Gambaran Perilaku Self-Harm pada Mahasiswa Keperawatan

Abstract

Self-harm is an act of self-injury that emerges as a maladaptive response to psychological, social, or academic pressures. Nursing students are a group vulnerable to high stress due to the need to balance heavy academic demands and professional preparation in the health field. This study aims to describe self-harm behavior among students in the Bachelor of Nursing Program. The method used is quantitative descriptive with a population of 743 students and a sample of 260 respondents selected through Stratified Random Sampling. The instrument in this study is the Indonesian version of the Deliberate Self-Harm Inventory (DSHI), which has undergone validity and reliability testing. The study was conducted in January 2026 at one of the universities located in the Jatinangor area, Sumedang Regency, Indonesia. The results showed that 54.2% of respondents reported having engaged in self-harm, with the most common behaviors including intentionally interfering with wound healing, scratching the skin until bleeding, and biting the skin. These behaviors were more frequently reported among female students, senior students, and those living away from their families. This study found that more than half of undergraduate nursing students had engaged in self-harm, with behaviors that tended to be subtle and hidden, functioning as maladaptive coping mechanisms in response to academic and emotional stress. These behaviors were more commonly observed among female students, early-year students, and those living away from their families, highlighting the need to strengthen mental health promotion programs, early detection efforts, and accessible counseling services within the campus environment.