Perception of Suicide Among Undergraduate Nursing Students: A Mixed-Methods Exploration on Maladaptive Ideation

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Mahardika Anekhomai Pakpahan
Universitas Advent Indonesia
Samuel Maju Simanjuntak
Universitas Advent Indonesia

Suicidal ideation among nursing students is a pressing global issue, exacerbated by academic and clinical stressors. In Indonesia, underreported suicide rates and limited institutional support necessitate urgent investigation (WHO, 2024; Setiyawati et al., 2024). This study examines the prevalence, perceptions, and predictors of suicidal ideation among undergraduate nursing students, focusing on stress, coping mechanisms, and social support. A mixed-methods design was employed, combining quantitative surveys (N = 172) with qualitative interviews and focus group discussions (FGDs) at Universitas Advent Indonesia. Stratified random sampling ensured representation across academic years, and data were analyzed using Somers’ D correlation and ordinal logistic regression (Creswell & Plano Clark, 2018). Quantitatively, 27.9% of students were at very high risk for suicidal ideation, with maladaptive coping (51.2%) and low social support (15.1%) significantly correlating with higher risk (*p* < 0.05). Qualitatively, students described isolation and institutional support gaps. The study underscores the need for targeted mental health programs, adaptive coping training, and enhanced peer support systems in nursing education to mitigate suicide risks (Yunitasari et al., 2023).


Keywords: Suicidal ideation, stress, coping mechanisms, social support, nursing students, mental health
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