Laughter therapy for the risk of violent behaviour in people with severe mental disorders: A case study report
DOI: https://doi.org/10.56922/mhc.v4i5.2212
Laughter Therapy Mental Health Nursing Care Risk of Violent Behaviour
Abstract
Background: The risk of violent behaviour is an angry response that can arise and can injure oneself, others, and the environment. Laughter therapy has become one of the complementary approaches believed to reduce emotional tension and help control anger.
Purpose: To analyse laughter therapy in reducing the risk of violent behaviour in people with severe mental disorders.
Method: A qualitative approach method with the Case Study Research (CSR) strategy.
Results: There was a decrease in scores on the observation sheet of signs and symptoms in patients at risk of violent behaviour, with the score before laughter therapy being 8 and decreasing to 2 after laughter therapy was administered.
Conclusion: Laughter therapy is one of the non-pharmacological therapies to reduce anger, especially in patients at risk of violent behaviour.
Keywords: Laughter Therapy; Mental Health; Nursing Care; Risk of Violent Behaviour.
Downloads
References
Alnemari, A. A., Ismail, A. S., Ubeeri, A. M. A., Alzahrani, S. S. S., Alharthi, M. S., Althaqafi, S. D. S., & Alharthi, A. J. (2024). Nursing Strategies for Managing Aggressive Behaviour in Psychiatric Settings. Journal of International Crisis and Risk Communication Research, 7(S10), 1888.
Andriany, R., Sari, S. M., & Moulisya, D. G. (2023). Management of Nursing Care for Patients at Risk of Violent Behaviour with Implementation Strategies to Control Anger in the Mental Hospital. International Journal Scientific and Professional, 2(1), 184-192.
Ariana, P. A., & Heri, M. (2018). Pengaruh Terapi Tertawa Dengan Media Video Wayang Cenk Blonk Terhadap Kecemasan Pada Lansia Di Panti Sosial Tresna Werdha Jara Mara Pati Kaliasem Kabupaten Buleleng. Midwinerslion Jurnal Kesehatan STIKes Buleleng, 3(1), 23-32.
Bahari, K., & Lorica, J. D. (2019). The effects of laughter therapy on mental health: An integrative literature review. The Malaysian Journal of Nursing (MJN), 10(3), 55-61.
Dziegielewski, S. F. (2023). Humor: An essential communication tool in therapy. International Journal of Mental Health, 32(3), 74-90.
Febiona, Y., Fitri, N. L., & Hasanah, U. (2024). Penerapan Terapi Tertawa Dan Relaksasi Napas Dalam Terhadap Perubahan Tanda Dan Gejala Pasien Risiko Perilaku Kekerasan Di Rsj Daerah Provinsi Lampung. Jurnal Cendikia Muda, 4(4), 634-641.
Goodenough, B., Low, L. F., Casey, A. N., Chenoweth, L., Fleming, R., Spitzer, P., & Brodaty, H. (2022). Study protocol for a randomized controlled trial of humor therapy in residential care: the Sydney Multisite Intervention of LaughterBosses and ElderClowns (SMILE). International Psychogeriatrics, 24(12), 2037-2044.
Kanbur, S., & Baştemur, Ş. (2023). Why laughing heals? A review on the use of humor in therapy. Psikiyatride Güncel Yaklaşımlar, 15(3), 477-487.
Kuru, N., & Kublay, G. (2017). The effect of laughter therapy on the quality of life of nursing home residents. Journal of clinical nursing, 26(21-22), 3354-3362.
Lee, Y. M., & Sohn, J. N. (2020). The effects of laughter therapy on anger, anger expressions and mental status after oil spill in victimized community residence. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 19(2), 186-195.
Low, L. F., Goodenough, B., Fletcher, J., Xu, K., Casey, A. N., Chenoweth, L., & Brodaty, H. (2024). The effects of humor therapy on nursing home residents measured using observational methods: the SMILE cluster randomized trial. Journal of the American Medical Directors Association, 15(8), 564-569.
Muhith, A. (2025). Pendidikan keperawatan jiwa: Teori dan aplikasi. Penerbit Andi.
Nuraeni, A., & Ariani, N. P. (2022). Peer Support Group, Terapi Tawa dan Pemberian Monyitmadu terhadap Depresi Lansia. Jurnal Keperawatan Jiwa, 10(2), 421-430.
Pardede, J. A., Siregar, L. M., & Halawa, M. (2020). Beban dengan koping keluarga saat merawat pasien skizofrenia yang mengalami perilaku kekerasan. Jurnal Kesehatan, 11(2), 189-196.
Stuart, G. W. (2016). Buku 1 prinsip dan praktik keperawatan kesehatan jiwa Stuart. Singapore: Elsivier.
Stuart, G. W. (2022). Prinsip dan praktik keperawatan kesehatan jiwa stuart, edisi indonesia 11: Prinsip dan praktik keperawatan kesehatan jiwa Stuart, edisi Indonesia 11. Elsevier Health Sciences.
Sutejo, S. (2018). Keperawatan jiwa: konsep dan praktik asuhan keperawatan kesehatan jiwa: gangguan jiwa dan psikososial.
Ugwu, E. N. (2020). Laughter Therapy and Coping Strategies for Dementia Patient Caregivers (Doctoral dissertation, Walden University).
Viana, A. O., & Gati, N. W. (2023). Penerapan Terapi Stimulasi Sensori Terhadap Kemampuan Pasien Mengontrol Perilaku Kekerasan Pada Pasien Skizofrenia. Jurnal Anestesi, 1(4), 163-182.
Word Health Organization. (2023). Mental health of older adults. Word Health Organization. Retrieved From: https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-ads
Downloads
Published
Issue
Section
License
Copyright (c) 2026 JOURNAL OF Mental Health Concerns
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
