<![CDATA[Introduction: Severe depression with psychotic symptoms is a mental disorder that increases the risk of suicide due to feelings of hopelessness, worthlessness, and loss of hope. Cognitive Behavioral Therapy (CBT) is one of the psychotherapeutic interventions that is effective in reducing symptoms of depression and suicidal ideation.Objective: To analyze the application of CBT in patients with severe depression exhibiting psychotic symptoms and a risk of suicide.Method: A case study of a 31-year-old male patient treated at RSJD dr. Arif Zainudin Surakarta after a suicide attempt. Data were obtained thru interviews, observations, mental status examinations, and medical record reviews. CBT was administered in five sessions over three days to identify and modify negative thoughts and enhance adaptive coping.Results: After the intervention, the patient was able to recognize negative automatic thoughts, develop more rational thinking, improve the ability to express feelings, and use more adaptive coping strategies. The frequency of suicidal thoughts decreased, and hope and more realistic life plans emerged.Conclusion: CBT contributes to the reduction of suicidal ideation and the improvement of coping abilities in patients with severe depression and psychotic symptoms.]]>
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