People bereaved by suicide are at increased risk of suicide, but evidence is lacking that available interventions reduce suicide risk. Few large-scale studies have described the views of suicide-bereaved people regarding their needs for support. Our objective was to explore the nature of young adults’ experiences of support after bereavement by suicide and their views on valued and unhelpful aspects. We conducted a cross-sectional study of staff and students aged 18–40 at 37 United Kingdom (UK) higher educational institutions in 2010, eliciting qualitative responses to two questions probing experiences of support and unmet needs after the suicide of a close contact. We conducted thematic analysis of responses from 420 adults bereaved by suicide, of whom 75% had received support after the loss. We identified three broad descriptive areas corresponding to important aspects of support: value and experiences of the support received; views on specific support needs; and reasons for not seeking support. We found that needs for emotional support exist throughout the social networks of people who die by suicide but are often hidden. Our findings suggest a need for proactive offers of support from family, friends, and professionals after suicide, repeated regularly in case a bereaved person does not feel ready for support early on.
People bereaved by suicide are at an increased risk of suicide and of dropping out of education or work. Explanations for these associations are unclear, and more research is needed to understand how improving support in educational or work settings for people bereaved by suicide might contribute to reducing suicide risk. Our objective was to explore the impact of suicide on occupational functioning. We conducted a cross-sectional online study of bereaved adults aged 18–40, recruited from staff and students of British higher educational institutions in 2010. We used thematic analysis to analyse free text responses to two questions probing the impact of suicide bereavement on work and education. Our analysis of responses from 460 adults bereaved by suicide identified three main themes: (i) specific aspects of grief that impacted on work performance, cognitive and emotional domains, and social confidence; (ii) structural challenges in work or educational settings including a lack of institutional support, the impact of taking time off, and changes to caring roles; and (iii) new perspectives on the role of work, including determination to achieve. Institutional support should be tailored to take account of the difficulties and experiences described.
We present the results of a group discussion conducted to identify research priorities among people bereaved by suicide regarding support needs. The authors' research team had recently published evidence from a UK-wide sample of young bereaved adults showing that those bereaved by suicide had a greater probability of suicide attempt than those bereaved by other cause of sudden death. For this study, ten UK-based adults bereaved by the suicide of a partner or family member were invited to join a group discussion to identify and prioritise an intervention to evaluate. These priorities were discussed in the context of unmet needs for support, identifying a need to develop and evaluate: immediate outreach after suicide; diversification and development of peer support services; and individual psychological support for those who feel suicidal. The group also suggested five key outcome measures: isolation; stigma; psychological health; day-today social functioning; and functioning in a work or caregiver role. The views presented in this discussion are a valuable contribution to the design of research that will inform national public health policy and the suicide prevention strategy for England.
Background Despite the large treatment gap in Indonesia, limited studies have attempted to explore both service users’ and providers’ evaluations of the current mental health system holistically. This study aims to explore the perceived challenges and support needs of Indonesian mental health stakeholders. Methods This qualitative study collected data from 17 participants from two mental health stakeholders in Yogyakarta (i.e., health professionals and service users) through a semi-structured interview. Thematic analysis was used to analyze the data. Results Findings reveal that service providers and users shared equally strong concerns regarding challenges and needs for improving mental health literacy, accessibility to services, and government support. However, a distinct emphasis was made in several areas—with service providers hinting more towards issues with interprofessional collaboration. In contrast, service users emphasized the negative attitude of health professionals and poor accessibility to service information. Conclusion The mental health service system is challenged by the lack of accessibility to service information, the limited spread of mental health practitioners, stigma, and lack of mental health literacy among both the public and professionals. A need for improvement in mental health promotion, accessibility, and quality of mental health workers is highlighted to satisfy the needs of both service users and providers.
Colleges are experiencing a surge of students in distress, particularly those with suicidal and self-harm tendencies. Despite numerous researchers having explored this phenomenon, very little action has been taken to address this issue at the university level, indicating the existence of inhibitory factors that have not yet been explored. The purpose of this study is to explore barriers that inhibit Indonesian faculty members from providing help to distressed college students. As many as 173 academic faculty members from 72 universities across Indonesia participated in this exploratory study by completing an online self-reported survey. Free text responses were thematically analyzed to provide information about the challenges that faculty members face. The findings were categorized into three main themes: lack of mental health information, unclear professional boundaries, and lack of institutional support. Further implications of the study will be discussed.
There has been little research in Indonesia about Adverse Childhood Experiences (ACE). Whereas, research on this topic is urgently needed as the baseline for a national evidence-based child protection policy. Even though the worldwide prevalence of ACE is high, there is no comprehensive study in the Indonesian context in regards to ACE identification and the impact on the survivors’ mental and physical health. Therefore, an ACE screening instrument is urgently needed as the first step for conducting research on this topic. This research aims to examine the validity and reliability of the WHO ACE-IQ or the World Health Organization Adverse Childhood Experience International Questionnaire as an ACE screening instrument in Indonesia. The researcher conducted a cross-sectional survey in 240 participants aged 18-65 years old using an online self-administered questionnaire. The outcome of this research is the Indonesian adapted WHO ACE-IQ is able to provide a reliable, accurate, and valid score of ACE in the Indonesian adult population
This study identified factors that contribute to adolescents' online trust. Two hypotheses are stated: (1) there is a significant influence of social loneliness and self-esteem toward self-disclosure; and (2) social support has a significant influence toward online trust, with self-disclosure as a mediator. 205 high school students completed a survey covering four self-rated scales: online trust, self-disclosure, social support, and loneliness. Each scale met the psychometric standards of validity and reliability. Data was analyzed using structural equation modelling (SEM). The findings confirmed both hypotheses. The Goodness of Fit as indicated by a chi-square coefficient of 345.06 (p = .00); RMSEA: .04; CFI: .98; and TLI: .98, exceeded the set criteria. The main determinant of the direct effect of social trust and online trust model (β = .35**) was self-disclosure, a mediator on the effect of social support toward online trust (β = .05). The variables which directly influenced self-disclosure were loneliness (β = -.31**), self-esteem (β = .14), and social support (β = .24**).
The development of national identity in a highly multicultural nation begins by identifying oneself to a particular ethnic group and realizing that multiculturalism is the bridge between both identities. This research aims to discover the link between national identity, ethnic identity, and multiculturalism in Indonesia, specifically for Javanese. This study utilized three measurement scales: (1) National Identity Scale to measure national identity; (2) Ethnic Identity Scale to measure the sense of belongingness to the Javanese ethnicity; and (3) Universal Diverse Orientation (UDO), to measure multiculturalism. This study's participants consist of 441 college students in Yogyakarta (male = 115; female = 326), ranging from 17 to 21. The regression analysis result shows that the mediation model supports this research hypothesis, namely that multiculturalism mediates the relationship between ethnic identity and national identity. Therefore, the current finding generates a new conception regarding the related theme.
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