Self-harm, suicidal ideation and anxiety are mental health issues of growing concern among adolescents, including adolescents studying in Islamic schools. This study aims to describe the prevalence and influencing factors of self-harm, suicidal ideation and anxiety among adolescents in Islamic schools. Using a quantitative survey method, data were obtained from 300 students in Central Java through the Generalised Anxiety Disorder-7 (GAD-7) instrument as well as questionnaires related to self-harm experiences and suicidal ideation, the instrument validity and reliability values between 0.397-0.906. This research use purposive sampling technique and uses univariate analysis and bivariate analysis using the Spearman Rho-correlation test. Results showed that 25% of respondents had committed self-harm, 15% had suicidal ideation, and 40% experienced moderate to high anxiety. The main triggering factors included academic pressure, family conflict, and lack of social support. This study emphasises the need for early intervention and Islamic values-based mental health programmes to reduce the risk of mental disorders in adolescents. This adaptive programme can help adolescents manage stress through spiritual approaches and strengthening social support.
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