{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T15:52:53Z","timestamp":1791388373410,"version":"4.3.3"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Suicide remains a major public health concern worldwide, yet official mortality statistics often provide limited information regarding the contextual circumstances surrounding suicide events. Media reports provide insights into demographic characteristics, suicide methods, homicide\u2013suicide incidents, and the social contexts associated with these events. This study aimed to examine suicide cases reported in Turkish media using a mixed-methods approach with epidemiological surveillance and qualitative document analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A convergent mixed-methods design was employed. Suicide-related news reports published in Turkish media between January and December 2025 were prospectively monitored and screened. After removing duplicate reports, 688 suicide cases were included in the quantitative analysis. Descriptive and inferential statistical analyses were conducted to examine demographic characteristics, suicide methods, geographic distribution, and homicide\u2013suicide patterns. Qualitative document analysis was performed on contextual narratives from 179 suicide cases. Quantitative and qualitative findings were integrated during interpretation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 688 media-reported suicide cases, 76.7% were male, 15.7% were female, and sex was not reported for the remaining 7.6%. Firearms (43.2%) and hanging (30.4%) were the most frequently reported suicide methods. Homicide\u2013suicide was identified in 16.1% of cases and was significantly more common among males than females (20.3% vs. 2.8%, unadjusted OR\u202f=\u202f8.90, 95% CI: 2.77\u201328.58,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Suicide method was significantly associated with homicide\u2013suicide status (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Among suicides involving firearms, 30.6% were classified as homicide\u2013suicide. Within the media-reported sample, the proportion of cases classified as homicide\u2013suicide differed significantly across regions. Qualitative analysis identified one descriptive event\/legal category\u2014violence, homicide\u2013suicide event characteristics, and legal circumstances (31.8%)\u2014and four contextual themes: physical and psychological health problems and addictions (26.3%); family and intimate relationship conflicts (24.6%); economic and occupational difficulties (15.6%); and social exclusion and social vulnerability (1.7%). Integration of findings indicated that homicide\u2013suicide events were frequently embedded within narratives of domestic violence, relationship conflict, and legal problems, whereas psychological distress and economic hardship emerged as common contextual factors across suicide cases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Media-reported suicide cases in T\u00fcrkiye demonstrated distinct epidemiological and contextual patterns that should be interpreted within the context of media reporting rather than as representative of all suicide deaths in the country. Combining epidemiological surveillance with qualitative analysis provides complementary contextual information that may inform suicide prevention policies, responsible media reporting practices, and future research integrating official mortality data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1935064","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:51:42Z","timestamp":1791348702000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Media-based surveillance of suicide in T\u00fcrkiye: a mixed-methods analysis of epidemiological patterns, homicide\u2013suicide events, and contextual factors"],"prefix":"10.3389","volume":"14","author":[{"given":"Mahmut Talha","family":"U\u00e7ar","sequence":"first","affiliation":[{"name":"Saray District Health Directorate, Tekirda\u011f Provincial Health Directorate","place":["Tekirda\u011f, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif","family":"D\u00f6nmez","sequence":"additional","affiliation":[{"name":"Department of Oncology Nursing, Hamidiye Faculty of Nursing, University of Health Sciences","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulay","family":"Ortabag","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, Istanbul Topkapi University","place":["\u0130stanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"ref1","year":"2025"},{"key":"ref2","year":"2025"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"mxaf004","DOI":"10.1093\/epirev\/mxaf004","article-title":"The social determinants of suicide: an umbrella review","volume":"47","author":"Gallagher","year":"2025","journal-title":"Epidemiol 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the relationship between debt and the mental health outcomes of anxiety, depression and suicidality within the United States","volume":"34","author":"Rooney","year":"2026","journal-title":"SSM Popul Health"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e189","DOI":"10.1016\/S2468-2667(25)00006-4","article-title":"Global, regional, and national burden of suicide, 1990\u20132021: a systematic analysis for the global burden of disease study 2021","volume":"10","year":"2025","journal-title":"Lancet Public Health"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"348","DOI":"10.29399\/npa.28914","article-title":"Gender inequality and crude suicide rates in T\u00fcrkiye: a nationwide retrospective ecological study","volume":"62","author":"Ka\u00e7ar","year":"2025","journal-title":"Noro Psikiyatr Ars"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1485","DOI":"10.1007\/s10578-025-01839-x","article-title":"Child and adolescent suicides in Turkey (2004\u20132023): a comprehensive evaluation","volume":"56","author":"\u015eim\u015fek","year":"2025","journal-title":"Child Psychiatry Hum Dev"},{"key":"ref11","year":"2025"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"2317","DOI":"10.1186\/s12889-026-27615-7","article-title":"Rising trend among young adults: analysis of suicide-related deaths in T\u00fcrkiye 2007\u20132022","volume":"26","author":"Durmu\u015f","year":"2026","journal-title":"BMC Public Health"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"m575","DOI":"10.1136\/bmj.m575","article-title":"Association between suicide reporting in the media and suicide: systematic review and meta-analysis","volume":"368","author":"Niederkrotenthaler","year":"2020","journal-title":"BMJ"},{"key":"ref14","year":"2023"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"127","DOI":"10.18614\/dehm.1699935","article-title":"Suicide news reporting in T\u00fcrkiye: compliance with World Health Organization 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