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All Journal Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal)
Bestari, Damba
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Health Professions Medicine & Pharmacology

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Fragile Under Fire: Personality Disorders Underneath Resilience Facade of Medical Students Mahdiyah, Nazhifah; Bestari, Damba; Dubey, Aashi
Jurnal Psikiatri Surabaya Vol. 14 No. 1 (2025): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v14i1.66452

Abstract

Introduction: Medical students with personality disorders (PDs) often have to present a resilient facade to navigate the intense pressures of their academic and clinical training. These disorders can negatively influence their emotional well-being, academic success, and professional development. This review explores the prevalence, impact, and diagnostic methodologies of PDs among medical students. Methods: A literature review was conducted to identify relevant studies from PubMed and Scopus following primary keywords “personality disorder” and “medical student,” investigating the possible effects and manifestation of personality disorders in medical students. Results: Medical students had a higher prevalence of PDs (30.2%) compared to the general population (6.1%). Obsessive-compulsive personality disorder (OCPD) is the most prevalent type (21.8%). The impact of PDs, exacerbated by the high stress of medical education, can lead to the increasing rate of depression, burnout, and anxiety, which further impact both academic success and career progression. Early intervention, including the use of standardized diagnostic tools such as the DSM-5-TR and ICD-11, can help to identify as well as enhance students’ overall well-being and performance. Conclusion: Medical students with PDs face significant challenges that impact their academic performance, emotional stability, and professional relationships. PDs require more extensive targeted mental health support and systemic changes in medical education. While there is no cure for PDs, therapy focusing on symptom management and emotional regulation can improve resilience and success. Addressing stigma and strengthening mental health services, curriculum integration, and peer support networks are essential for better outcomes.  
Faith and Mental Health: Reconstructing the Religious Narrative in Suicide Prevention Efforts in Indonesia (A Narrative Review) Algristian, Hafid; Azizah, Nur; Khairunnisa; Rusnalasari, Zulidiyana; Bestari, Damba
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 10 No 01 (2026): Qanun Medika Vol 10 No 01 January 2026
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v10i01.28936

Abstract

Suicide remains a largely hidden public health concern in Indonesia, shaped by pervasive underreporting and religion-based stigma that frequently frames psychological suffering as a manifestation of weak faith. This narrative review critically examines the dual role of religion in suicide prevention, acknowledging its capacity to function both as a protective resource and, under certain interpretive conditions, as a factor that may exacerbate risk through stigma and social exclusion. Rather than aggregating empirical evidence, this review adopts an interpretive and theory-building approach, synthesizing interdisciplinary literature from public health, psychiatry, neurobiology, and Islamic theology to develop a conceptual framework for narrative reconstruction. The analysis highlights that religious teachings can foster hope, meaning, and social belonging, while rigid or judgmental interpretations may intensify shame and hinder help-seeking. Building on this synthesis, the article proposes a normative framework that integrates scientific understandings of psychological pain and neurobiological vulnerability with compassionate theological concepts, such as divine mercy and hope, and with the reinterpretation of ikhtiar and tawakal as supportive of professional mental health care. As a practical illustration, a culturally resonant psychological first aid model—Ask, Listen, Accompany (ALA)—is presented as a community-oriented approach aligned with established global principles, without claiming empirical validation. The framework is intended as a heuristic guide rather than an evidentiary model, and its applicability will vary across Indonesia’s diverse socioreligious contexts. By repositioning religion as complementary to clinical care, this review aims to inform dialogue, guide future empirical research, and support culturally sensitive suicide prevention efforts.
Co-Authors Algristian, Hafid Dubey, Aashi Khairunnisa Mahdiyah, Nazhifah Nur Azizah Rusnalasari, Zulidiyana