Background Suicidal behavior is a prevalent psychiatric emergency in HIV-infected adults. Detection of suicidal ideation is important in planning early psychiatric intervention and optimizing HIV/AIDS management. Characterization of suicidal ideation among HIV-infected adults is crucial; however, practically there is no data in Indonesia, the country with the second largest burden of HIV/AIDS epidemic in Asia. This study aims to identify suicidal ideation and analyze the associated psychopathology and determining factors among HIV-infected adults in Indonesia. Methods An observational cross-sectional study was conducted among HIV-infected adults aged 18–65 years old receiving antiretroviral therapy (ART). Measurement using Symptom Checklist-90 (SCL-90) was performed to assess the existing psychopathology. Firth’s penalized logistic regression analysis was performed to identify factors associated with suicidal ideation. Results A total of 86 subjects were recruited. Most subjects were male (65.1%), median age was 35 years, and median latest CD4 count was 463 cells/μl. Lifetime suicidal ideation was identified in 20 subjects (23.3%). Mean SCL-90 T-score for depressive and anxiety symptoms were both significantly higher among subjects with suicidal ideation (M = 60.75, SD = 12.0, p = 0.000 and M = 57.9, SD = 2.8, p = 0.001, respectively) compared to those without. Bivariate analyses showed that lifetime suicidal ideation was associated with depressive and anxiety symptoms, non-marital status, CD4 count < 500 cells/μl, and efavirenz use. Multivariate analysis identified that a single-point increase in SCL-90 depression symptoms score (AOR 1.16, 95% CI 4.5–123.6, p = 0.000) and efavirenz use (AOR 5.00, 95% CI 1.02–24.6, p = 0.048) were significant independent factors related to suicidal ideation. Conclusion Suicidal ideation is commonly found among Indonesian HIV-infected adults on ART. Depressive symptoms and efavirenz use are independent factors related to the presence of suicidal ideation. Thus, early screening of psychopathology as well as substitution of efavirenz with other ART regiment are recommended to prevent suicide and improve HIV/AIDS management outcome.

The ratio of FSH to estradiol (>1.94) can be used as a screening method for the occurrence of MCI in postmenopausal women.

Autosuggestion is associated with improvement of geriatrics' quality of life, serum cortisol level, and adaptive immunity. There is a better trend for neuroplasticity in prefrontal cortex in the autosuggestion group.

Background and objectives: The prevalence of adolescent conduct disorder (CD) among school in Jakarta is 26,1% leading to high incidence of student brawls. Up until now, there is no structured module for CD intervention that can be done by teacher, thus mindfulness therapy is used in scholl to reduce such incidence. The objective of this study is to asses the effectiveness Learning of self-regulation in mindfulness therapy conducted by school counselor inmitigating their involvement in brawls and other forms of violence. Changes in behaviour and cortisol level are used as indicators of success. Method: subject were randomly assigned into treatment as usual (with school counselors) and into Mindfulness training by counselors supervised by a psychiatrist. Cortisol level was checked before and after treatment. Behavioral changes were reported trough a conduct disorder instrument developed for the study. Outcome data was analized using Chi-square, Odd Risk Ratio calculation, and the General Linear Model Repeated Measures. Results and conclusion: 103 students completed the study (intervention n=53 control n=50) after 8 weeks, showing the effectiveness of Mindfulness therapy by NNT=2, RR=3,40 (2,[4][5]65. The secondary results showed a decrease of anti-social behaviour measured by TCD-AM and a significant decrease of serum cortisol level (p0,00) compared to the control group. Minfulness therapy recomended to manage anti-social behavior in school. Learning of self-regulation in mindfulness therapy resulted in improvement of emotional and behavioral control among adolescent with conduct disorder. Minfulness therapy can be conducted by school counselors after appropiate training. This study is limited among male adolescents with mild and moderate history of conduct disorder. Girls and the experienced severe conduct disorders were not included in study.