Carla R Marchira
Bagian Psikiatri, FK UGM, Yogyakarta

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Observations from Three Suicide Cases Post-Yogyakarta Earthquake, 2006 Marchira, Carla R
Berita Kedokteran Masyarakat (BKM) Vol 23, No 4 (2007)
Publisher : Berita Kedokteran Masyarakat (BKM)

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Background: Saturday, May 27th 2006, 05:53AM, a 5.9 Richters Scale tectonic earthquake shook the Province of Yogyakarta. Mass panic swept the city due to a spreading rumor of an oncoming tsunami wave which is to follow the earthquake. Traffic all over the city was jammed, buildings collapsed, and many were injured and killed by the rubble. Due to the shock of the situation, the trauma resulted in mental distress for many of those directly and indirectly affected.Objective: To report the suicide cases following the earthquake in five districts of Yogyakarta Province.Method: To do in-depth interviews with the families of the suicide victims to describe suicide cases shortly after the Yogyakarta earthquake.Result: There were three consecutive suicide cases shortly after the earthquake (2-6 days). Two cases come from the most affected area, Bantul District and one case comes from the dry area, Gunungkidul District.Conclusions:There were three consecutive suicide cases shortly after the earthquake (1st week), all cases were males. There was no evidence that the earthquake caused the suicide of these cases directly, but the impact of the earthquake may have increased stress and inability to cope that ultimately led to their tragic ends.Keywords: mental health, trauma, Yogyakarta Earthquake, suicide
Hubungan Kekerasan Dalam RUmah Tangga Dengan Depresi Pada Wanita Yang Melakukan Konsultasi di Rifka Annisa Womens Crisis Center Yogyakarta Vinatalia, Richa; Marchira, Carla R; Winarso, Mariyono Sedyo
Jurnal Ilmu Keperawatan Vol 4, No 1 (2009)
Publisher : School of Nursing Faculty of Medicine Universitas Gadjah Mada

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Factors affecting resilience of drug abusers at correctional facilities Warsini, Sri; Astuti, Arfiana Fani; Sari, Diana Nurlaila; Lestari, Pita Puji; Pratiwi, Sherli Damara; Masdar, Mahmasoni; Prasetyo, Nur Ajie; Indriati, Diah Fitri; Marchira, Carla R
MEDISAINS Vol 17, No 2 (2019)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v17i2.4947

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Background: Indonesia is currently facing a narcotics emergency as indicated by a drastic increase in the number of drug users and drug-related deaths. Rehabilitation does not guarantee recovery and relief from drugs. Even while undertaking rehabilitation, drug abusers may relapse. Resilience can prevent drug abusers from relapsing and help them overcome their problems. There has been a dearth of research focusing on factors affecting the resilience of drug abusers in Indonesia.Objective: The objective of this research is to identify factors affecting the resilience of drug abusers at correctional facilities in the Special Region of Yogyakarta.Methods: This is a cross-sectional design and was conducted in February 2017 at the Correctional Facility for Narcotics Cases Class IIA in Sleman and the Correctional Facility in Wirogunan. A total of 77 respondents were involved in this research by a consecutive sampling technique. The instruments used included the resilience questionnaire developed by Pertiwi based on Grotberg’s theory, Beck Depression Inventory II, Satis-faction with Life Scale and Positive Affect Negative Affect Schedule, Isundariyana’s stress instrument, Rosenberg Self-Esteem Scale (RSES), Zung Self Rating Anxiety Scale (ZSAS), General Self-Efficacy Scale, Life Orientation Test-Revised (LOT-R), and Difficulties in Emotion Regulation Scale (DERS). The data were analyzed by univariate, bivariate (Pearson and Spearman’s Rank), and multivariate (linear regression) analyses.Results: Out of the 8 factors examined (subjective well-being, optimism, self-esteem, emotion regulation, anxiety, stress, depression, and self-efficacy) and 2 demographic factors (age and occupational status), only self-efficacy (β = 1.063; p = 0.13), optimism (β = 1.51; p = 0.01), and self-esteem (β = 1.540; p = 0.009) affected resilience.Conclusions: Self-efficacy, optimism, and self-esteem are modifiable factors that can influence the resilience of drug abusers
Co-occuring Toxoplasma Infection and Psychotic Symptoms : Case Report Marchira, Carla R; Kusumadewi, Andrian F; Wulandari, Patricia
Scientia Psychiatrica Vol. 1 No. 1 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (41.958 KB) | DOI: 10.37275/scipsy.v1i1.4

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Abstract Introduction Schizophrenia is a neuropsychiatric disease that is global and is experienced by 1% of the population in the United States and Europe. This study raises awareness of the role of infectious agents in the initiation of psychotic symptoms in schizophrenia. Case Presentation A 20-year-old man is taken by the family to the emergency department because he has decreased consciousness, and the body suddenly stiffens. Patients begin to experience changes in behavior in the form of difficulty sleeping, when invited to talk quietly, laughing alone and whispering without the other person. TORCH examination found an increase in anti-toxoplasma IgM and IgG. This patient is then given basic life support in the form of ABC (airway, breathing, circulation support) and seizure management. Also given risperidone 2 mg / 12 hours, pyrimethamine 1-II (1x200 mg), pyrimethamine day III-XXI (1x 25 mg), intravenous Cefotaxim 2g / 8 hours, Clindamycin 500 mg / 8 hours. The patient experienced improvement after the second week of treatment. Conclusion Toxoplasmosis causes lesions in the brain that cause changes in brain neurotransmitter pathways, which lead to changes in patient behavior.
Profile of Personality and Psychopathology Dimensions of Indonesian Medical Students who Failed in Medical Doctor Competency Exams (UKMPPD) Wulandari, Patricia; Hidayat, Rachmat; Marchira, Carla R
Scientia Psychiatrica Vol. 1 No. 2 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v1i2.7

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Abstract Introduction Medical doctor competency exams (UKMPPD) in Indonesia is a final test that should be followed by medical student before being declared worthy of a medical doctor’s degree. This exam is certainly intended with good intentions, in order to improve the standards and quality of graduates of Indonesian doctors. However, each policy turns out to have two opposite sides of the situation, on the one hand it is profitable but on the other it often creates new problems. Students’ fear of the competency test often causes new psychological problems for students. No doubt the failure of the competency exam causes students to experience prolonged disappointment and sadness, which in turn will cause depression. This research is the first research that aim to present a description of personality and psychopathology dimension data from UKMPPD participants who failed the test. Method This study was an exploratory descriptive study by presenting narratives of personality and psychopathology dimensions of unsuccessful UKMPPD participants. This research was conducted at the Faculty of Medicine, Universitas Sriwijaya Palembang, Indonesia. Each participant was assessed personality and psychopathology dimensions using MMPI-2 (Minnesota Multiaxial Personality Inventory-2). The results of analysis with MMPI-2 present data in the form of clinical psychic conditions, the work capacity, interpersonal relationships, the work abilities and the ability to change the self potential of the research subjects. Result The research subjects were UKMPPD participants who did not successfully pass the first exam. From 7 research subjects, there were 2 subjects who successfully passed the second exam (28.5%) and there were 3 people who successfully passed after the third exam (43%). Meanwhile, 2 research subjects have not successfully passed the UKMPPD exam until the fifth exam (28.5%). The results are quite surprising that of the 7 participants who failed to pass the UKMPPD exam, all of them felt depression. Conclusion Medical students who experienced UKMPPD failures have an inability to develop their own potential which result in depression due to failure of the exam
Making Meaning of Religious Values in Preventing a Fatal Suicide Act of a Bisexual Youth with Borderline Personality Disorder: A Qualitative Study Valentina, Tience Debora; Marchira, Carla R; Afiatin, Tina; Hadjam, Noor R
Jurnal Psikologi Vol 48, No 1 (2021)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpsi.56713

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Male adolescents of sexual minority groups often present mental health problems and suicidal behaviors. This qualitative study was conducted to explore how a bisexual youth with borderline personality disorder and multiple suicide attempts coped with his intention to die. Analysis was done using the Grounded Theory approach resulted in several themes. First, the pathway to suicidal behaviors; depicting the conflict between parents and the history of mother’s suicide attempts made him felt disconnected with the family. Second, the feeling of not deserving loved although having the need to be loved and to love. Third, the ambivalence of his sexual orientations as he had strong desire to be with a man yet felt happy dating a girl. Fourth, the interpretation of religious values for preventing fatal suicidal act. He perceived that his suicide attempts failed because God wants him to stay alive. The discussion addresses the aspect of religiosity that obstructs suicidal behaviors in bisexual youths