Ida Aju Kusuma Wardani
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Suicide in the COVID-19 Pandemic Ni Nyoman Gita Kharisma Dewi; Ida Aju Kusuma Wardani
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v12i2.34576

Abstract

Introductions: The COVID-19 pandemic affects various aspects of life, not only in terms of health but also economically and socially. Several studies have shown that the impact of the COVID-19 pandemic is related to an increase in the number of suicides. The study review aims to determine the incidence of suicide during the COVID-19 pandemic. Methods: This study review was compiled using the literature review method by collecting sources from valid scientific literature, namely PubMed and Scientific Direct. Discussions: Suicide risk is related to several factors due to the COVID-19 pandemic, such as a significant relationship between suicide and living in an area with a high prevalence of COVID-19 infection, loss of income due to the pandemic, having relatives or acquaintances who died from COVID-19, fear of being infected by COVID-19, and changes in the learning system. Things that can be protective factors include mental health knowledge, exercising regularly during the pandemic, family support, and a high level of awareness and preventive measures for COVID-19. Conclusions: The COVID-19 pandemic also affects mental health. The impact of the COVID-19 pandemic has a relationship with increased suicides.
Bipolar Disorder with History of Physical Abuse and Comorbid Polycythemia Vera: a Case Report Panjaitan, Endy Desmanto; Ida Aju Kusuma Wardani; I Gusti Ayu Indah Ardani
Jurnal Psikiatri Surabaya Vol. 13 No. 1 (2024): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13i1.44336

Abstract

Introductions: Based on a 2015 United Nations Children's Fund (UNICEF) report, violence against children is widespread in Indonesia; 40% of 13–15-year-old children reported being physically assaulted at least once a year, 26% reported being physically abused by a parent or caregiver, and 50% reported being bullied at school. Case: A 23-year-old female patient, Hindu, Balinese, unmarried, and unemployed, came alone to the psychiatric polyclinic of Wangaya Hospital. From history taking, there was dizziness, anhedonia, impaired attention, reduced self-esteem and confidence, guilt and uselessness, reference ideas, somatic delusions, relationship mood, logorrhea and flight of ideas, a history of mixed-type insomnia, and excessive energy. In a general examination, there were icteric sclera and palpable enlargement of the spleen (Schuffner 4). Neurological examination within normal limits. Discussion: The patient has bipolar disorder, caused by a traumatic experience in childhood. The patient was found to have a history of repeated treatment; she was initially diagnosed with bipolar disorder and received Depakote 250 mg and Clobazam 10 mg. Then, the patient came for treatment again at Wangaya Hospital on August 30, 2021, because of a headache and was diagnosed with bipolar affective disorder, with the current episode being moderately depressive with somatic symptoms. Conclusion: Traumatic childhood events are a risk factor for bipolar disorder. In addition to poor clinical presentation, the early onset of bipolar disorder is also an aggravating factor for symptom recurrence. Polycythemia vera can be a complicating factor in the recovery and relapse of bipolar disorder.