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Dilema Hukum dalam Penanganan Pasien Psikotik Berisiko Kekerasan: Studi Kasus dan Perspektif Filsafat Hukum Bianda Adeti Patriajaya; Muhammad Rifani; Lusiana Pratiwi Sukmajaya; Esa Susanthy Meirianna; Anindya Putri Permatasari; Yuyut Prayuti
As-Syar i: Jurnal Bimbingan & Konseling Keluarga  Vol. 7 No. 3 (2025): As-Syar’i: Jurnal Bimbingan & Konseling Keluarga
Publisher : Institut Agama Islam Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/as.v7i3.8326

Abstract

This article aims to examine the legal and ethical dilemmas in managing psychotic patients who are at risk of committing violence. The research approach used is normative juridical with literature analysis and comparative study. The findings indicate a tension between the protection of patients' human rights and the need for public safety. This study recommends the importance of revising legal policies and strengthening coordination between the health and legal sectors in handling high-risk psychiatric patients.
Tanggung Jawab Hukum Rumah Sakit dalam Kasus Pelayanan Pasien Jiwa: Tinjauan Teori dan Praktis Hukum Bianda Adeti Patriajaya; Muhammad Rifani; Lusiana Pratiwi Sukmajaya; Ahmad Ma’mun Fikri
As-Syar i: Jurnal Bimbingan & Konseling Keluarga  Vol. 7 No. 3 (2025): As-Syar’i: Jurnal Bimbingan & Konseling Keluarga
Publisher : Institut Agama Islam Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/as.v7i3.8386

Abstract

Mental health services in hospitals pose complex legal and ethical challenges, particularly in safeguarding the rights and safety of patients with psychiatric disorders. Incidents involving self-harm or harm to others during hospitalization raise critical questions about institutional accountability. This study adopts a normative and juridical approach to examine the legal responsibilities of hospitals—civil, administrative, and criminal—under Indonesian legal frameworks, notably Law No. 18 of 2014 on Mental Health and Ministry of Health Regulation No. 54 of 2017. Through the analysis of legal doctrines and selected case studies, the findings reveal structural weaknesses in the implementation of psychiatric care, including limited human resources, inadequate medical documentation, and insufficient adherence to standard operating procedures. These issues significantly hinder the effectiveness of legal protection for psychiatric patients. This paper underscores the urgent need for regulatory harmonization, improved oversight mechanisms, and capacity building among healthcare providers to ensure the delivery of humane, accountable, and legally compliant mental health services.
Suicide Risk Management in Psychiatric Hospitals : A Clinical and Medico-Legal Approach in Indonesian Mental Health Services Bianda Adeti Patriajaya; Raden Wisnu Munazhat Akbar
The Indonesian Journal of General Medicine Vol. 42 No. 1 (2026): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/kg13tk43

Abstract

Suicide remains a major global public health concern, particularly among individuals with psychiatric disorders, and continues to present significant challenges in psychiatric hospital settings. In clinical practice, inadequate risk assessment, inconsistent monitoring, and unclear medico-legal responsibilities may compromise patient safety and increase potential liability. This study aims to analyze suicide risk management in psychiatric hospitals by integrating clinical experience with medico-legal perspectives to improve patient safety and healthcare accountability. A descriptive qualitative approach was used, based on clinical observations and a review of hospital protocols and relevant medico-legal frameworks in Indonesian mental health services. The findings suggest that effective suicide risk management requires not only comprehensive clinical assessment and continuous monitoring but also clear and consistent medico-legal guidance. Key challenges include variability in clinical practices, limited staff training, inadequate documentation, and ambiguity in legal accountability. Strengthening interdisciplinary collaboration, improving documentation practices, and aligning clinical protocols with legal standards are essential steps to enhance patient safety. In conclusion, an integrated clinical and medico-legal approach is crucial in managing suicide risk in psychiatric hospitals and in supporting safer and more accountable healthcare systems.