Okul Psikolojik Danışmanlarının Gözünden Öğrenci İntihar Davranışları: Niteliksel Bir Bakış

Abstract

Bu çalışma, Türkiye’de görev yapan okul psikolojik danışmanlarının öğrenci intihar düşüncesi, girişimi ve tamamlanmış intihar vakalarına ilişkin farkındalık, deneyim ve müdahale süreçlerini incelemeyi amaçlamaktadır. Ergenlerin zamanlarının önemli bir bölümünü okul ortamında geçirmeleri, psikolojik danışmanları risk belirtilerini erken fark etme ve kriz durumlarında müdahale etme açısından kritik bir konuma taşımaktadır. Nitel araştırma yöntemiyle, olgubilim deseninde yürütülen bu çalışmada veriler, en az bir öğrenci intihar davranışına tanıklık etmiş 18 gönüllü danışmandan yarı yapılandırılmış görüşme formları aracılığıyla toplanmıştır. Veriler tematik analiz yöntemiyle çözümlenmiş ve psikolojik risk belirtileri, çevresel risk faktörleri, iş birliği ve kurumsal destek, önleyici müdahaleler ile mesleki zorluklar ve destek ihtiyaçları olmak üzere beş ana tema belirlenmiştir. Bulgular, değersizlik, umutsuzluk, aidiyet eksikliği ve sosyal izolasyonun temel risk faktörleri olduğunu; aile ilgisizliği ve yetersiz sosyal desteğin çevresel riskleri artırdığını göstermektedir. Etkili müdahale için paydaşlar arası iş birliği kritik olmakla birlikte, yapılandırılmış protokol eksikliği, yetersiz eğitim ve duygusal yük müdahale süreçlerini zorlaştırmaktadır. Sonuç olarak çalışma, öğrenci intihar davranışlarının çok boyutlu doğasını ortaya koymakta ve okul temelli önleme çalışmalarının güçlendirilmesi gerektiğini vurgulamaktadır.

Keywords

• Okul psikolojik danışmanları
• intihar risk faktörleri
• ergen intiharı
• intiharı önleme
• okul temelli ruh sağlığı

Student Suicidal Behavior Through the Eyes of School Counselors: A Qualitative Perspective

Abstract

This study aims to examine the awareness, experiences, and intervention processes of school psychological counselors in Türkiye regarding students’ suicidal ideation, suicide attempts, and completed suicides. Given that adolescents spend a substantial portion of their time in school settings, school counselors occupy a critical position in identifying early warning signs and intervening during crisis situations. This study was conducted using a qualitative phenomenological design. Data were collected through semi-structured interview forms from 18 volunteer counselors who had witnessed at least one case of student suicidal behavior. The data were analyzed using thematic analysis, resulting in five main themes: psychological risk indicators, environmental risk factors, collaboration and institutional support, preventive interventions, and professional challenges and support needs. The findings indicate that feelings of worthlessness, hopelessness, lack of belonging, and social isolation constitute key psychological risk factors, while family neglect and insufficient social support increase environmental risks. Although collaboration among stakeholders is critical for effective intervention, the lack of structured protocols, insufficient training, and emotional burden complicate intervention processes. Overall, the study highlights the multidimensional nature of student suicidal behavior and underscores the need to strengthen school-based prevention efforts.

Keywords

• School psychological counselors
• suicide risk factors
• adolescent suicide
• suicide prevention
• school-based mental health.

References

1. Al-Huseini, S., Al maqbali, M., Mirza, H., Al Khatri, M., Al Saadi, A., Chan, M. F., & Al-Adawi, S. (2024). Prevalence and associated factors of a repeat of suicide attempt among individuals attending an emergency department in Oman. Discover Psychology, 4(1), 181. https://doi.org/10.1007/s44202-024-00294-4
2. Arango, A., Brent, D., Grupp‐Phelan, J., Barney, B. J., Spirito, A., Mroczkowski, M. M., ... & Pediatric Emergency Care Applied Research Network (PECARN). (2024). Social connectedness and adolescent suicide risk. Journal of child psychology and psychiatry, 65(6), 785-797. https://doi.org/10.1111/jcpp.13908
3. Barbeito, S., Vega, P., Sánchez-Gutiérrez, T., Becerra, J. A., Gonzalez-Pinto, A., & Calvo, A. (2021). A systematic review of suicide and suicide attempts in adolescents with psychotic disorders. Schizophrenia Research, 235, 80-90. https://doi.org/10.1016/j.schres.2021.07.029
4. Becnel, A. T., Range, L., & Remley Jr, T. P. (2021). School Counselors' Exposure to Student Suicide, Suicide Assessment Self-Efficacy, and Workplace Anxiety: Implications for Training, Practice, and Research. Professional Counselor, 11(3), 327-339. https://doi:10.15241/atb.11.3.327
5. Branje, S., De Moor, E. L., Spitzer, J., & Becht, A. I. (2021). Dynamics of identity development in adolescence: A decade in review. Journal of Research on Adolescence, 31(4), 908-927. https://doi:10.1111/jora.12678
6. Braun, V., & Clarke, V. (2021). Thematic analysis: A practical guide. SAGE Publications.
7. Bronfenbrenner, U., & Morris, P. A. (2007). The bioecological model of human development. In W. Damon, R. M. Lerner, & R. M. Lerner (Eds.), Handbook of child psychology. John Wiley & Sons. https://doi.org/10.1002/9780470147658.chpsy0114
8. Brown, M., Bowyer, J., & Walsh, K. (2024). School counsellors’ reporting child maltreatment: A rapid review of empirical evidence. Journal of Psychologists and Counsellors in Schools, 34(3), 285-305. https://doi.org/10.1177/20556365241262552

9. Calati, R., Ferrari, C., Brittner, M., Oasi, O., Olié, E., Carvalho, A. F., & Courtet, P. (2019). Suicidal thoughts and behaviors and social isolation: A narrative review of the literature. Journal of affective disorders, 245, 653-667. https://doi.org/10.1016/j.jad.2018.11.022
10. Carpenter, S. X. (2018). How school counselors cope with student suicide: A qualitative study. University of Missouri-Saint Louis.
11. Chan, M. K., Chambers, C., & Jimerson, S. R. (2025). Advancing Equitable and Socially Just Practices in School Psychology: Transformative Science Informing Mental Health, Safety, and Data-Based Decisions. School Psychology Review, 54(2), 143-152. https://doi.org/10.1080/2372966X.2025.2457891
12. Chen, Z., Poon, K.-T., DeWall, C. N., & Jiang, T. (2020). Life lacks meaning without acceptance: Ostracism triggers suicidal thoughts. Journal of Personality and Social Psychology, 119(6), 1423–1443. https://doi.org/10.1037/pspi0000238
13. Chhabria, A., & Khar, P. (2023). Aggression, suicide, and self-harm in children and adolescents. Journal of Indian Association for Child and Adolescent Mental Health, 19(1), 53-59. https://doi.org/10.1177/09731342231190715
14. Chu, C., Buchman-Schmitt, J. M., Stanley, I. H., Hom, M. A., Tucker, R. P., Hagan, C. R., ... & Joiner Jr, T. E. (2017). The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. Psychological bulletin, 143(12), 1313. https://dx.doi.org/10.1037/bul0000123
15. Creswell, J. W., & Poth, C. N. (2018). Qualitative Inquiry and Research Design: Choosing Among Five Approaches (4th ed.). SAGE Publications
16. DeCou, C. R., Simeona, C., Lyons, V. H., Rowhani-Rahbar, A., Vavilala, M. S., Vercollone, L., & Simonetti, J. A. (2019). Suicide prevention experiences, knowledge, and training among school-based counselors and nurses in King County, Washington–2016. Health behavior and policy review, 6(3), 232-241. https://dx.doi.org/doi:10.14485/hbpr.6.3.3.
17. Demesmaeker, A., Chazard, E., Hoang, A., Vaiva, G., & Amad, A. (2022). Suicide mortality after a nonfatal suicide attempt: A systematic review and meta-analysis. Australian & New Zealand Journal of Psychiatry, 56(6), 603-616. https://doi.org/10.1177/00048674211043455
18. Diab, P., & Andrews, K. (2024). Supports for university counselors impacted by student suicide: A systematic review and thematic synthesis. Death Studies, 48(6), 609-620. https://doi.org/10.1080/07481187.2024.2304780
19. Dueñas, J. M., Morales-Vives, F., & de Oliveira, J. M. (2025). Beyond guidelines: Evaluating the realities of suicide prevention in schools. Children and Youth Services Review, 108363. https://doi.org/10.1016/j.childyouth.2025.108363
20. Eklund, K., DeMarchena, S. L., Rossen, E., Izumi, J. T., Vaillancourt, K., & Rader Kelly, S. (2020). Examining the role of school psychologists as providers of mental and behavioral health services. Psychology in the Schools, 57(4), 489-501. https://doi.org/10.1002/pits.22323
21. Farooq, S., Tunmore, J., Ali, M. W., & Ayub, M. (2021). Suicide, self-harm and suicidal ideation during COVID-19: A systematic review. Psychiatry research, 306, 114228. https://doi.org/10.1016/j.psychres.2021.114228
22. Finegan, C. (2024). School organisational trauma during student suicide crisis. European Journal of Psychotherapy & Counselling, 26(3-4), 370-390. https://doi.org/10.1080/13642537.2024.2384872
23. Gallo, L. L. (2018). The relationship between high school counselors’ self-efficacy and conducting suicide risk assessments. Journal of Child and Adolescent Counseling, 4(3), 209-225. https://doi.org/10.1080/23727810.2017.1422646
24. Gallo, L., & Wachter Morris, C. A. (2022). Suicide intervention in schools: If not school counselors, then who?. Teaching and Supervision in Counseling, 4(2), 6. https://doi.org/10.7290/tsc043z3v
25. Guest, G., MacQueen, K. M., & Namey, E. E. (2020). Applied Thematic Analysis. SAGE.
26. Haugen, J. S., Waalkes, P. L., Burgess, M., & Swindle, P. J. (2023). “It's like losing a family member”: School counselors’ experience with student suicide. Journal of Counseling & Development, 101(4), 449-460. https://doi.org/10.1002/jcad.12483
27. Hedegaard, H., Curtin, S. C., & Warner, M. (2018). Suicide rates in the United States continue to increase (Vol. 309). Hyattsville, MD: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.
28. Joiner, T. (2005). Why people die by suicide. Harvard University Press.
29. Joshi, D. S., Lebrun‐Harris, L. A., Shaw, E., Pilkey, D., Collier, A., & Kinsman, S. (2023). The need for improved collaboration between schools and child death review teams. Journal of school health, 93(2), 135-139. https://doi.org/10.1111/josh.13225
30. Juhnke, G. A., Granello, P. F., & Granello, D. H. (2010). Suicide, self-injury, and violence in the schools: Assessment, prevention, and intervention strategies. John Wiley & Sons.
31. Kalin, N. H. (2021). Anxiety, depression, and suicide in youth. American journal of psychiatry, 178(4), 275-279. https://doi.org/10.1176/appi.ajp.2020.21020186
32. Kirshenbaum, J. S., Pagliaccio, D., Bitran, A., Xu, E., & Auerbach, R. P. (2024). Why do adolescents attempt suicide? Insights from leading ideation-to-action suicide theories: a systematic review. Translational psychiatry, 14(1), 266. https://doi.org/10.1038/s41398-024-02914-y
33. Kuyken, W., Blakemore, S. J., Byford, S., Dalgleish, T., Ford, T., Hinze, V., ... & Viner, R. M. (2023). Mental health in adolescence: The role of schools-based social emotional teaching. Journal of Mental Health, 32(3), 537-540. https://doi.org/10.1080/09638237.2023.2210668
34. Kwan, C., Wong, C., Chen, Z., & Yip, P. S. (2022). Youth bullying and suicide: Risk and protective factor profiles for bullies, victims, bully-victims and the uninvolved. International journal of environmental research and public health, 19(5), 2828. https://doi.org/10.3390/ijerph19052828
35. László, K. D., Andersson, F., & Galanti, M. R. (2019). School climate and mental health among Swedish adolescents: a multilevel longitudinal study. BMC Public Health, 19(1), 1695. https://doi.org/10.1186/s12889-019-8018-0
36. Leslie, R., & Oberg, G. (2025). A systematic literature review exploring the evolving roles of school psychologists, counsellors and guidance officers in Australia: Insights using a multi-tiered system of supports framework. Journal of Psychologists and Counsellors in Schools, 35(2), 198-218. https://doi.org/10.1177/20556365251334771
37. Levkovich, I., & Vigdor, I. (2021). How school counsellors cope with suicide attempts among adolescents—A qualitative study in Israel. Journal of Psychologists and Counsellors in Schools, 31(1), 63-75. https://doi.org/10.1017/jgc.2020.14
38. Li, X., Mu, F., Liu, D., Zhu, J., Yue, S., Liu, M., ... & Wang, J. (2022). Predictors of suicidal ideation, suicide attempt and suicide death among people with major depressive disorder: A systematic review and meta-analysis of cohort studies. Journal of affective disorders, 302, 332-351. https://doi.org/10.1016/j.jad.2022.01.103
39. Li, C. C., Hsieh, K., Chang, P. C., & Chang, H. J. (2025). Prevalence of suicide attempts and related factors among adolescents in Taiwan using a nationally representative survey. Journal of the Formosan Medical Association. https://doi.org/10.1016/j.jfma.2025.04.030
40. Liu, X. Q., & Wang, X. (2024). Adolescent suicide risk factors and the integration of social-emotional skills in school-based prevention programs. World journal of psychiatry, 14(4), 494. https://dx.doi.org/10.5498/wjp.v14.i4.494
41. Liu, Y., Qu, X., & Hilts, D. (2025). School counseling development and practice in China: a 20-year systematic review. Asia Pacific Education Review, 1-15. https://doi.org/10.1007/s12564-025-10045-2
42. Luo, Y., Ma, T., & Deng, Y. (2023). School climate and adolescents’ prosocial behavior: the mediating role of perceived social support and resilience. Frontiers in psychology, 14, 1095566. https://doi.org/10.3389/fpsyg.2023.1095566
43. Lund, E. M., Schultz, J. C., Thomas, K. B., Nadorff, M. R., Chowdhury, D., & Galbraith, K. (2020). “It’s awful when we get it wrong”: An exploratory qualitative study of vocational rehabilitation counselors’ perspectives on suicide. OMEGA-Journal of Death and Dying, 81(4), 551-566. https://doi.org/10.1177/0030222818783933
44. Marzetti, H., McDaid, L., & O'Connor, R. (2023). A qualitative study of young people's lived experiences of suicide and self‐harm: intentionality, rationality and authenticity. Child and adolescent mental health, 28(4), 504-511. https://doi.org/10.1111/camh.12641
45. McCarthy, M., Wynne, S., Ashworth, E., Hendriks, O., & Saini, P. (2025). Behind the data: Reflections from conducting school-based suicide prevention research with young people in the United Kingdom. PLOS Mental Health, 2(10), e0000476. https://doi.org/10.1371/journal.pmen.0000476
46. Merriam, S. B., & Tisdell, E. J. (2016). Qualitative research: A guide to design and ımplementation (4th ed.). Jossey-Bass
47. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Sage Publications.
48. Morcillo, V., Ferrer-Ribot, M., Mut-Amengual, B., Bagur, S., & Rosselló, M. R. (2025, May). Mental Health and Suicide Attempts in Adolescents: A Systematic Review. In Healthcare (Vol. 13, No. 9, p. 1039). MDPI. https://doi.org/10.3390/healthcare13091039
49. Navarro, M. C., Ouellet-Morin, I., Geoffroy, M. C., Boivin, M., Tremblay, R. E., Côté, S. M., & Orri, M. (2021). Machine learning assessment of early life factors predicting suicide attempt in adolescence or young adulthood. JAMA network open, 4(3), e211450-e211450. https://doi.org/10.1001/jamanetworkopen.2021.1450
50. Niles, J. K., Dorais, S., Cashwell, C., Mullen, P. R., & Jensen, S. (2024). School counselors' burnout, hope, and self‐efficacy: A sequential regression analysis. Journal of Counseling & Development, 102(4), 472-481. https://doi.org/10.1002/jcad.12530
51. Nouri, E., Moradi, Y., & Moradi, G. (2023). The global prevalence of suicidal ideation and suicide attempts among men who have sex with men: a systematic review and meta-analysis. European journal of medical research, 28(1), 361. https://doi.org/10.1186/s40001-023-01338-6
52. O’Brien, S. O., Campbell, M. A., & Whiteford, C. (2024). Exploring the role of school psychologists/counsellors in addressing bullying: Current practices and suggested future directions. Journal of Psychologists and Counsellors in Schools, 34(4), 388-398. https://doi.org/10.1177/20556365241295299
53. O'Neill, J. C., Marraccini, M. E., Bledsoe, S. E., Knotek, S. E., & Tabori, A. V. (2020). Suicide postvention practices in schools: School psychologists’ experiences, training, and knowledge. School psychology, 35(1), 61. https://doi.org/10.1037/spq0000331
54. Richardson, A., Chandra, A., Martin, L. T., Setodji, C. M., Hallmark, B. W., Campbell, N. F., ... & Grady, P. (2011). Effects of soldiers' deployment on children's academic performance and behavioral health. Monograph. RAND Corporation. PO Box 2138, Santa Monica, CA 90407-2138.
55. Shand, F., Vogl, L., & Robinson, J. (2018). Improving patient care after a suicide attempt. Australasian Psychiatry, 26(2), 145-148. https://doi.org/10.1177/1039856218758560
56. Silvers, J. A. (2022). Adolescence as a pivotal period for emotion regulation development. Current opinion in psychology, 44, 258-263. https://doi.org/10.1016/j.copsyc.2021.09.023
57. Verlenden, J. V. (2024). Mental health and suicide risk among high school students and protective factors—Youth Risk Behavior Survey, United States, 2023. MMWR supplements, 73(4):79–86. http://dx.doi.org/10.15585/mmwr.su7304a9
58. Warren, J. M., Blount, T. N., & Belle, G. (2024). Implementing effective school-based mental health services: A guide for school counselors. Professional School Counseling, 28(1), 2156759X241283769. https://doi.org/10.1177/2156759X241283769
59. Webb, M., Bailey, E., Lamblin, M., Krysinska, K., & Robinson, J. (2025). What is the evidence for preparing for and responding to student suicide in schools? A Systematic Review. School Mental Health, 1-18. https://doi.org/10.1007/s12310-025-09773-y
60. World Health Organization. (2025, March 25). Suicide – key facts. https://www.who.int/news-room/fact-sheets/detail/suicide
61. Wu, J., Liu, Y., Hung, T., Liu, S., & Hu, S. X. (2025). Parental dysfunction and adolescent mental health: AI-aided content analysis of suicide notes on social media. Annals of General Psychiatry, 24(1), 32. https://doi.org/10.1186/s12991-025-00568-8
62. Yıldırım, A. ve Şimşek, H. (2021). Sosyal bilimlerde nitel araştırma yöntemleri (12. Baskı). Ankara: Seçkin Yayıncılık.