Abstract
Background: Self-harm behavior cases increase which involved young adults population. Emotional lability and inability to cope with stressors lead to feeling hopeless and induce self-harm behavior. Emotion expression and spirituality aspects can evaluate as part of mental health concerns. Purpose: To analyze self-harm behavior, emotional expression, and aspects of spirituality towards mental health in undergraduate students which represent young adults population. Methods: This research was conducted at Psychiatric Unit of Universitas Brawijaya Hospital during March-August 2020. Subject study was from undergraduate students (18 - 24 years old). Evaluation with anamnesis technique was followed by psychometric evaluation using MCMI-IV, NSSI-AT, PANAS, and Spirituality. Statistical analysis was with JASP version 0.14.1. Results: Psychiatric examination of 150 participants revealed that most diagnoses were depressive disorders, 31% and 69% had borderline personality disorder. This research had significance of self-harmed behavior (p = 0.015); suicidal behavior (p p = 0.003); emotional expression (p = 0.007) to psychiatric diagnosis. There was no significance about spiritual towards psychiatric condition p = 0.062. Conclusions: Self-harm behavior leads to psychiatric problem and or personality disorders which can disturb mental health conditions that arise from young adult age. Focus on therapeutic effort no longer leads to curative aspects but emphasizes prevention, so starting from recognizing sign symptoms and education became urgent.

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