Background: School bullying is an aggressive behavior which tend to harm another in school environment. The incidents of bullying among adolescents happened in yunior high school was 66.1%. Generally adolescents who could not developed their assertiveness, will tend to be aggressive. Methods: A Quasi experimental pre-post test with control group was conducted among the adolescents the total subjects studied was 80. Data were analyzed by using SPSS (version 19). Results & Conclusion: the sample were randomized, resulting in a sample of 80 adolescents aged between 12 years to 14 years. There is a high significant with assertive knowledge and assertive behavior in pretest-posttest and a low significant association between abuse history with the assertiveness. Recommendations: 1-A longitudinal study can be carried out to prevent bullying. 2-The assertive training for adolescents should become a part of health school program with teacher and parents support.

Individualized metacognitive training is an effective therapy for reducing delusion severity and at the same time increasing metacognitive ability. Correlations emerged between delusion severity and metacognitive ability was needed to be established. Current research findings on cognitive biases and their link to schizophrenia/delusions are explained in a comprehensible and non-stigmatizing manner to patients and illustrated by multiple (everyday life) examples. The article is a report of a study conducted to explore the influence of individualized metacognitive therapy (MCT) on delusional severity and metacognitive ability. Delusional beliefs are at the core of schizophrenia. While there is emerging evidence on the usefulness treatment for psychosis of the group training MCT, so far only one study has investigated the effectiveness of individualized metacognitive training. A quasi experimental approach was adopted: The sample consisted of each 26 patients in the intervention group and in the control group. We found that delusion severity as assessed with the Psychosis Rating Scales and metacognitive abilities using the Metacognitive Ability Questionnaire improved significantly in the intervention group. Group differences achieved significance in favour of the MCT for all measures. Correlations that emerged between delusion severity and metacognitive ability were needed to be established. Metacognitive training appears to be effective in decreasing delusion severity and increasing metacognitive ability. We recommend that individualized MCT for a schizophrenic client should become a standard procedure in the treatment of psychosis, which can be administered by a qualified nurse.

Although self-help group for older people gains the effectiveness, the effect of a nursing intervention using a self-help group model as a guideline for self-monitoring and intervention on the health status and life satisfaction among older people still remains. To determine the effectiveness of this nursing intervention, an experimental design using multistage sampling method was used for this study. The self-help intervention included a single 50–70-minute session once a week for 12 weeks done, using the Life Satisfaction Inventory-A (LSI-A) questionnaire, and SF-36 shows a significant difference. Self-help intervention could be implemented by nurses for older people in the community to improve health and well-being.

One of the impact of stigmatization on mental disorder was the increasing of estimation number on community based psychiatric mental health restrictive in Indonesia from 2007 until 2012. The lack of family support cause improper care for schizophrenia patient. However, while there is evidence of family psychoeducation in caring schizophrenia's patient, there is limited understanding how the family support could give benefit for the schizophrenia recovery. The aim of this study was to qualitatively describe how was the family support for schizophrenia patients on community. Data were drawn from audio tapes, and conducted in-depth individual interviews with ten family whose schizophrenia patient's member of family ever been hospitalized. The transcripts of family support were analyzed. A thematic analysis was conducted to identify what was occurring in the family support for caring schizophrenia on community. There were three descriptions of the family support which consisted of the compliance of antipsychotic administration, the better family understanding of caring schizophrenia, and the increasing quality life of schizophrenia patient. A family support appears to be useful in reducing the stigma on community. We recommend that family support should be increased so that the schizophrenia patient get better life on community.

Aim: The present study was to validate the Indonesian version of Psychotic Symptoms Ratings Scales (PSYRATS), the Cognitive Bias Questionnaire for Psychosis (CBQp) and the Metacognitive Ability Questionnaire (MAQ) as a new scale to measure the ability of metacognition of schizophrenia. Background: The PSYRATS, CBQp, and MAQ have demonstrated their usefulness for the assessment of hallucinations and delusions, cognitive biases and metacognitive ability in schizophrenia. So far no validation of the Indonesian version has been carried out. Methods: The PSYRATS, CBQp and MAQ were administered to 155 subjects with a diagnosis of schizophrenia. Factor structure, reliability, test-retest stability, and convergent validity were analyzed. Findings: We found that the all psychometric were reliable and valid. Indonesian version of the PSYRATS and CBQp Indonesian version have high reliability. The reliability of new psychometric of MAQ was Cronbach’s alpha=.759 and was checked in a subsample (n=32; r=.668; p<.01). Conclusions: Similar to the original PSYRATS and CBQp, the Indonesian version of PSYRATS and CBQp have good psychometric properties. The new psychometric of MAQ is a valid instrument for assessing metacognition. Implications for future research are discussed. Keywords: Schizophrenia; Hallucination Severity; Delusion Severity; Bias Cognitive for Psychosis; Metacognition: Instrumental Study.

Shackling a person with schizophrenia violates human rights. This process is often carried out when the person has committed acts of violence and hostility. In this study, we focus on considering the shackling of a person with schizophrenia in Indonesia’s context. We used grounded theory (GT; Charmaz, 2011) with 23 participants located in the East Java Province, Indonesia. The participants consisted of people with schizophrenia who were shackled by their ankles, families treating people with schizophrenia, the cadre volunteers, prominent figures, and nurses. We used in-depth interviews using semi-structured questions. We identified five phases associated with the process of shackling a person with schizophrenia: (a) distress signal, (b) high demand for treatment, (c) a change of positive convictions, (d) loss of confidence and capability, and (e) restrictions. Understanding the process of shackling people with schizophrenia will help the Indonesian government prevent people with schizophrenia from being shackled by their ankles.

<p><strong>Background:</strong> Suicide was the second leading cause of death among 15–29 year-olds globally in 2012. While the key elements in developing a national suicide prevention strategy not only the health sector but also education so far the training of coping skills for stress was not being a part of health school program to prevent suicide.</p><p><strong>Objective:</strong> This study conducted to explore the training of coping skills for stress on self-control and intensity of depression among adolescents with suicide risk.</p><p><strong>Method:</strong> This research design using a quasi-experimental pre-posttest with control group. The sample consisted of each 40 adolescents in the intervention group and in the control group.</p><p><strong>Results:</strong> We found that the adolescent’s self-control and the intensity of depression was improved significantly in the intervention group.</p><p><strong>Conclusion:</strong> The training of coping skills for stress appears to be effective in increasing self-control and decreasing intensity of depression. We recommended that the training of coping skills for stress for adolescents should become a health school program in suicide prevention.</p>

Learning practice of a breaking bad news exercise among nursing student presents a challenge. The aim of this study was to explored the nursing students to see the repeated their experience in giving nursing care on the patient and family. Analysis of nursing student learning practice may lead to improve their competency in breaking bad news. A purposive sampling with homogeneity category of 18 nursing students complete their experience through short writing during their learning practice in nursing diploma education. The qualitative data was explored by thematic content analysis method using NVivo. Three main learning practice themes were identified from the data of the nursing students through a reflecting emotions. The following themes emerged: preparation, communication and support. These themes reflected how learning practice of the nursing students when they applied breaking bad news exercise. Knowing the exercise is very important for successful a breaking bad news for nursing student.