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Mental health disorders remain a significant public health concern in Indonesia due to their increasing prevalence and substantial impact on individuals, families, and communities. These disorders can impair a person's ability to think clearly, regulate emotions, behave appropriately, and interact effectively with others. Among the various symptoms experienced by individuals with mental disorders, hallucinations are one of the most common and challenging because they can interfere with daily functioning and increase the risk of relapse if not properly managed. Families play a crucial role in supporting patients through appropriate care, supervision, and adherence to treatment. Therefore, improving family knowledge about hallucination management is essential to enhance patient outcomes. This community service activity aimed to strengthen the knowledge of families and patients regarding the care and management of hallucinations at the Abepura Mental Hospital (RSK Abepura). The activity was conducted through direct mental health education and counseling sessions involving interactive lectures, discussions, and question-and-answer sessions. A total of 63 participants, consisting of patients and their family members visiting the hospital, took part in the program. The evaluation demonstrated that approximately 75% of participants actively engaged in the educational sessions, showed high enthusiasm, and were able to correctly answer the evaluation questions, indicating an improvement in their understanding of hallucination management. These findings suggest that mental health education is an effective strategy for enhancing family knowledge and supporting better care for patients with hallucinations.

Background: Schizophrenia is a serious chronic mental disorder that can affect thinking, perception, feelings, and behavior. Patients with undifferentiated schizophrenia are at risk of experiencing the nursing problem of risk of violent behavior (RPK) due to their inability to control emotions and anger. Based on data from the medical records of RSJD dr. Amino Gondohutomo, Central Java Province, from August to October 2025, the risk of violent behavior was the highest nursing diagnosis in the Gatotkaca Ward, reaching 56.5%–77% of all inpatients. Objective: To perform nursing care on Tn. K with the main problem of risk of violent behavior due to undifferentiated schizophrenia at RSJD dr. Amino Gondohutomo, Central Java Province. Methods: This study used a descriptive method with a nursing process approach. Data collection was carried out through interviews, observation, documentation studies, and literature review. Nursing care was provided from November 18 to 22, 2025. Results: Assessment findings on Tn. K (19 years old) with undifferentiated schizophrenia and a history of physical abuse, parental rejection, and family violence revealed four nursing problems: risk of violent behavior (core problem), sensory perceptual disorder: auditory and visual hallucinations, self-concept disorder: low self-esteem, and self-care deficit. Implementation was carried out through nursing strategies (SP) 1 to 4 for risk of violent behavior (physical, medication, verbal, and spiritual control), SP 1 and SP 3 for self-care deficit, and SP 1 to SP 2 for sensory perceptual disorder: hallucinations. All implementation stages were optimally achieved. Conclusion: Nursing evaluation showed that the client was able to achieve cognitive, affective, and psychomotor goals in all implemented SPs. Collaboration with ward nurses was carried out to continue SP 3 and SP 4 for hallucinations and the entire low self-esteem intervention due to time constraints.

Background: Schizophrenia is a psychiatric disorder characterized by positive psychotic symptoms (such as hallucinations) and negative symptoms accompanied by cognitive decline. Auditory hallucinations represent the most common positive symptom, occurring in more than 75% of patients with schizophrenia. Objective: This study aimed to describe the comprehensive nursing care for Mr. F with a primary problem of perceptual sensory disorder: auditory hallucinations due to undifferentiated schizophrenia at Gatot Kaca Ward, RSJD dr. Amino Gondohutomo, Central Java Province. Method: This study used a descriptive method with a nursing process approach, including assessment, nursing diagnosis, intervention planning, implementation, and evaluation. Data collection was carried out through interview, observation, and literature study. Results: Nursing problems identified were: perceptual sensory disorder (auditory hallucinations) as the core problem, social isolation (withdrawal) as the causa, risk of violent behavior as the effect, and self-care deficit as an accompanying problem. Nursing interventions were conducted using the implementation strategy (SP) 1, 2, and 3 for hallucinations and SP 1 for self-care deficit. Conclusion: After 4 days of nursing implementation, 2 out of 4 nursing diagnoses were resolved: perceptual sensory disorder (auditory hallucinations) and self-care deficit, while social isolation (withdrawal) and risk of violent behavior remained unresolved. Patients with hallucinations are expected to be able to control hallucinations using the methods that have been taught.

Schizophrenia is a severe mental disorder often accompanied by auditory hallucinations and has a significant impact on patients’ psychosocial functioning. This condition can reduce medication adherence, thereby increasing the risk of relapse. In this context, the role of caregivers is crucial in supporting treatment success. This study aims to describe psychiatric nursing care for patients with auditory hallucinations in improving medication adherence through caregiver involvement. The method used is a case study with a nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. Interventions focus on hallucination management, psychoeducation, and caregiver involvement in care. The results show an increase in patients’ and families’ knowledge regarding the illness and its treatment, improved medication adherence, and enhanced patient ability to control responses to auditory hallucinations. Caregiver involvement has been shown to assist in supervision and providing support to patients. Therefore, comprehensive psychiatric nursing care through hallucination management, psychoeducation, and caregiver involvement is effective in improving medication adherence and controlling symptoms in patients with auditory hallucinations.

The Application Of Hallucination Management Using The Shutting-Out Technique For The Control Of Auditory Hallucinations In Schizophrenia Patients In The Angruk Ward Of Prof. Dr. Margono Soekarjo General Hospital, Purwokerto. Schizophrenia is a severe mental disorder often accompanied by auditory hallucinations. Auditory hallucinations may cause patients to talk to themselves, appear restless, and experience difficulty in controlling responses to internal stimuli. One non-pharmacological nursing intervention that can be applied is the rebuking technique, a strategy used to firmly reject or dismiss hallucinatory voices. This study aimed to examine the application of the rebuking technique in controlling auditory hallucinations in patients with schizophrenia. This research employed a descriptive case study design using a nursing process approach and was conducted from February 17 to 19, 2026, on a patient diagnosed with schizophrenia experiencing auditory hallucinations. The intervention was implemented over three days, with one session per day lasting approximately 15–20 minutes. The results showed an improvement in the patient’s ability to recognize and control hallucinations, as indicated by a reduction in self-talking behavior, increased awareness of hallucination onset, and the ability to independently apply the rebuking technique. In conclusion, the rebuking technique is an effective nursing intervention to assist patients with schizophrenia in controlling auditory hallucinations.

Hallucinations are one of the symptoms of mental disorders in individuals which are characterized by sensory perception changes, namely feeling false sensations in the form of sounds, sight, tasting, touching or smelling. The application of drawing therapy in patients with auditory hallucination disorder may reduce hallucinogenic stimuli. The goal is to apply and analyze Nursing Care in Patients with Mental Disorders with the implementation of the application of drawing therapy to control auditory hallucinations. The method used in this is descriptive analysis with a case study approach. This study describes the application of drawing therapy to reduce the signs and symptoms of auditory hallucinations. It was also carried out by providing an intervention to apply drawing therapy for 15 minutes every day to three respondents for 7 consecutive days. The application of drawing therapy to the three respondents obtained results in the reduction of hallucinations from a moderate hallucinatory level score (22) to a mild level with a score (9). Brother B experienced a decrease in hallucinations from a moderate hallucination level score (20) to no hallucinations on days 6 and 7 with a score of (0). Brother JS decreased from a moderate hallucination level of score (20) to no hallucination on day 7 with a score of (0). It is hoped that the results of this study can provide an understanding of the application of drawing therapy to control auditory hallucinations.

Hallucinations are false sensory perceptions unrelated to real external stimuli. Patients will have difficulty distinguishing whether the stimuli they experience originate internally (thoughts or feelings) or externally. This condition may affect any of the five senses. The most common type of hallucination is auditory hallucinations. One way to reduce the signs and symptoms of auditory hallucinations is through Art Therapy: freehand painting. To determine nursing care with the application of free painting therapy in patients with auditory hallucinations at the Mitra Mulia Husada Foundation, Palembang. The design used was a case study describing the cases of four patients with auditory hallucinations. Subjects were selected according to inclusion and exclusion criteria. The intervention provided was free-drawing therapy for four days, each lasting 30 minutes.After the intervention of applying free painting therapy for 4 days with a time of 30 minutes per visit, it was found that there was a decrease in signs and symptoms of hallucinations as shown through the results of the observation sheet in each patient. Mr. A. originally 9 became 3 signs of symptoms, Mr. S originally 7 became 3 signs of symptoms, Mr. AJ originally 9 became 3 signs of symptoms and Mr. M originally 10 became 5 signs of symptoms of auditory hallucinations. There was a decrease in auditory hallucination scores in each patient after being given Art Therapy: free painting. For future researchers, it is hoped that they can conduct research on the application of free painting therapy so that it can be carried out more frequently so that the therapy carried out is more effective in reducing the signs and symptoms of hallucinations and also add respondents so that the application of the therapy given is more effective in reducing the signs and symptoms experienced by patients.

The application of Large Language Models (LLM) in public services encourages government agencies to adopt Retrieval Augmented Generation (RAG)-based chatbots as interfaces for regulatory knowledge and official documents. Although RAG is designed to increase the supportability of answers to authoritative sources, various studies show that this system is still vulnerable to hallucinations, which have the potential to reduce public trust and pose legal risks. This article presents a Systematic Literature Review (SLR) on the use of RAG in government chatbots with a focus on the definition, mitigation strategies, and evaluation of groundedness. The literature search was conducted in the period 2021–2025 through the SpringerLink, Scopus, and Taylor & Francis databases, resulting in 7,947 articles filtered using the PRISMA framework to obtain 100 articles Q1–Q2. Based on eight research questions, this study maps publication trends, document domains, RAG architecture, retrieval strategies, definitions of groundedness, and evaluation metrics used. The SLR results indicate conceptual fragmentation in the definition and measurement of groundedness, with the dominance of text-similarity-based metrics that are inadequate for regulatory contexts. As a conceptual contribution, this article formulates the Semantic Alignment Score (SAS) as a groundedness metric based on semantic alignment, evidence coverage, and entailment relationships, positioned to support the evaluation and auditing of government document chatbots.

Schizophrenia is a complex psychiatric disorder that disrupts cognition, emotion, perception, and behavior, significantly affecting daily functioning and social interaction. Paranoid schizophrenia, a well-recognized subtype, is characterized by persistent paranoid delusions, frequently accompanied by hallucinations—most commonly auditory—and other perceptual disturbances, often leading to unpredictable or aggressive behaviors. A 34-year-old male patient, Mr. A, was brought to Cut Meutia General Hospital on February 9, 2024, by his father and the village chief due to episodes of aggression. The patient reported that his behavior occurred because a creature was controlling his body and disturbing him. His family indicated that he had experienced similar episodes in the past and had previously been hospitalized for the same condition. Based on established clinical guidelines, he was diagnosed with paranoid schizophrenia. Pharmacological management was initiated, including risperidone, clozapine, lodemer injection, diazepam injection, divalproex, and trihexyphenidyl, targeting psychotic symptoms, agitation, and behavioral disturbances, with the aim of stabilizing his mental state, preventing further aggressive episodes, and supporting overall functional recovery.

Abstract: The rapid diffusion of Generative Artificial Intelligence (AI) has intensified public debate regarding its benefits, risks, and societal implications. This study investigates public sentiment and thematic structures surrounding Generative AI by analyzing Twitter discourse as a representation of large-scale, real-time public perception. The research addresses two main problems: how public sentiment toward Generative AI is distributed and what dominant themes shape this perception. Accordingly, the objective is to map both emotional polarity and thematic narratives embedded in social media conversations. A computational mixed-methods approach was employed using a dataset of 12,470 tweets collected on 17 December 2024. Sentiment classification was conducted using a transformer-based DistilBERT model, while semantic representations were generated with Sentence-BERT. Topic modeling was performed using BERTopic, integrating HDBSCAN clustering and class-based TF-IDF to extract coherent and interpretable topics. Human-in-the-loop validation supported the interpretive robustness of topic labeling. The findings reveal that public sentiment toward Generative AI is predominantly positive (41.8%), particularly in relation to productivity enhancement, education, and creative applications. Neutral sentiment (31.4%) reflects informational discourse, while negative sentiment (26.8%) centers on ethical concerns, privacy risks, misinformation, and AI hallucinations. Seven dominant topics were identified, with clear topic–sentiment alignment showing optimism in utility-driven themes and skepticism in ethics- and risk-related discussions. In conclusion, public perception of Generative AI is dualistic—characterized by strong enthusiasm alongside persistent caution. These results provide empirical insights for AI governance, responsible innovation, and future research on socio-technical impacts of Generative AI. *    

Schizophrenia is a severe mental disorder often accompanied by various psychopathological manifestations, one of which is auditory hallucinations that limit social functioning and reduce the quality of life of affected individuals. Dhikr therapy, as a psychoreligious approach, is believed to provide inner peace and reduce the intensity of hallucinatory symptoms. This study aims to evaluate the effectiveness of dhikr therapy among schizophrenia patients with auditory hallucinations who were treated at Aceh Mental Hospital. The research employed a quasi-experimental design with a pretest–posttest model and purposive sampling technique, involving 15 patients experiencing auditory hallucinations. The intervention was conducted for three consecutive days, with each session lasting 10–20 minutes and consisting of a sequence of dhikr recitations including istighfar, tasbih, tahmid, and takbir. The severity of hallucinations was measured using the Auditory Hallucination Rating Scale (AHRS). Data analysis was performed using the Wilcoxon test. The results showed a significant decrease in auditory hallucination scores with a p-value of 0.001. These findings indicate that dhikr therapy is effective in helping patients manage hallucinatory symptoms and may serve as a non-pharmacological therapeutic alternative in psychiatric nursing care for schizophrenia patients

Auditory hallucinations are a common sensory perception disorder in patients with mental disorders. Dhikr therapy as a non-pharmacological intervention is proven to have a calming effect and help patients focus more on reality. A case study was conducted on one patient at Prof. Dr. M. Ildrem Mental Hospital in North Sumatra for seven days using the nursing process approach. Evaluation results with the AHRS scale showed a decrease in scores from 25 to 13. Patients experienced a decrease in the intensity of hallucinations and increased self-control. The conclusion of this case study is that dhikr therapy is effectively applied in mental nursing care as a nonpharmacological intervention to help patients control auditory hallucinations.

Schizophrenia is a severe mental disorder characterized by disturbances in thought, perception, emotions, and behavior, with auditory hallucinations being the most common symptom. This study aims to describe the nursing care process for patients with paranoid schizophrenia experiencing sensory perception disturbances, specifically auditory hallucinations. The research applied a descriptive case study design conducted in Dewaruci Ward, RSJD dr. Amino Gondohutomo, Central Java Province, from October to December 2024. Data were collected through interviews, direct observation, and medical record review, then analyzed using thematic analysis based on Miles and Huberman’s framework. The findings revealed that the patient was able to gradually reduce the intensity of auditory hallucinations and showed improvement in social interactions after nursing interventions, including identification of hallucinations, distraction techniques, therapeutic communication, and collaboration in pharmacological treatment. Family involvement also played an essential role in supporting the patient’s recovery process. This study implies that comprehensive nursing care based on bio-psycho-socio-spiritual approaches and family participation is effective in managing hallucinations and enhancing patient outcomes.

Mental health is an important aspect that supports quality of life, including a state of well-being related to happiness, satisfaction, achievement, optimism, and dynamic hope according to life situations (Fitri, 2025; Herlina et al., 2024). Schizophrenia is a severe mental disorder characterized by an inability to communicate, impaired perception of reality (illusions and hallucinations), and loss of self-confidence, included in the category of psychosis (Mardiana et al., 2024). The purpose of writing this scientific paper is to find out and implement psychiatric nursing care for Mr. R, with the main problem of sensory perception disorders: auditory hallucinations due to schizophrenia that are not detailed in the Hudowol Room of Dr. Amino Gondohutomo Mental Hospital, Central Java Province. The method used is a descriptive approach with a case study. The case review results showed that the client heard male and female voices saying negative things and often talked to himself. The problem tree identified sensory perception disorders: auditory hallucinations as the core problem, accompanied by self-care deficits, social isolation, and the risk of violent behavior. Interventions are designed based on implementation strategy guidelines for clients and families, implemented, and evaluated as documented evidence

Schizophrenia is a severe mental disorder characterized by a decline in cognitive abilities and social skills, an inability to care for oneself, and potential brain function impairment. One of the consequences often observed in schizophrenia patients is social isolation, where the individual is unable to interact with others around them. This study aims to assess and provide psychiatric nursing care for Sdr. A, who is experiencing the primary issue of social isolation: withdrawal due to paranoid schizophrenia at the Gatotkaca ward of RSJD dr. Gondohutomo in Central Java Province. Initial assessment of the patient revealed that Sdr. A is experiencing social isolation, particularly withdrawal from their social environment. Four nursing problems were identified, including social isolation: withdrawal, low self-esteem, sensory perception disturbances such as hallucinations, and self-care deficits. A nursing care plan was developed based on the Indonesian Nursing Diagnosis Standard , Indonesian Nursing Service Standard, and Indonesian Nursing Information System , tailored to the patient's condition at the time. The care plan includes interventions to enhance social interaction, improve self-esteem, address sensory perception disturbances, and promote self-care abilities. The nursing implementation was carried out using a holistic approach involving psychosocial support and appropriate medical therapy based on the patient’s needs. It is expected that through this approach, the patient can reduce social isolation symptoms and improve their quality of life. This study emphasizes the important role of psychiatric nursing care in addressing social issues in patients with paranoid schizophrenia and how a structured nursing care plan can support patient recovery.

Auditory hallucinations are one of the main symptoms experienced by patients with schizophrenia. Non-pharmacological interventions, such as spiritual therapy, serve as important alternatives to support treatment. One increasingly used method is the recitation of Qur’anic verses (murottal therapy), which provides psychological and spiritual calming effects.  To determine the impact of murottal audio therapy of Surah Ar-Rahman on the intensity of auditory hallucinations in patients with schizophrenia at Gramesia Nursing Home, Cirebon.  This scientific paper is presented in the form of a nursing care report focusing on the application of murottal audio therapy using Surah Ar-Rahman as an intervention.  Before the therapy, the patient experienced moderate auditory hallucinations, accompanied by intense emotional reactions and difficulty controlling behavior. After undergoing murottal audio therapy, there was a decrease in hallucination intensity and improvement in the patient’s emotional condition. Murottal audio therapy of Surah Ar-Rahman is effective as a non-pharmacological approach to reduce auditory hallucinations and support psychological recovery in patients with schizophrenia. Following the intervention, patients reported a significant decrease in the intensity of their hallucinations. Emotional reactions were notably less intense, and patients displayed improved emotional regulation and greater behavioral control. The results suggest that murottal audio therapy using Surah Ar-Rahman is an effective non-pharmacological intervention that not only reduces the intensity of auditory hallucinations but also plays a supportive role in the psychological recovery of patients with schizophrenia. The findings emphasize the importance of integrating spiritual therapies into comprehensive treatment plans, as they offer a holistic approach to managing schizophrenia. This intervention can complement traditional pharmacological treatments, providing patients with a sense of spiritual calm and emotional stability, which can enhance their overall mental health and well-being.

This study aims to analyze the toxic effects brought about by amphetamine use and its association with suicides. Suicide is an act of ending one's own life that is often associated with mental health disorders and life pressures. Amphetamines are classified as Class II psychotropic drugs that have a strong stimulant effect on the central nervous system, causing changes in behavior and mental activity, including hallucinations, thought disorders, and emotional changes. This study was conducted based on a literature review, identifying and analyzing various suicide cases involving amphetamine use through relevant literature. The results of the literature analysis indicate that amphetamine use significantly increases the risk of suicidal behavior, which can affect neurotransmitters, potentially triggering psychosis, nerve damage, and cardiovascular issues. Chronic use leads to dependence, cognitive impairment.

Paranoid schizophrenia is a condition of mental and behavioral disorders characterized by impaired thoughts, perceptions, feelings and consciousness of the patient is fully conscious and intellectually can still be maintained. According to WHO, the prevalence of schizophrenia in 2021 reached 24 million people, and the prevalence of schizophrenia experiencing from 2019-2021 has increased by 54%. Patient Mr. Mr. Z said he was brought to Cut Meutia Hospital because he had a fight with his wife, and he had divorced his 3 wives. The patient said he did not want to eat because there was dirt in his food. The patient said that he heard whispering voices from his wife. The patient said he wanted to divorce his wife but she kept pursuing him. The patient said that he was beaten by his wife's brother. The patient said that he was taken for breaking the glass of a woman's house who insisted on having him. The patient said that he was a Messenger of Allah and he was upset because his power was taken away by a woman. The patient broke the glass because he was taking revenge on the woman who first broke the glass of his house and cellphone. The patient also said that he was given a lethal injection yesterday and his hand now hurts. Fluent speech, verbal and relevant contact, euthymic mood and dulled affect. The patient was given psychopharmacological therapy in the form of anti-psychotic drugs and the family was also given education about supportive therapy to the patient.  

The cyber short story “Lagu Malam yang Terpenggal” by Indra Tranggono presents a narrative full of psychological struggles of its characters. This study aims to identify and analyze the psychological elements experienced by the main characters, Ibu and Sawitri, and how the narrative structure of the short story supports the depiction of these psychological conditions. The research method used is descriptive qualitative with a literary psychology approach. The results of the analysis show that the Ibu character experiences deep trauma due to the loss of her child, which is manifested in repetitive behavior and false beliefs and indications of hallucinations. Meanwhile, Sawitri struggles with internal conflict, guilt and psychosocial stress. The climax of the story presents an emotional confrontation that reveals deep psychological wounds and triggers traumatic anger. This short story effectively depicts the psychological impact of loss and uncertainty through characterization and dialogue. This study concludes that the short story “Lagu Malam yang Terpenggal” successfully explores the complexity of emotions and trauma through a psychological approach highlighting the inability of individuals to accept the bitter reality and psychological burden due to the injustice of the social system. 

Mental disorder is a condition where a person considers himself/herself to be isolated from his/her surroundings, fails in his/her business, cannot control his/her emotions, and makes a person feel threatened, disturbed, or uncomfortable so that he/she changes his/her behavior, one of which is marked by sensory perception disorders of hallucinations. This case study aims to determine the effect of hallucination management with the implementation of reading the Qur'an on patients with unspecified schizophrenia in the Srikandi ward of Dr. Arif Zainuddin Mental Hospital, Surakarta City.: The design of this scientific paper uses a case study design. The subjects used were 5 (five) subjects. Data analysis was carried out by looking at changes before and after being given Qur'an reading therapy. The results of the application showed that after the implementation of Qur'an reading therapy, there was a decrease in signs of hallucination symptoms.  Qur'an reading therapy can help reduce signs of symptoms and manage hallucinations in patients with unspecified schizophrenia.  It is expected that nurses can provide psychiatric nursing care to hallucinatory patients by implementing the activity of reading the Qur'an consistently or repeatedly while undergoing treatment in the hospital and when returning home.