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İntihar Önleme Çalışması Olarak İntihar Sonrası Müdahale: En İyi Uygulamalar ve Öneriler

Year 2026, Volume: 18 Issue: 1, 178 - 193
https://doi.org/10.18863/pgy.1642087

Abstract

İntihar sadece intihar girişiminde bulunan kişiyi değil, aynı zamanda olaya şahitlik edenleri, olayzedenin yakınlarını, ilk müdahale ekiplerini, ruh sağlığı çalışanlarını ve hatta toplumun diğer üyelerini etkilemektedir. Bu etkilere ikincil travma, depresyon, yas ve yeni intihar girişimleri dahil edilebilmektedir. Bu bağlamda intihar sonrası müdahale, olaydan etkilenenler için zamanında psikososyal destek sağlamayı ve riskleri azaltmayı amaçlamaktadır. Ancak intiharı önlemenin önemli bir parçası olarak intihar sonrası müdahale hakkında artan kanıtlara rağmen -özellikle düşük ve orta gelir düzeyindeki ülkelerde- ulusal sağlık sistemlerine entegrasyonu sınırlı kalmaktadır. Bu nedenle, bu betimsel derleme çalışması, intihar sonrası müdahale kavramını tanıtmayı; en iyi uygulamaları psikolojik destek hizmetleri, okul tabanlı müdahaleler, medya yönergeleri, gönüllü çabalar ve deneysel çalışmalar gibi tematik alanlar altında sınıflandırarak incelemeyi ve Türkiye'nin mevcut durumunu değerlendirerek öneriler getirmeyi amaçlamaktadır. Bu çalışma, özgün müdahalelere örnekler sunarak, geleneksel ve tepkisel yaklaşımlardan proaktif ve multidisipliner yaklaşımlara doğru yönelen küresel eğilimi vurgulamaktadır. Son olarak Türk toplumunda ruh sağlığının korunması ve güçlendirilmesi için, intihar sonrası müdahale hizmetlerine yönelik kanıta dayalı, kültürel bağlama duyarlı ve kapsayıcı bir ulusal stratejinin geliştirilmesine duyulan ihtiyaç ön plana çıkarılmaktadır. Bu strateji, yalnızca acil müdahaleleri değil, uzun vadeli toplumsal dayanıklılığı güçlendirecek eğitim ve farkındalık programlarını da içermelidir.

Thanks

Bu çalışmanın ilk versiyonuna yönelik değerli dönütleri için Doç. Dr. Aslı Taylı'ya teşekkür ederiz.

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Suicide Postvention as Suicide Prevention: Best Practices and Recommendations

Year 2026, Volume: 18 Issue: 1, 178 - 193
https://doi.org/10.18863/pgy.1642087

Abstract

Suicide can impact not only the person who attempts suicide, but also bystanders, relatives, first-responders, mental health workers and even distant members of society. These effects include secondary trauma, depression, grief, and new suicide attempts. In this context, suicide postvention as a critical part of suicide prevention aims to provide timely psychosocial support and reduce subsequent risks for affected ones. However, its integration into national health systems seems limited, especially in low- and middle-income countries although there is a growing body of literature. Therefore, this narrative review aims to introduce the concept of suicide postvention; to examine best practices by classifying them under thematic areas such as psychological support services, school-based interventions, media guidelines, volunteer efforts and experimental studies; and to make recommendations by evaluating the current situation in Türkiye. The study implies a global trend from the traditional reactive approach toward a proactive and multidisciplinary approach by exemplifying creative efforts. Finally, it highlights the need for an evidence-based, culturally sensitive and inclusive national strategy and innovative practices to support Turkish community mental health in postvention services. This strategy should encompass not only emergency interventions but also long-term education and awareness programs to strengthen societal resilience.

Thanks

We would like to thank Assoc. Prof. Dr. Aslı Taylı for her valuable feedback on the first version of this study.

References

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There are 115 citations in total.

Details

Primary Language English
Subjects Trauma Psychology, Mental Health Services
Journal Section Review
Authors

Gülizar Kaşıkara 0000-0003-0153-631X

Halil Emre Kocalar 0000-0002-7299-162X

Muhammet Ünlü 0000-0002-0829-7270

Publication Date October 7, 2025
Submission Date February 18, 2025
Acceptance Date April 28, 2025
Published in Issue Year 2026 Volume: 18 Issue: 1

Cite

AMA Kaşıkara G, Kocalar HE, Ünlü M. Suicide Postvention as Suicide Prevention: Best Practices and Recommendations. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. 18(1):178-193. doi:10.18863/pgy.1642087

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