Masih ada harapan: Eksplorasi pengalaman pemuda yang menangguhkan bunuh diri

  • F A Nurdiyanto Universitas Gadjah Mada
Keywords: bunuh diri, faktor protektif, fenomenologi

Abstract

Abstract

Suicide is a global crisis that cannot be resolved. Trends show that suicide began mostly by adolescents and more than 51% were committed by age <45 years. Previous research found that individuals who have experienced suicide attempts have a negative and pessimistic view of life. The purpose of this study is to illustrate the meaning of individual experiences in deferring suicide. Five survivors (3 women) participated through snowball sampling. Data collection was done by phenomenological interviews and observations of participants. Data were analyzed using the descriptive phenomenological analysis to bring out the essence of suicidal experiences. This study derives 4 themes that can facilitate reducing suicidal ideation: connectedness, spirituality, hope, and shame. This study implies that suicide prevention can consider this finding as a protective factor for individuals at risk of suicide and build a support network for suicide survivors.

Keywords: Suicide attempt; protective factors; phenomenology.

 

Abstrak

Bunuh diri merupakan krisis global yang belum dapat diselesaikan. Tren menunjukkan bahwa bunuh diri mulai banyak dilakukan oleh remaja dan lebih dari 51% dilakukan oleh kelompok usia kurang dari 45 tahun. Penelitian terdahulu mencatat individu yang memiliki pengalaman percobaan bunuh diri memiliki pandangan yang negatif sekaligus pesimis terhadap kehidupan. Penelitian ini dimaksudkan untuk menggambarkan makna pengalaman individu dalam menangguhkan bunuh diri. Lima penyintas bunuh diri (3 wanita) berpartisipasi melalui snowball sampling. Pengumpulan data dilakukan dengan wawancara fenomenologi dan observasi terhadap partisipan. Analisis data yang digunakan berupa analisis fenomenologis deskriptif untuk memunculkan esensi pengalaman bunuh diri ke dalam bentuk tema-tema fenomenologis. Studi ini memperoleh 4 tema yang dapat memfasilitasi dalam mengurungkan keinginan bunuh diri: keterhubungan, spiritualitas, harapan, dan malu. Implikasi penelitian ini adalah upaya pencegahan bunuh diri dapat mempertimbangkan temuan ini sebagai faktor protektif bagi individu yang memiliki risiko bunuh diri dan membangun jaringan pendukung bagi penyintas bunuh diri.

Kata kunci: bunuh diri; faktor protektif; fenomenologi.

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References

Anestis, M. D., Moberg, F. B., & Arnau, R. C. (2014). Hope and the interpersonal-psychological theory of suicidal behavior: Replication and extension of prior findings. Suicide and Life-Threatening Behavior, 44(2), 175–187. https://doi.org/10.1111/sltb.12060

Bachmann, S. (2018). Epidemiology of suicide and the psychiatric perspective. International Journal of Environmental Research and Public Health, 15(1425), 1–23. https://doi.org/10.3390/ijerph15071425

Bazrafshan, M. R., Jahangir, F., & Shokrpour, N. (2017). What protects adolescents from suicidal attempt: A qualitative study. Shiraz E Medical Journal, 18(9), e57574. https://doi.org/10.5812/semj.57574

Bertolote, J. M. (2014). Prevention of suicidal behaviors. In M. K. Nock (Ed.), The Oxford handbook of suicide and self-injury (pp. 355–366). Oxford University Press.

Breed, W. (1972). Five components of a basic suicide syndrome. Suicide and Life?Threatening Behavior, 2(1), 3–18. https://doi.org/10.1111/j.1943-278X.1972.tb00451.x

Bryan, C. J., Graham, E., & Roberge, E. (2015). Living a life worth living: Spirituality and suicide risk in military personnel. Spirituality in Clinical Practice, 2(1), 74–78. https://doi.org/10.1037/scp0000056

Cheavens, J. (2000). Hope and depression: Light through the shadows. In C. R. Snyder (Ed.), Handbook of hope: Theory, measures & applications (pp. 321–340). Academic Press.

Crowder, M. K., & Kemmelmeier, M. (2018). Cultural differences in shame and guilt as understandable reasons for suicide. Psychological Reports, 121(3), 396–429. https://doi.org/10.1177/0033294117728288

Darmaningtyas. (2002). Pulung Gantung : Menyingkap tragedi bunuh diri di Gunungkidul. Salwa Press.

Eisenberg, M. E., Ackard, D. M., & Resnick, M. D. (2007). Protective factors and suicide risk in adolescents with a history of sexual abuse. The Journal of Pediatrics, 151(5), 482–487. https://doi.org/10.1016/j.jpeds.2007.04.033

Fässberg, M. M., van Orden, K. A., Duberstein, P., Erlangsen, A., Lapierre, S., Bodner, E., Canetto, S. S., de Leo, D., Szanto, K., & Waern, M. (2012). A systematic review of social factors and suicidal behavior in older adulthood. International Journal of Environmental Research and Public Health, 9(3), 722–745. https://doi.org/10.3390/ijerph9030722

Geertz, H. (1983). Keluarga Jawa. Grafiti Press.

Giner, L., Guija, J. A., Root, C. W., & Baca-Garcia, E. (2016). Nomenclature and definition of suicidal Behavior. In P. Courtet (Ed.), Understanding suicide from diagnosis to personalized treatment (pp. 3–17). Springer International Publishing Switzerland. https://doi.org/10.1007/978-3-319-26282-6_1

Giorgi, A. (2009). The descriptive phenomenological method in psychology: A modified Husserlian approach. Duquesne University Press.

Goldston, D. B., Daniel, S. S., Heilbron, N., Doyle, O., Weller, B., Sapyta, J., Mayfield, A., & Faulkner, M. (2015). Suicide attempts in a longitudinal sample of adolescents followed through adulthood: Evidence of escalation. Journal of Consulting and Clinical Psychology, 83(2), 253–264.

Gooding, P., Tarrier, N., Dunn, G., Shaw, J., Awenat, Y., Ulph, F., & Pratt, D. (2015). Effect of hopelessness on the links between psychiatric symptoms and suicidality in a vulnerable population at risk of suicide. Psychiatry Research, 230(2), 464–471. https://doi.org/10.1016/j.psychres.2015.09.037

Hatala, A. R. (2011). Resilience and healing amidst depressive experiences: An emerging four-factor model from emic/etic perspectives. Journal of Spirituality in Mental Health, 13, 27–51. https://doi.org/10.1080/19349637.2011.547135

Irigoyen, M., Segovia, A. P., Galván, L., Puigdevall, M., Giner, L., De Leon, S., & Baca-García, E. (2019). Predictors of re-attempt in a cohort of suicide attempters: A survival analysis. Journal of Affective Disorders, 247, 20–28. https://doi.org/10.1016/j.jad.2018.12.050

Kementerian Kesehatan RI. (2007). Global School-based Student Health Survey (GSHS) Indonesia 2007. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. https://www.who.int/ncds/surveillance/gshs/GSHS_Country_Report_Indonesia_2007.pdf

Kementerian Kesehatan RI. (2016). Perilaku berisiko kesehatan pada pelajar SMP dan SMA di Indonesia. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. http://www.who.int/ncds/surveillance/gshs/GSHS_2015_Indonesia_Report_Bahasa.pdf?ua=1

Kementerian Kesehatan RI. (2018). Riset kesehatan dasar 2018. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. http://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf

King, C. A., Foster, C. E., & Rogalski, K. M. (2013). Teen sucide risk: A practitioner guide to screening, assessment, and management. The Guilford Press.

Kleiman, E. M., & Beaver, J. K. (2013). A meaningful life is worth living: Meaning in life as a suicide resiliency factor. Psychiatry Research, 210(3), 934–939. https://doi.org/10.1016/j.psychres.2013.08.002

Klonsky, E. D., & May, A. M. (2015). The three-step theory (3ST): A new theory of suicide rooted in the “ideation-to-action” framework. International Journal of Cognitive Therapy, 8(2), 114–129.

Kostenuik, M., & Ratnapalan, M. (2010). Approach to adolescent suicide prevention. Canadian Family Physician, 56, 755–760.

Kutcher, S., & Chehil, S. (2012). Suicide risk management: A manual for health professionals (2nd ed.). John Wiley & Sons, Ltd.

Kyle, J. (2013). Spirituality: Its role as a mediating protective factor in youth at risk for suicide. Journal of Spirituality in Mental Health, 15(1), 47–67. https://doi.org/10.1080/19349637.2012.744620

Large, M., Sharma, S., Cannon, E., Ryan, C., & Nielssen, O. (2011). Risk factors for suicide within a year of discharge from psychiatric hospital: A systematic meta-analysis. Australian and New Zealand Journal of Psychiatry, 45(8), 619–628. https://doi.org/10.3109/00048674.2011.590465

Lawrence, R. E., Brent, D., Mann, J. J., Burke, A. K., Grunebaum, M. F., Galfalvy, H. C., & Oquendo, M. A. (2016). Religion as a risk factor for suicide attempt and suicide ideation among depressed patients. The Journal of Nervous and Mental Disease, 204(11), 845–850. https://doi.org/10.1097/NMD.0000000000000484

Leigh-Hunt, N., Bagguley, D., Bash, K., Turner, V., Turnbull, S., Valtorta, N., & Caan, W. (2017). An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health, 152, 157–171. https://doi.org/10.1016/j.puhe.2017.07.035

Lester, D. (2017). Does religiosity predict suicidal behavior? Religions, 8(11), 238. https://doi.org/10.3390/rel8110238

Lie, H., & Liou, J.-C. (2012). Suicide behavior among junior high school students in Philippines and Indonesia associated with the social factors. GSTF International Journal of BioSciences, 2(1), 92–97. https://doi.org/10.5176/2251-3140_2.1.28

Luo, X., Wang, Q., Wang, X., & Cai, T. (2016). Reasons for living and hope as the protective factors against suicidality in Chinese patients with depression: A cross sectional study. BMC Psychiatry, 16(1), 1–7. https://doi.org/10.1186/s12888-016-0960-0

Malone, K. M., Oquendo, M. A., Haas, G. L., Ellis, S. P., Li, S., & Mann, J. J. (2000). Protective factors against suicidal acts in major depression: Reasons for living. American Journal of Psychiatry, 157(7), 1084–1088. https://doi.org/10.1176/appi.ajp.157.7.1084

Marco, J. H., Pérez, S., & García-Alandete, J. (2016). Meaning in life buffers the association between risk factors for suicide and hopelessness in participants with mental disorders. Journal of Clinical Psychology, 72(7), 689–700. https://doi.org/10.1002/jclp.22285

Miller, A. B., Esposito-Smythers, C., & Leichtweis, R. N. (2015). Role of social support in adolescent suicidal ideation and suicide attempts. Journal of Adolescent Health, 56(3), 286–292. https://doi.org/10.1016/j.jadohealth.2014.10.265

Miller, C. W., Roloff, M. E., & Reznik, R. M. (2014). Hopelessness and Interpersonal Conflict: Antecedents and Consequences of Losing Hope. Western Journal of Communication, 78(5), 563–585. https://doi.org/10.1080/10570314.2014.896026

Mirkovic, B., Labelle, R., Guilé, J. M., Belloncle, V., Bodeau, N., Knafo, A., Condat, A., Bapt-Cazalets, N., Marguet, C., Breton, J. J., Cohen, D., & Gérardin, P. (2015). Coping skills among adolescent suicide attempters: Results of a multisite study. The Canadian Journal of Psychiatry, 60(2 supp 1), S37–S45. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345847/

Moleong, L. J. (2012). Metodologi penelitian kualitatif. PT Remaja Rosdakarya.

Mubasyiroh, R., Putri, I. Y. S., & Tjandrarini, D. H. (2017). Determinan gejala mental emosional pelajar SMP-SMA di Indonesia tahun 2015. Buletin Penelitian Kesehatan, 45(2), 103–112. https://doi.org/10.22435/bpk.v45i2.5820.103-112

Nurdiyanto, F. A., & Jaroah, S. (2020). The characteristics of suicide in Gunungkidul Indonesia. Disease Prevention and Public Health Journal, 14(2), 12–18. https://doi.org/10.12928/dpphj.v14i2.2027

Pridmore, W., & Pridmore, S. (2016). Suicide is not the exclusive domain of medicine. American Journal of Medical Research, 3(1), 174–187. https://doi.org/10.22381/ajmr3120166

Reynders, A., Kerkhof, A. J. F. M., Molenberghs, G., & Van Audenhove, C. (2014). Attitudes and stigma in relation to help-seeking intentions for psychological problems in low and high suicide rate regions. Social Psychiatry and Psychiatric Epidemiology, 49(2), 231–239. https://doi.org/10.1007/s00127-013-0745-4

Selby, E., Joiner, T. E., & Ribeiro, J. D. (2014). Comprehensive theories of suicidal behaviors. In M. K. Nock (Ed.), The Oxford handbook of suicide and self-injury (pp. 286–307). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780195388565.013.0016

Sinyor, M., Tse, R., & Pirkis, J. (2017). Global trends in suicide epidemiology. Current Opinion in Psychiatry, 30(1), 1–6. https://doi.org/10.1097/YCO.0000000000000296

Stack, S., & Laubepin, F. (2019). Religiousness as a predictor of suicide: An analysis of 162 European regions. Suicide and Life-Threatening Behavior, 49(2), 371–381. https://doi.org/10.1111/sltb.12435

Subandi, M. A., & Good, B. J. (2018). Shame as a cultural index of illness and recovery from psychotic illness in Java. Asian Journal of Psychiatry, 34, 33–37. https://doi.org/10.1016/j.ajp.2018.04.005

UNICEF. (2016). Patterns of mortality change as children enter adolescence. data.unicef.org/topic/adolescents/mortality/

Valentina, T. D., & Helmi, A. F. (2016). Ketidakberdayaan dan perilaku bunuh diri: Meta-Analisis. Buletin Psikologi, 24(2), 123–135. https://doi.org/10.22146/buletinpsikologi.18175

Verrocchio, M. C., Carrozzino, D., Marchetti, D., Andreasson, K., Fulcheri, M., & Bech, P. (2016). Mental pain and suicide: A systematic review of the literature. Frontiers in Psychiatry, 7(108), 1–14. https://doi.org/10.3389/fpsyt.2016.00108

Whitlock, J., Wyman, P. A., & Moore, S. R. (2014). Connectedness and suicide prevention in adolescents: Pathways and implications. Suicide and Life-Threatening Behavior, 44(3), 246–272. https://doi.org/10.1111/sltb.12071

WHO. (2014). Preventing suicide: A global imperative. https://www.who.int/mental_health/suicide-prevention/world_report_2014/en/

WHO. (2019). Suicide in the world: Global health estimates. https://apps.who.int/iris/bitstream/handle/10665/326948/WHO-MSD-MER-19.3-eng.pdf

Wu, A., Wang, J. Y., & Jia, C. X. (2015). Religion and completed suicide: A meta-analysis. PLoS ONE, 10(6), 1–14. https://doi.org/10.1371/journal.pone.0131715

Yao, Y. S., Chang, W. W., Jin, Y. L., Chen, Y., He, L. P., & Zhang, L. (2014). Life satisfaction, coping, self-esteem and suicide ideation in Chinese adolescents: A school-based study. Child: Care, Health and Development, 40(5), 747–752. https://doi.org/10.1111/cch.12142

Yusuf, N. R. (2019). Deteksi dini faktor risiko ide bunuh diri remaja di Sekolah Lanjutan Tingkat Atas/Sederajat di DKI Jakarta. (Unpublished doctoral dissertation). Universitas Indonesia, Depok.

Published
2020-12-25
Section
Articles