Studi Kasus Penerapan Cognitive Behavioral Therapy (CBT) pada pasien Depresi Berat dengan Gejala Psikotik dan Risiko Bunuh Diri di RSJD dr. Arif Zainudin Surakarta

Kholita Nurati; Wahyu Ekowati; Jumali Jumali; Wahyudi Mulyaningrat; Reza Fajar Amalia; Indah Ramadhan

doi:10.20884/1.job.2026.8.2.21075

Kholita Nurati Mahasiswa Program Profesi Ners, Jurusan Keperawatan FIKES Universitas Jenderal Soedirman Purwokerto
Wahyu Ekowati Laboratorium Keperawatan Jiwa, Jurusan Keperawatan FIKES Universitas Jenderal Soedirman Purwokerto
Jumali Jumali Perawat RSJD Dr Arif Zainudin Provinsi Jawa Tengah
Wahyudi Mulyaningrat Laboratorium Keperawatan Jiwa, Jurusan Keperawatan FIKES Universitas Jenderal Soedirman Purwokerto
Reza Fajar Amalia Laboratorium Keperawatan Jiwa, Jurusan Keperawatan FIKES Universitas Jenderal Soedirman Purwokerto
Indah Ramadhan Laboratorium Keperawatan Jiwa, Jurusan Keperawatan FIKES Universitas Jenderal Soedirman Purwokerto

DOI: https://doi.org/10.20884/1.job.2026.8.2.21075

Abstract

Introduction: Severe depression with psychotic symptoms is a mental disorder that increases the risk of suicide due to feelings of hopelessness, worthlessness, and loss of hope. Cognitive Behavioral Therapy (CBT) is one of the psychotherapeutic interventions that is effective in reducing symptoms of depression and suicidal ideation.
Objective: To analyze the application of CBT in patients with severe depression exhibiting psychotic symptoms and a risk of suicide.
Method: A case study of a 31-year-old male patient treated at RSJD dr. Arif Zainudin Surakarta after a suicide attempt. Data were obtained thru interviews, observations, mental status examinations, and medical record reviews. CBT was administered in five sessions over three days to identify and modify negative thoughts and enhance adaptive coping.
Results: After the intervention, the patient was able to recognize negative automatic thoughts, develop more rational thinking, improve the ability to express feelings, and use more adaptive coping strategies. The frequency of suicidal thoughts decreased, and hope and more realistic life plans emerged.
Conclusion: CBT contributes to the reduction of suicidal ideation and the improvement of coping abilities in patients with severe depression and psychotic symptoms.

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