The Effectiveness of Cognitive Behavioral Counseling using Cognitive Restructuring Techniques to Reduce Self-Injury Behavior among Vocational High School Students

Authors

  • Nur Dhian Mustang Universitas Negeri Makassar, Kota Makassar
  • Maudy Mursalin Madani Universitas Negeri Makassar

DOI:

https://doi.org/10.64420/ijcp.v3i1.313

Keywords:

Self-injury behavior, Cognitive behavioral counseling, Cognitive restructuring, Vocational High School students

Abstract

Background: Self-injury among adolescents is a growing mental health concern, particularly among vocational high school students facing academic, social, and personal pressures. Negative thinking patterns can lead students to adopt maladaptive coping strategies such as self-injury, highlighting the need for appropriate counseling interventions. Objective: This study aims to examine the effectiveness of cognitive restructuring techniques within the framework of Cognitive Behavioural Counseling in reducing self-injury behaviour among students at SMK Negeri 3 Makassar. Method: This research employed a quantitative, quasi-experimental design. The population consisted of 71 students, and the sample was selected purposively, yielding 10 students who reported self-injurious behaviour. The participants were divided into an experimental group and a control group. Data were collected through observation, interviews, documentation, and a self-injury behaviour scale. Data analysis was conducted using descriptive statistics and the Mann–Whitney test. Results: The experimental group showed a significant reduction in self-injury behaviour after cognitive restructuring techniques were implemented, compared to the control group. Conclusion: Cognitive restructuring techniques within Cognitive Behavioural Counseling are effective in reducing self-injury behaviour among vocational high school students. Contribution: This study contributes to the development of evidence-based counseling interventions and provides practical guidance for school counsellors in addressing self-injury behaviour among students in educational settings.

References

Afriliani, L., Hendrawati, H., & Yulianita, H. (2021). Gambaran Perilaku Kebersihan Diri Pada Anggota Geng Motor “X” Di Kecamatan Cikajang Kabupaten Garut. Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi, 21(1), 102-118. https://ejurnal.universitas-bth.ac.id/index.php/P3M_JKBTH/article/view/685

Al-Haya, S. D. Z., & Alfaruqy, M. Z. (2023). Pengalaman wanita emerging adulthood dengan nonsuicidal self-injury: interpretative phenomenological analysis. Jurnal Empati, 13(1), 38-49. https://doi.org/10.14710/empati.2024.40352

Baiden, P., Stewart, S. L., & Fallon, B. (2017). The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings. Child abuse & neglect, 69, 163-176. https://doi.org/10.1016/j.chiabu.2017.04.011

Beck, A. T. (2016). Cognitive therapy: Nature and relation to behavior therapy–republished article. Behavior therapy, 47(6), 776-784. https://doi.org/10.1016/j.beth.2016.11.003

Bowman, A. W., & Turner, M. J. (2022). When time is of the essence: The use of rational emotive behavior therapy (REBT) informed single-session therapy (SST) to alleviate social and golf-specific anxiety, and improve wellbeing and performance, in amateur golfers. Psychology of Sport and Exercise, 60, 102167. https://doi.org/10.1016/j.psychsport.2022.102167

Calvo, N., Garcia-Gonzalez, S., Perez-Galbarro, C., Regales-Peco, C., Lugo-Marin, J., Ramos-Quiroga, J. A., & Ferrer, M. (2022). Psychotherapeutic interventions specifically developed for NSSI in adolescence: A systematic review. European Neuropsychopharmacology, 58, 86-98. https://doi.org/10.1016/j.euroneuro.2022.02.009

Cerutti, R., Zuffianò, A., & Spensieri, V. (2018). The role of difficulty in identifying and describing feelings in non-suicidal self-injury behavior (NSSI): associations with perceived attachment quality, stressful life events, and suicidal ideation. Frontiers in psychology, 9, 318. https://doi.org/10.3389/fpsyg.2018.00318

Chretien, M., Giroux, I., Goulet, A., Jacques, C., & Bouchard, S. (2017). Cognitive restructuring of gambling-related thoughts: A systematic review. Addictive behaviors, 75, 108-121. https://doi.org/10.1016/j.addbeh.2017.07.001

Effendi, D., & Karneli, Y. (2025). Self-Injury Using the Rational Emotive Behavior Therapy REBT Approach in Group Counseling for High School Students. Journal Of Psychology, Counseling And Education, 3(3), 239-246. https://doi.org/10.58355/psy.v3i3.72

Faridah, F., Sulfikar, K., Mansur, A. Y., & Al Anshori, M. Z. (2025). Resiliensi: menjaga ketahanan mental dalam menghadapi tantangan hidup. Jurnal Mimbar: Media Intelektual Muslim Dan Bimbingan Rohani, 11(1), 13-33. https://doi.org/10.47435/mimbar.v11i01.3636

Liu, J., Wang, Y., Liu, X., Li, J., & Xing, S. (2023). Experiencing stress impact on adolescent repetitive nonsuicidal self-injury: the mediating role of emotion dysregulation and maladaptive cognitive schemas. Journal of affective disorders, 339, 392-399. https://doi.org/10.1016/j.jad.2023.07.074

Lockwood, J., Daley, D., Townsend, E., & Sayal, K. (2017). Impulsivity and self-harm in adolescence: a systematic review. European child & adolescent psychiatry, 26(4), 387-402. https://doi.org/10.1007/s00787-016-0915-5

Marlina, M., Amanda, R. S., Suroji, S. A., Juliansyah, D., & Putri, M. (2025). Efektivitas Terapi Religius Coping dalam Mengatasi Self-Harm pada Mahasiswa. Journal of Islamic Psychology and Behavioral Sciences, 3(1), 1-14. https://doi.org/10.61994/jipbs.v3i1.389

Outar, L., Turner, M. J., Wood, A. G., & Lowry, R. (2018). “I need to go to the gym”: Exploring the use of rational emotive behaviour therapy upon exercise addiction, irrational and rational beliefs. Performance Enhancement & Health, 6(2), 82-93. https://doi.org/10.1016/j.peh.2018.05.001

Paramitayani, E. (2022). Cognitive Behavior Therapy untuk mengurangi perilaku melukai diri pada kasus depresi. Procedia: Studi Kasus Dan Intervensi Psikologi, 10(2), 38-42. https://doi.org/10.22219/procedia.v10i2.19223

Pedrola-Pons, A., Sanchez-Carro, Y., Pemau, A., Garcia-Ramos, A., & De la Torre-Luque, A. (2024). Efficiency of psychological interventions in the prevention of suicidal behavior and self-injury in penitentiary population: A systematic review. International journal of law and psychiatry, 92, 101948. https://doi.org/10.1016/j.ijlp.2023.101948

Pratiwi, A. N., & Habsy, B. A. (2024). Konseling Kognitif Perilaku untuk Meningkatkan Resiliensi Akademik: Kajian Literatur. Jurnal BK UNESA, 14(5). https://ejournal.unesa.ac.id/index.php/jurnal-bk-unesa/article/view/62900

Prayogi, F., Utomo, P., & Bulantika, S. Z. (2024). Cognitive-Behavioral Counseling: A Strategy to Overcome Students’ Addiction to TikTok through Self-Instruction Method. Jurnal Kajian Bimbingan Dan Konseling, 8(2), 14. https://doi.org/10.17977/um001v8i22023p117-126

Putra, T., & Ardi, Z. (2025). Pengaruh pendekatan Cognitive Behavioral Therapy (CBT) untuk meningkatkan kepercayaan diri. Counselia; Jurnal Bimbingan Konseling Pendidikan Islam, 6(1), 245-254. https://doi.org/10.31943/counselia.v6i1.189

Ramadanti, M., Sary, C. P., & Suarni, S. (2022). Psikologi Kognitif (Suatu Kajian Proses Mental dan Pikiran Manusia). Al-Din: Jurnal Dakwah dan Sosial Keagamaan, 8(1), 56-69. https://doi.org/10.30863/ajdsk.v8i1.3205

Ruggiero, G. M., Spada, M. M., Caselli, G., & Sassaroli, S. (2018). A historical and theoretical review of cognitive behavioral therapies: From structural self-knowledge to functional processes. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 36(4), 378-403. https://doi.org/10.1007/s10942-018-0292-8

Salsabila, F. J., & Rahmasari, D. (2024). Pengaruh Paparan Media Sosial Tik Tok Terhadap Perilaku Self Harm Pada Remaja. Character Jurnal Penelitian Psikologi, 11(2), 894-904. https://doi.org/10.26740/cjpp.v11n2.p894-904

Tecuta, L., Tomba, E., Lupetti, A., & DiGiuseppe, R. (2019). Irrational Beliefs, Cognitive Distortions, and Depressive Symptomatology in a College-Age Sample: A Mediational Analysis. Journal of cognitive psychotherapy, 33(2). https://psycnet.apa.org/doi/10.1891/0889-8391.33.2.116

Triyanti, T., & Neviyarni, N. (2025). Hubungan Self Esteem dengan Kecenderungan Perilaku Self Injury pada Siswa SMA serta Implikasi dalam Layanan Bimbingan Konseling. Journal of Educational Administration and Leadership, 5(2), 105-111. https://doi.org/10.24036/jeal.v5i2.542

Utami, C. D., & Siregar, A. (2026). The Effect of REBT with the Rational Emotive Imagery (REI) Technique to Reduce Self-Injury in Class X Students of SMK Negeri 6 Medan. Journal of Educational Sciences, 10(1), 1292-1301. https://doi.org/10.31258/jes.10.1.p.1292-1301

Wahdah, N. S., & Akbar, R. F. (2025). Pengaruh Adverse Childhood Experiences dan Perceived Social Support terhadap Regulasi Emosi Remaja Pelaku Self injury di Sekolah Menengah Atas X di Kota Bandung. Jurnal Psikologi Insight, 9(1), 57-70. https://doi.org/10.17509/insight.v9i1.82923

Wang, H., Wen, S., Wang, Y., Zhou, Y., & Niu, B. (2025). Rumination, loneliness, and non-suicidal self-injury among adolescents with major depressive disorder: The moderating role of resilience. Social Science & Medicine, 364, 117512. https://doi.org/10.1016/j.socscimed.2024.117512

Wang, X., Zhang, Y. H., Ju, J. W., Chen, Z. H., & Tang, M. W. (2025). Why do adolescents hurt themselves? A qualitative study. International Journal of Nursing Studies, 105285. https://doi.org/10.1016/j.ijnurstu.2025.105285

Wardhani, A. S. (2024). Manajemen Stres Pekerjaan: Penerapan Cognitive Behavior Therapy dan Teknik Cognitive Restructuring Sebagai Strategi Kesejahteraan Karyawan. Jurnal Penelitian Pengembangan Bimbingan dan Konseling, 1(1), 26-34. https://journal.uny.ac.id/index.php/jppbk/article/view/68875

Wesner, A. C., Behenck, A., Finkler, D., Beria, P., Guimarães, L. S., Manfro, G. G., ... & Heldt, E. (2019). Resilience and coping strategies in cognitive behavioral group therapy for patients with panic disorder. Archives of psychiatric nursing, 33(4), 428-433. https://doi.org/10.1016/j.apnu.2019.06.003

WHO (2020) Suicide: Key Facts. Retrieved from World Health Organization (WHO), World Health Oragnization. Available at: https://www.who.int/en/news-room/fact-sheets/detail/suicide%0D .

Widyawati, R. A., & Kurniawan, A. (2021). Pengaruh paparan media sosial terhadap perilaku self-harm pada pengguna media sosial emerging adulthood. Buletin Riset Psikologi Dan Kesehatan Mental (BRPKM), 1(1), 120-128. https://doi.org/10.20473/brpkm.v1i1.24600

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Published

2026-03-27

How to Cite

Mustang, N. D., & Madani, M. M. . (2026). The Effectiveness of Cognitive Behavioral Counseling using Cognitive Restructuring Techniques to Reduce Self-Injury Behavior among Vocational High School Students. International Journal of Counseling and Psychotherapy, 3(1), 1–11. https://doi.org/10.64420/ijcp.v3i1.313