ABSTRACT

High levels of stress can affect psychological well-being and encourage self-harming behavior, especially among medical students who are in a transitional phase and have a high academic workload. This study aims to analyze the relationship between stress levels and self-harm among medical students. This study is a cross-sectional study of 153 active students in the medical program at Muhammadiyah University Yogyakarta class of 2024, selected using purposive sampling. The research instruments were the ISAS (Inventory of Statements About Self-Injury) to assess self-harm and the PSS-10 questionnaire to assess stress levels. The data were analyzed using the Pearson Chi-Square statistical test using SPSS software. The results showed a significant relationship between stress levels and self-harm behavior (p<0.05). These findings indicate that stress that is not handled adaptively can encourage individuals to use maladaptive coping strategies, including self-harming behavior. Therefore, efforts are needed to improve emotional regulation skills, social support, and psychological counseling programs on campus to help students manage stress in a healthier way.

Keywords: Stress, Self-harm, NSSI, Medical Student.

ABSTRAK

Tingkat stres yang tinggi dapat memengaruhi kesejahteraan psikologis dan mendorong munculnya perilaku melukai diri sendiri (self-harm), khususnya pada mahasiswa kedokteran yang berada pada fase transisi dan memiliki beban akademik yang tinggi. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat stres dengan kejadian self-harm pada mahasiswa kedokteran. Penelitian ini merupakan studi potong lintang pada 153 mahasiswa aktif di prodi kedokteran Universitas Muhammadiyah Yogyakarta angkatan 2024 yang dipilih secara purposive sampling. Instrumen penelitian adalah kuesioner ISAS (Inventory of Statements About Self-Injury) untuk menilai self-harm dan kuesioner PSS-10 untuk menilai tingkat stres. Data dianalisis dengan uji statistik Pearson Chi-Square menggunakan perangkat SPSS. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara tingkat stres dengan perilaku self-harm(p<0,05). Temuan ini memperlihatkan bahwa stres yang tidak tertangani secara adaptif dapat mendorong individu menggunakan strategi koping maladaptif, termasuk perilaku melukai diri. Oleh karena itu, diperlukan upaya peningkatan kemampuan regulasi emosi, dukungan sosial, dan program pendampingan psikologis di lingkungan kampus untuk membantu mahasiswa mengelola stres secara lebih sehat.

Kata Kunci: Stres, Self-Harm, NSSI, Mahasiswa Kedokteran.

Agustina, N. I., & Hidayati, R. W. (2023). Hubungan Emotional Maturity Dengan Kejadian Self-Harm Pada Remaja Putri Di Smp Yogyakarta. Jurnalkeperawatannotokusumo, 11, 1–7.

Aldabbour, B., Jaradat, R., Aljbour, O., Abdo, M., Aljbour, J., Abo Dayya, A., Dabbour Asad, M. (2025). Depression, Anxiety, Stress, Sleep Quality, And Life Satisfaction Among Undergraduate Medical Students In The Gaza Strip: A Cross-Sectional Survey. Middle East Current Psychiatry, 32, 14.

Ana, I. F., Asrini, Y., & Salsabila, F. N. (2024). Pendekatan Konseling Behavior Dalam Penanganan Remaja Bermasalah Dan Perilaku Self Harm. Madani: Jurnal Ilmiah Multidisiplin, 1(12), 2024. Https://Doi.Org/10.5281/Zenodo.10463261

Arinda, O. D., & Mansoer, W. W. D. (2020). Nssi (Nonsuicidal Self-Injury) Pada Dewasa Muda Di Jakarta: Studi Fenomenologi Interpretatif. Jurnal Psikologi Ulayat, 123–147. Https://Doi.Org/10.24854/Jpu150

Auerbach, R. P., Pagliaccio, D., Allison, G. O., Alqueza, K. L., & Alonso, M. F. (2020). Neural Correlates Associated With Suicide And Non-Suicidal Self-Injury In Youth. Biological Psychiatry, 89(2), 119–133. Https://Doi.Org/10.1016/J.Biopsych.2020.06.002

Azzahra, A., Wahyuni, S., & Arneliwati, A. (2023). Hubungan Stres Akademis Dan Non Akademis Terhadap Perilaku Self-Harm Pada Mahasiswa Universitas Riau. Jurnal Keperawatan

Bresin, K., & Gordon, K. H. (2013). Endogenous Opioids And Nonsuicidal Self-Injury: A Mechanism Of Affect Regulation. Neuroscience & Biobehavioral Reviews, 37(3), 374–383

Chang, S., Vaingankar, J. A., Tan, B., Tan, Y. W. B., Samari, E., Archana, S., Abdin, E., Acharya, G., Ong, S. H., Sagayadevan, V., & Subramaniam, M. (2025). Prevalence And Correlates Of Nonsuicidal Self-Injury Among Youths In Singapore: Findings From The National Youth Mental Health Study. Child And Adolescent Psychiatry And Mental Health, 19(1), 27. Https://Doi.Org/10.1186/S13034-025-00885-6

Choi, J. (2020). Impact Of Stress Levels On Eating Behaviors Among College Students. Nutrients, 12(5), 1–10. Https://Doi.Org/10.3390/Nu12051241

Elsaid, N., Saied, A., Kandil, H., Soliman, A., Taher, F., Hadi, M., Giridharan, G., Jennings, R., Casanova, M., Keynton, R., & El-Baz, A. (2021). Impact Of Stress And Hypertension On The Cerebrovasculature. Frontiers In Bioscience - Landmark, 26(12), 1643–1652. Https://Doi.Org/10.52586/5057

Escofet-Colet, I., Casadó-Marín, L. C., Orós-Navas, L., & Raventós-Torner, R. (2025). Non-Suicidal Self-Injury In Adolescents: A Systematic Review On Prevention And Intervention Programmes. Journal Of Child And Adolescent Psychiatric Nursing.

Fitriasari, A., Krisnawati, D. I., & Sari, N. P. (2025). Correlation Between Stress Levels And Self-Harm Behavior Among College Students In Surabaya: A Cross-Sectional Study. Journal Of Mental Health Nursing, 3(1), 15–22.

Goñi-Sarriés, A., Gutiérrez-Valencia, M., Morata-Sampaio, L., Saiz-Fernández, L. C., Leache-Alegría, L., & Sánchez-Villegas, A. (2025). Lifestyle Habits, Problem Behaviors And Non-Suicidal Self-Injury In Adolescents: A Systematic Review With Meta-Analysis Of Longitudinal Studies. Adolescent Research Review.

Gross, J. J. (1998). The Emerging Field Of Emotion Regulation: An Integrative Review. Review Of General Psychology, 2(3), 271–299. Https://Doi.Org/10.1037/1089-2680.2.3.271

Hediaty, S., Herlambang, & Shafira, N. N. (2022). Gambaran Tingkat Stres Mahasiswa Kedokteran Berdasarkan Medical Student Stresor Questionnaire Di Fakultas Kedokteran Dan Ilmu Kesehatan Universitas Jambi. Joms, 2, 61–71. Https://Doi.Org/Https://Doi.Org/10.22437/Joms.V2i2.23252

Imaroh, N. U. (2022). Naskah Publikasi Asuhan Keperawatan Pada Pasien Perilaku Kekerasan Dengan Pemberian Terapi Spiritual. Universitas Kusuma Husada Surakarta.

Insani, S. M., & Savira, S. I. (2023). Studi Kasus: Faktor Penyebab Perilaku Self-Harm Pada Remaja Perempuan (Case Study: Causative Factor Self-Harm Behavior In Adolescent Female). Character: Jurnal Penelitian Psikologi, 10(2), 439–454. Https://Doi.Org/10.26740/Cjpp.V10i2.53861

Islamy, F. N., Muzakkir, M., & Ratna, R. (2023). Pengaruh Stress Terhadap Kecenderungan Perilaku Mencederai Diri Sendiri Pada Remaja Di Smkn 5 Gowa. Jimpk: Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 3, 84–89

Karimah, K. (2021). Kesepian Dan Kecenderungan Perilaku Menyakiti Diri Sendiri Pada Remaja Dari Keluarga Tidak Harmonis. Psikoborneo: Jurnal Ilmiah Psikologi, 9(2), 367–380. Https://Doi.Org/10.30872/Psikoborneo.V9i2.5978

Keyes, K. M., & Platt, J. M. (2023). Annual Research Review: Sex, Gender, And Internalizing Conditions Among Adolescents In The 21st Century – Trends, Causes, Consequences. Journal Of Child Psychology And Psychiatry, 65(4), 384–407. Https://Doi.Org/10.1111/Jcpp.13864

Kindler, J., Paslakis, G., Efkemann, S., Schultebraucks, K., Schmahl, C., & Bohus, M. (2022). Increased Immunological Markers In Female Adolescents With Non-Suicidal Self-Injury. Journal Of Affective Disorders, 323, 625–633. Https://Doi.Org/10.1016/J.Jad.2022.02.021

Lan, Z., Pau, K., Md Yusof, H., & Huang, X. (2022). The Effect Of Emotion Regulation On Non-Suicidal Self-Injury Among Adolescents: The Mediating Roles Of Sleep, Exercise, And Social Support. Psychology Research And Behavior Management, 15, 1451–1463. Https://Doi.Org/10.2147/Prbm.S363433

Lin, Y. K., Hsu, Y. T., Lin, P. Y., & Chang, Y. P. (2024). Global Prevalence Of Anxiety And Depression Among Medical Students During The Covid-19 Pandemic: A Systematic Review And Meta-Analysis. Bmc Psychology, 12, 161

Liza, R. G., Yaunin, Y., Yanwirasti, & Yetti, K. (2024). Validation Of The Indonesian Version Of The Inventory Of Statements About Self-Injury (Isas) Questionnaire. Iranian Journal Of Psychiatry, 19(3), 306–314. Https://Doi.Org/10.18502/Ijps.V19i3.15806

Maghfirah, R. (2024). Perilaku Menyakiti Diri Sendiri (Self Harm) Kajian Sudut Pandang Al-Qur’an. Pascasarjana Universitas Islam Negeri Ar-Raniry Banda Aceh.

Mcevoy, D., Brannigan, R., Cooke, L., Butler, E., Walsh, C., Arensman, E., & Clarke, M. (2023). Risk And Protective Factors For Self-Harm In Adolescents And Young Adults: An Umbrella Review Of Systematic Reviews. Journal Of Psychiatric Research, 168, 353–380. Https://Doi.Org/10.1016/J.Jpsychires.2023.10.017

Mulyaningsih, N. I. (2022). Strategi Coping Stress Dengan Perilaku Self-Harm Pada Remaja Di Platform Media Sosial Twitter Tahun 2021.

Nice. (2022). Self-Harm: Assessment, Management And Preventing Recurrence. Www.Nice.Org.Uk/Guidance/Ng225

Nisrina, A. W. (2023). Hubungan Antara Tingkat Stres Dengan Perilaku Self-Harm Pada Mahasiswa Di Wilayah Kelurahan Keputih Surabaya. Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya.

Putri, A. D. S. (2022). Self-Harm Pada Remaja Putri Di Kota Medan. Universitas Medan Area, Medan.

Prasetyaningrum, E., & Advistasari, Y. D. (2018). Kajian Obat Fluoxetin Dan Sertralin Pasien Depresi Berat Di Instalasi Rawat Inap Rsjd Dr. Amino Gondohutomo Provinsi Jawa Tengah Periode Juli-Desember 2016. Jurnal Ilmiah Cendekia Eksakta, 3, 38–42.

Rahmatika, S., & Syahidin. (2024). Mengatasi Self-Harm Di Kalangan Remaja: Pendekatan Pendidikan Karakter Dalam Perspektif Islam. Risoma : Jurnal Riset Sosial Humaniora Dan Pendidikan, 2(4), 177–184. Https://Doi.Org/10.62383/Risoma.V2i4.140

Razvaliaeva, A., & Polskaya, N. (2022). Predictors Of Self-Harm Types In Members Of Online Communities: Age As A Moderating Variable. Consortium Psychiatricum, 3(4), 38–51. Https://Doi.Org/10.17816/Cp216

Safira, F., & Prabawa, A. (2024). Konsep Teori Hubungan Resiliensi Dan Religiositas Dengan Perilaku Self-Harm Pada Siswa.Social, Humanities, And Educational Studies (Shes): Conference Series, 7(3), 623 –632.

Sari, M. P., Qiptiah, P. M., & Riyani, R. Y. (2023). Analisis Manajemen Stres Di Kalangan Remaja Indonesia. Jipkm, 1(1), 1–6.

Sekh, H. H., Novitasari, A., & Romadhoni. (2021). Gambaran Stres Pada Mahasiswa Tahun Pertama Di Fakultas Kedokteran Universitas Muhammadiyah Semarang. Http://Repository.Unimus.Ac.Id

Singh, S. N., & Singh, Dr. V. (2020). Effects Of Stress In Psychological Health And Its Management. Ad Valorem. Journal Of Law, 6(1).

Thiruvalluru, R. K., Edgcomb, J. B., Brooks, J. O., & Pathak, J. (2023). Risk Of Suicide Attempts And Self-Harm After 1.4 Million General Medical Hospitalizations Of Men With Mental Illness. Journal Of Psychiatric Research, 157, 50–56. Https://Doi.Org/10.1016/J.Jpsychires.2022.10.035

Tjang, Y. S., Prihatiningsih, T. S., & Prabandari, Y. S. (2023). Stress Level Of Medical Students In Online Learning During Covid-19 Pandemic And Its Impact On Academic Achievement. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal Of Medical Education, 12(1), 57. Https://Doi.Org/10.22146/Jpki.76645

Torales, J., Barrios, I., González, I., & Ríos-González, C. (2023). Suicides Among Children And Adolescents In Paraguay. International Journal Of Social Psychiatry, 69(8), 1969–1977.

Who. (2023). Stress.

Witt, K. G., Hetrick, S. E., Rajaram, G., Hazell, P., Salisbury, T. L., Townsend, E., & Hawton, K. (2021). Pharmacological Interventions For Self-Harm In Adults. Cochrane Database Of Systematic Reviews, 2021(1). Https://Doi.Org/10.1002/14651858.Cd013669.Pub2

Werdani, Y. D. W. (2020). Pengaruh Tingkat Stres Terhadap Mekanisme Koping Pasien Kanker Berbasis Manajemen Terapi Kanker. Care: Jurnal Ilmiah Ilmu Kesehatan, 8(3), 346–360

Wulandari, R. R., Fitriah, A., & Marsha, G. C. (2024). Pengaruh Kebermaknaan Hidup Terhadap Perilaku Self-Harm Pada Remaja. Jurnal Psikologi Dan Bimbingan Konseling, 4(2). Https://Doi.Org/10.6734/Liberosis..V2i2.3027

Wurisetyaningrum, C., Elmanora, & Zulfa, V. (2024). Analisis Faktor Perilaku Self-Injury Pada Remaja. Liberosis: Jurnal Psikologi Dan Bimbingan Konseling, 2. Https://Doi.Org/10.3287/Ljpbk.V1i1.325

Xiao, Q., Song, X., Huang, L., Hou, D., & Huang, X. (2022). Global Prevalence And Characteristics Of Non-Suicidal Self-Injury Between 2010 And 2021 Among A Non-Clinical Sample Of Adolescents: A Meta-Analysis. Frontiers In Psychiatry, 13. Https://Doi.Org/10.3389/Fpsyt.2022.91244

Yoniati, Y., Dewi, N. N. A. I., & Huwae, G. H. (2020). Gambaran Perilaku Self-Harm Sebagai Bentuk Emotion-Focused Coping Pada Remaja Akhir. Humanitis: Jurnal Humaniora, Sosial Dan Bisnis, 1(1)