Ethical Issues Found in Healthcare Providers in Suicide Prevention in Indonesia

Abstract

The suicide rate is increasing and gaining attention in several developed countries, but in most developing countries, it is often ignored. Society should have a valve that can withstand various problems that occur in the community. The valve is a family. There has been a deterioration in family function in recent years. The existence of supportive caregivers has a very close correlation with suicide. There is also a correlation between suicide and religion. No Christian scriptural permission to die by suicide is granted, and that is better for Christians to suffer than to commit suicide. Common ethical considerations in suicidal issues are based on utilitarian theory. The concept of utility does not only refer to intrinsic things but to individual preferences that prioritize the interests or satisfaction of all individuals who have been influenced. In conclusion, suicide is a very complex problem involving various elements and is something that must be faced by healthcare providers. An important aim of this study is to identify how ethical consideration issues can happen among healthcare providers in suicide prevention.


Keywords: suicide, health care provider, stigma, religion, ethical consideration

References
[1] Khan MM. Suicide prevention and developing countries. J R Soc Med. 2005 Oct;98(10):459–63.

[2] Han B, Kott PS, Hughes A, McKeon R, Blanco C, Compton WM. Estimating the rates of deaths by suicide among adults who attempt suicide in the United States. J Psychiatr Res. 2016 Jun;77:125–33.

[3] Piscopo K, Lipari R, Cooney J, Glasheen C. Suicidal Thoughts And Behavior Among Adults: Results From The 2015 National Survey On Drug Use And Health. NSDUH Data Review. 2017. https://www.kompas.com/stori/read/2022/03/31/150000479/pulung-gantung-mitosbunuh- diri-di-gunungkidul?page=all

[4] Safitri FN. Pulung Gantung. Mitos Bunuh Diri di Gunungkidul; 2022.

[5] BBC_Indonesia. Mitos pulung gantung dan upaya menangani kasus bunuh diri di Gunung Kidul [Internet]. 2017. [cited 2022 May 28]. Available from: https://www.bbc.com/indonesia/indonesia-41194325

[6] Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Lancet. 2002 Oct;360(9339):1083–8.

[7] Adi F. Fenomena Bunuh Diri di Gunung Kidul: Catatan Tersisa dari Lapangan. Sosio Informa; 2012. https://doi.org/10.33007/inf.v17i1.63.

[8] Hawton K, Casañas I Comabella C, Haw C, Saunders K. Risk factors for suicide in individuals with depression: a systematic review. J Affect Disord. 2013 May;147(1- 3):17–28.

[9] Lobo Prabhu S, Molinari V, Bowers T, Lomax J. Role of the family in suicide prevention: an attachment and family systems perspective. Bull Menninger Clin. 2010;74(4):301– 27.

[10] Ali TM, Soesilo AL. Studi Kasus Tentang Bunuh Diri di Gunung Kidul: Antara Realitas dan Mitos Pulung Gantung. Wacana. 2021;13(1):82–103.

[11] Wirasto RT. Suicide Prevention in Indonesia - Providing Public Advocacy. Japan Med Assoc J. 2021;55(1):99–104. [cited 2022 May 28] Available from: https://www.scribd.com/document/492679783/Suicide-Prevention-in-Indonesiaproviding-Public-Advocacy

[12] Sofjan, D. Social disintegration and the increasing incidences of suicide in Gunung Kidul [Internet]. Proceedings of the Conference on Coping with Dis-integration: From the Perspectives of Local to Global; 2010. [cited 2022 May 27]. Available from: https://www.academia.edu/23348571/ Social_Disintegration_and_the_Increasing_Incidences_of_Suicide_in_Gunung_Kidul_Yogyakarta

[13] Hendy AV. The Modern Construction of Myth. 2001;77-111. [cited 2022 May 27]. Available from: https://www.amazon.com/Modern-Construction-Myth-Andrew- Hendy/dp/B0073VRVAQ

[14] Van Orden KA, Joiner TE Jr, Hollar D, Rudd MD, Mandrusiak M, Silverman MM. A test of the effectiveness of a list of suicide warning signs for the public. Suicide Life Threat Behav. 2006 Jun;36(3):272–87.

[15] Schomerus G, Evans-Lacko S, Rüsch N, Mojtabai R, Angermeyer MC, Thornicroft G. Collective levels of stigma and national suicide rates in 25 European countries. Epidemiol Psychiatr Sci. 2015 Apr;24(2):166–71.

[16] Rüsch N, Corrigan PW, Powell K, Rajah A, Olschewski M, Wilkniss S, et al. A stress-coping model of mental illness stigma: II. Emotional stress responses, coping behavior and outcome. Schizophr Res. 2009 May;110(1-3):65–71.

[17] Schomerus G, Matschinger H, Angermeyer MC. The stigma of psychiatric treatment and help-seeking intentions for depression. Eur Arch Psychiatry Clin Neurosci. 2009 Aug;259(5):298–306.

[18] Vogel DL, Wade NG, Haake S. Measuring the self-stigma associated with seeking psychological help. J Couns Psychol. 2006;53(3):325–37.

[19] Koenig K. Carson. Handbook of Religion and Health (2nd edn)[ Internet] 2012. [cited 2022 May 27]. Available from: https://psycnet.apa.org/record/2012-25761-000

[20] Cook CC. Suicide and religion. Br J Psychiatry. 2014;204(4):254–5.

[21] Chel’loob M. Suicide: The Last Frontier in being A Good Muslim: Islamic Attitudes from Anti-Suicide to Pro-Suicide. Heythrop J. 2015;60(3):n/a.

[22] Schulberg HC, Bruce ML, Lee PW, Williams JW Jr, Dietrich AJ. Preventing suicide in primary care patients: the primary care physician’s role. Gen Hosp Psychiatry. 2004;26(5):337–45.

[23] Sun FK, Long A, Boore J, Tsao LI. Suicide: a literature review and its implications for nursing practice in Taiwan. J Psychiatr Ment Health Nurs. 2005 Aug;12(4):447–55.

[24] Beauchamp TL, Childress JF. Principles of biomedical ethics. USA: Oxford University Press; 2001. ISBN: 0195143310.