential components necessary for fostering supportive environments within universities. Importantly，“digital”mental health solutions are gaining traction; although they present scalable opportunities for improvement. Conclusion: The study emphasizes the need for a comprehensive approach to suicide prevention in university settings, involving psychological, social, and institutional strategies. Future efforts should focus on building digital-human hybrid models that strengthen early detection and empathetic engagement.
Exploring family emotions in do-not-resuscitate (DNR) decision-making for hospitalized patients: A systematic review Nur Aima Siagian; Yossie Susanti Eka Putri; Novy Helena Catharina Daulima; Yudi Ariesta Chandra; Ria Utami Panjaitan
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 11 (2026): Volume 8 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i11.988

Abstract

Background: End-of-life decision-making, particularly Do-Not-Resuscitate (DNR) decisions for critically ill patients in hospital care, is an extremely difficult and often traumatic issue. This process has a profound impact on the mental health of families, causing anxiety, depression, stress, and even post-traumatic stress disorder (PTSD). There is currently little literature that thoroughly explores the diverse and profound emotional landscape, such as fear, optimism, well-being, and challenges experienced by families during the DNR decision-making process. Purpose: To examine the various emotions experienced by family members during the DNR decision-making process for patients hospitalised in hospital. Understanding these emotional experiences is crucial for improving support interventions, reducing conflict, and avoiding adverse psychological effects on families and healthcare providers. Method: A systematic review (SR) design was used in this study to evaluate and synthesise existing qualitative evidence on the emotional experiences of families. This design was chosen because it provides a better understanding of the family situation. To ensure its relevance to current clinical practice, this review used the PRISMA guidelines and the PICO framework. The publications included were published between 2020 and 2025 and were retrieved from electronic databases such as PubMed, SAGE, and Clinicalkey Nursing. Nine studies in the qualitative synthesis included 28 primary studies that were evaluated, most of which were qualitative or used mixed methods, conducted in several countries (such as the US, Australia, Taiwan, and Chile). The focus of the analysis was to find patterns, similarities, and differences in emotional experiences. Results: Families' experiences with DNR decisions are characterised by significant psychological stress. When families are faced with discussions about Goals of Care (GoC), they often feel unprepared, confused, and shocked. This situation is often exacerbated by time pressure. Families experience the deepest emotions, namely guilt and fear of making the wrong decision, with the family's main goal being to ‘do everything right so there are no regrets’. Conclusion: The DNR process is complex, dynamic, and emotional. This study shows that healthcare professionals must not only provide medical information but also acknowledge, validate, and assist families in coping with their emotional issues. To improve the quality of end-of-life care, clinical practice must shift to a more family-centred and friendly communication model that explicitly addresses the complex emotional dynamics that families face during difficult times in their lives.
Co-Authors Abdul Wakhid Achir Yani Hamid Achir Yani S Hamid Achir Yani S. Hamid Alber Tanjung Basmanelly Basmanelly Budi Anna Keliat Budi Anna Keliat Cahyani, Eliza Correia, Jose Arcanjo da Costa Deborah Ferdinanda Lumenta Denny Paul Ricky Dewi Eka Putri Dewi, Apri Rahma Dwi Heppy Rochmawati Dwi Suratmini Eka Malfasari Eka Malfasari Eka, Angelina Eka, Angelina Roida Eli Saripah Emi Wuri Wuryaningsih Eni Hidayati Eriyono Budi Wijoyo Evi Martha Fandy Yoduke Hargiana, Giur Hasibuan, Shinta Yuliana Hening Pujasari Herni Susanti I Ketut Suada Ice Yulia Wardani Ida Ayu Putri Wulandari Ikhwanudin Ikhwanudin Imami Nur Rachmawati Irma Sofiani Kusmara Junaiti Sahar Junardi Junardi Keksi Girindra Swasti Kellyana Irawati Kusumadewi, Berlian Nurtyashesti Lina Iffata Fauziya Linda Mandasari Livana PH Livana Ph, Livana Manumba, Ruliyani Maria Theresia Monica Elsina mariyati mariyati Misesa Misesa Moch. Bahrudin Muhammad Arsyad Subu Mustikasari Mustikasari Naedi Naedi Novitasari, Prihatini Dini Nur Aima Siagian Pasaribu, Jesika Puji Mentari Putri , Yossie Susanti Eka Rasmawati Rasmawati Ria Utami P Ria Utami Panjaitan Riska Amalya Nasution Robby Prihadi Aulia Erlando Rosyad, Habibi Rohman Rr Tutik Sri Hariyati Rudi Abas Safra Ria Kurniati Sally Rahadi Asih Sambodo Sriadi Pinilih Sawab Sawab Setyowati Setyowati Sri Endriyani Susila, Wahyu Dini Candra Sutanto Priyo Hastono Sutejo Sutejo Syarif, Syisnawati Titik Suerni Tri Budiati Triaswati, Rusmai Usraleli Usraleli Wahyu Reknoningsih Wanda , Dessie Wardhani, Ice Yulia Wardhani, Ice Yulia Winahayu, Neng Esti Winda Ratna Wulan Yanuar Fahrizal Yossie Susanti Eka Putri Yudi Ariesta Chandra Yuniar Mansye Soeli Yunita Astriani Hardayati