Journals / Psikiyatride Güncel Yaklaşımlar / 2026 / Cilt: 18 Sayı: 3

Physical Disability and Suicidal Behavior: Psychosocial Factors and Intervention Approaches

Fiziksel Engellilik ve İntihar Davranışı: Psikososyal Etkenler ve Müdahale Yaklaşımları

Sare Aydın(TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ)0000-0002-5081-5983
Sedat Batmaz(ANKARA SOSYAL BİLİMLER ÜNİVERSİTESİ)0000-0003-0585-2184
Pages
1020–1030
Publication Date
2026-04-15
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, suicide among individuals with physical disabilities should be addressed through a biopsychosocial framework that recognizes both structural inequalities and individual needs.

📌 3 Key Takeaways

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Objective & Hypothesis:Research consistently shows that individuals with physical disabilities are at a higher risk of suicidal thoughts and behaviors compared to the general population.
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Key Findings & Data:Each of these factors can undermine emotional well-being, reduce life satisfaction, and increase vulnerability to suicide.
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Conclusion & Impact:In conclusion, suicide among individuals with physical disabilities should be addressed through a biopsychosocial framework that recognizes both structural inequalities and individual needs.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:fiziksel engellilik · intihar davranışı · ruh sağlığı

Abstract

Research consistently shows that individuals with physical disabilities are at a higher risk of suicidal thoughts and behaviors compared to the general population. This review explores the major psychosocial risk factors contributing to suicide in physically disabled individuals, including psychiatric comorbidities, social exclusion, loneliness, economic hardship, chronic pain, and perceived burdensomeness. Each of these factors can undermine emotional well-being, reduce life satisfaction, and increase vulnerability to suicide. At the same time, the review highlights several protective factors and intervention strategies. Family and community support, inclusive legal policies, educational campaigns to reduce stigma, access to psychosocial services, and participation in physical activity and sports can all enhance psychological resilience. Especially important are early interventions in primary healthcare settings and tailored psychological therapies, such as cognitive behavioral therapy, which have shown promising results in improving mental health outcomes in this population. In conclusion, suicide among individuals with physical disabilities should be addressed through a biopsychosocial framework that recognizes both structural inequalities and individual needs. Multidisciplinary collaboration among healthcare providers, social workers, policymakers, and society at large is essential to reducing suicide risk and promoting well-being for individuals with disabilities.

Özet

Yapılan araştırmalar, fiziksel engelli bireylerin genel nüfusa kıyasla intihar düşüncesi ve davranışları açısından daha yüksek risk altında olduğunu ortaya koymaktadır. Bu derleme, fiziksel engelli bireylerde intihara katkıda bulunan başlıca psikososyal risk etmenlerini incelemektedir. Bu etmenler arasında psikiyatrik eş tanılar, sosyal dışlanma, yalnızlık, ekonomik zorluklar, kronik ağrı ve bireyin kendini başkalarına yük olarak görmesi yer almaktadır. Bu faktörlerin her biri, ruhsal iyi oluşu zayıflatmakta, yaşam doyumunu azaltmakta ve intihara yönelik kırılganlığı artırmaktadır. Aynı zamanda bu derleme, çeşitli koruyucu faktörlere ve müdahale stratejilerine de dikkat çekmektedir. Aile ve toplum desteği, kapsayıcı yasal politikalar, damgalamayı azaltmaya yönelik eğitim kampanyaları, psikososyal hizmetlere erişim ve fiziksel aktivite ile spora katılım, psikolojik dayanıklılığı artırabilecek unsurlar arasında yer almaktadır. Özellikle birinci basamak sağlık hizmetlerinde erken müdahaleler ile bireysel ihtiyaçlara göre uyarlanmış bilişsel davranışçı terapi gibi psikolojik müdahaleler, bu gruptaki bireylerin ruh sağlığı sonuçlarını iyileştirmede umut verici sonuçlar ortaya koymuştur. Sonuç olarak, fiziksel engelli bireylerde intihar riski, yalnızca bireysel değil, aynı zamanda toplumsal ve yapısal etkenleri de dikkate alan bütüncül bir biyopsikososyal çerçeveyle ele alınmalıdır. Bu çerçevede, sağlık hizmeti sunucuları, sosyal hizmet uzmanları, politika yapıcılar ve toplumun tüm paydaşları arasında etkin ve sürekli bir iş birliği gerekmektedir. Böyle bir yaklaşım, hem intihar riskinin azaltılmasına hem de engelli bireylerin iyi oluşunun desteklenmesine önemli katkılar sağlayacaktır.

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Cite This Article

Aydın, S., Batmaz, S. (2026). Physical Disability and Suicidal Behavior: Psychosocial Factors and Intervention Approaches. Psikiyatride Güncel Yaklaşımlar, Cilt: 18 Sayı: 3, 1020–1030. https://doi.org/10.18863/pgy.1729404

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References (57)

  1. Aitchison B, Rushton AB, Martin P, Barr M, Soundy A, Heneghan NR (2022) The experiences and perceived health benefits of individuals with a disability participating in sport: a systematic review and narrative synthesis. Disabil Health J, 15:101164.
  2. Aitken Z, Krnjacki L, Kavanagh AM, LaMontagne AD, Milner A (2017) Does social support modify the effect of disability acquisition on mental health? A longitudinal study of Australian adults. Soc Psychiatry Psychiatr Epidemiol, 52:1247-1255.
  3. Akdoğan R, Tümlü Ülker G, Çimşir E, Ardıç A, Koçtürk N, Koç M (2017) Engellilerde Ruh Sağlığı. Eskişehir, Anadolu Üniversitesi Yayınları.
  4. Akyol Güner T, Das Gecim GY (2023) Effects of social exclusion on psychological well-being and suicidal possibilities among people with physical disabilities. Omega (Westport), 87:962-976.
  5. Alptekin H (2024) Engelli bireylerin gündelik yaşamda karşılaştığı sosyal dışlanma pratikleri. Olgu Sosyoloji Dergisi, 3:107-117.
  6. Anderson ML, Ziedonis DM, Najavits LM (2014) Posttraumatic stress disorder and substance use disorder comorbidity among individuals with physical disabilities: findings from the National Comorbidity Survey Replication. J Trauma Stress, 27:182-191.
  7. Aydın S, Akpınar Aslan E, Batmaz S (2020) Fiziksel engelli bireylerin engel türüne ve engelin başlama zamanına göre başa çıkma stilleri ve psikolojik sağlamlıkları. Klinik Psikiyatri Dergisi, 28:105-112.
  8. Aysan F, Özben Ş (2007) Engelli çocuğu olan anne babaların yaşam kalitelerine ilişkin değişkenlerin incelenmesi. Dokuz Eylül Üniversitesi Buca Eğitim Fakültesi Dergisi, 22:1-6.
  9. Bahm A, Forchuk C (2009) Interlocking oppressions: the effect of a comorbid physical disability on perceived stigma and discrimination among mental health consumers in Canada. Health Soc Care Community, 17:63-70.
  10. Beck AT, Brown G, Berchick RJ, Stewart BL, Steer RA (2006) Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. Am J Psychiatry, 147:190-296.
  11. Bogart KR (2014) The role of disability self-concept in adaptation to congenital or acquired disability. Rehabil Psychol, 59:107-115.
  12. Burcu E (2015) Engellilik sosyolojisi. Ankara, Anı Yayıncılık.
  13. Burcu E, Kamanlioglu M, Sahin B (2006) Gender differences of disabled people in partner choosing process / Özürlü bireylerin eş seçiminde yaşadıkları sorunların cinsiyete göre karşılaştırılması. Kadin/Woman 2000, 7:1-31.
  14. Bursa D (2010) Fiziksel engelli bireylerde depresyon ve çok boyutlu algılanan sosyal destek düzeyi (Yüksek lisans tezi). Konya, Selçuk Üniversitesi.
  15. Choi JW, Lee KS, Han E (2020) Psychiatric disorders and suicide risk among adults with disabilities: a nationwide retrospective cohort study. J Affect Disord, 263:9-14.
  16. Cusforth Z (1951) Academic value of research participation by undergraduates. Am Psychol, 41:317-320.
  17. Devereux PG, Bullock CC, Gibb ZG, Himler H (2015) Social-ecological influences on interpersonal support in people with physical disability. Disabil Health J, 8:564-572.
  18. Dorstyn D, Mathias J, Denson L (2011) Efficacy of cognitive behavior therapy for the management of psychological outcomes following spinal cord injury: a meta-analysis. J Health Psychol, 16:374-391.
  19. Dudgeon BJ, Tyler EJ, Rhodes LA, Jensen MP (2006) Managing usual and unexpected pain with physical disability: a qualitative analysis. Am J Occup Ther, 60:92-103.
  20. Fauth E, Infurna FJ, Ram N, Gerstorf D (2017) Decline in subjective social support: a function of disablement processes. Innov Aging, 1(Suppl 1):702.
  21. Goffman E (2009) Stigma: notes on the management of spoiled identity. New York, Simon and Schuster.
  22. Güldoğan Aydın E (2016) Engelli bireylerin ruh sağlığı hizmetlerine ulaşımına yönelik sorunlar. In 1. EngellilikAraştırmaları Kongresi Bildiri Özet Kitabı:59. İstanbul, İstabul Üniversitesi Yayınları.
  23. Hassett AL, Aquino JK, Ilgen MA (2014) The risk of suicide mortality in chronic pain patients. Curr Pain Headache Rep, 18:436.
  24. Holanda CMDA, Andrade FLJPDA, Bezerra MA, Nascimento JPSDA, Neves RDFA, Alves SB et al. (2015) Support networks and people with physical disabilities: social inclusion and access to health services. Cien Saude Colet, 20:175-184.
  25. Jensen MP, Smith AE, Bombardier CH, Yorkston KM, Miró J, Molton IR (2014) Social support, depression, and physical disability: age and diagnostic group effects. Disabil Health J, 7:164-172.
  26. Kafaa KA (2024) Between normality and abnormality: understanding the social support of people with physical disabilities among family. Gulawentah Jurnal Studi Sosial, 9:120-128.
  27. Kaplan MS, McFarland BH, Huguet N, Newsom JT (2007) Physical illness, functional limitations, and suicide risk: a population-based study. Am J Orthopsychiatry, 77:56-60.
  28. Kapos FP, Craig KD, Anderson SR, Bernardes SF, Hirsh AT, Karos K et al. (2024) Social determinants and consequences of pain: toward multilevel, intersectional, and life course perspectives. J Pain, 25(10):104608.
  29. Kaya C (2022) Rehabilitasyon psikolojik danışmanlığı: Türkiye uygulamalarının temelleri: engellilere yönelik damgalanmanın açıklanması ve ölçülmesi. Karadeniz Sosyal Bilimler Dergisi, 14(27):517-531.
  30. Khazem LR, Anestis MD (2019) Do physical disabilities differentiate between suicidal ideation and attempts? an examination within the lens of the ideation-to-action framework of suicide. J Clin Psychol, 75:681-695.
  31. Laaksonen E, Lallukka T, Lahelma E, Ferrie JE, Rahkonen O, Head J et al. (2011) Economic difficulties and physical functioning in Finnish and British employees: contribution of social and behavioural factors. Eur J Public Health, 21:456-462.
  32. Lallukka T, Mauramo E, Lahelma E, Rahkonen O (2015) Economic difficulties and subsequent disability retirement. Scand J Public Health, 43:169-175.
  33. Marrie RA, Walld R, Bolton JM, Sareen J, Walker JR, Patten SB et al. (2018) Physical comorbidities increase the risk of psychiatric comorbidity in immune-mediated inflammatory disease. Gen Hosp Psychiatry, 51:71-78.
  34. Mitra S, Palmer M, Kim H, Mont D, Groce N (2017) Extra costs of living with a disability: a review and agenda for research. Disabil Health J, 10:475-484.
  35. Morris J (1991) Pride Against Prejudice: Transforming Attitudes to Disability. London, Women’s Press.
  36. Motillon-Toudic C, Walter M, Séguin M, Carrier JD, Berrouiguet S, Lemey C (2022) Social isolation and suicide risk: literature review and perspectives. Eur Psychiatry, 65:e65.
  37. Mushtaq S, Akhouri D (2016) Self-esteem, anxiety, depression and stress among physically disabled people. Int J Indian Psychol, 3(4):64-70.
  38. OECD (2022) Disability, Work And Inclusion: Mainstreaming in All Policies and Practices. Paris, OECD Publishing.
  39. Paramita WM, Rahajeng UW, Thohari S, Riyani ER, Kartikasari P (2020) Am I excluded because I am disabled? Pengaruh ostracism terhadap tingkat kebutuhan dasar individu penyandang disabilitas. In Promoting Disability Rights in Indonesia: Proceedings of the 2nd Indonesian Conference on Disability Studies and Inclusive Education:283-299. Yogyakarta, Indonesia, PLD Press.
  40. Park EY (2024) Factors influencing suicidal ideation in persons with physical disabilities. Behav Sci (Basel), 14:966.
  41. Racine M (2018) Chronic pain and suicide risk: a comprehensive review. Prog Neuropsychopharmacol Biol Psychiatry, 87:269-280.
  42. Resmî Gazete (2005) 5378 sayılı Engelliler Hakkında Kanun. 07.07.2005 Tarih ve 25868 Sayılı Resmî Gazete. Ankara, T.C. Başbakanlık.
  43. Sayıl I (2002) İntihar davranışı ve epidemiyolojisi. In Psikiyatrik Epidemiyoloji (Ed I Sayıl):118-125. İzmir, Ege Psikiyatri Yayınları.
  44. Schwartz-Lifshitz M, Zalsman G, Giner L, Oquendo MA (2012) Can we really prevent suicide? Curr Psychiatry Rep, 14:624-633.
  45. Sedeto M, Dar M (2019) Socio-economic challenges of persons with disabilities: a case study of Ethiopia. Glob J Hum Soc Sci, 19(1):8-16.
  46. Solé E, Racine M, Tomé-Pires C, Galán S, Jensen MP, Miró J (2020) Social factors, disability, and depressive symptoms in adults with chronic pain. Clin J Pain, 36:371-378.
  47. Steinberg R, Posa S, Pattni N, Wasilewski MB, Robinson LR, Jankey S et al. (2023) Psychosocial group therapy interventions for patients with physical disabilities: a scoping review of implementation considerations. Rehabil Psychol, 68:235-246.
  48. Su G, Sağlam EB (2020) Köy yaşamında engelli birey olma deneyimi: nitel bir araştırma örneği. Hacettepe Üniversitesi Edebiyat Fakültesi Dergisi, 37:96-115.
  49. Şevik AE, Özcan H, Uysal E (2012) İntihar girişimlerinin incelenmesi: risk faktörleri ve takip. Klinik Psikiyatri Dergisi, 15:218-225.
  50. Tough H, Siegrist J, Fekete C (2017) Social relationships, mental health and wellbeing in physical disability: A systematic review. BMC Public Health, 17:414.
  51. Turner RJ, Lloyd DA, Taylor J (2006) Physical disability and mental health: An epidemiology of psychiatric and substance disorders. Rehabil Psychol, 51:214-233.
  52. WHO (2001) International Classification of Functioning, Disability and Health (ICF). Geneva, World Health Organization.
  53. WHO (2021) Suicide worldwide in 2019: Global Health Estimates. Geneva, World Health Organization.
  54. WHO (2025) Suicide Worldwide in 2021: Global Health Estimates. Geneva, World Health Organization.
  55. Wilhite B, Shank J (2009) In praise of sport: Promoting sport participation as a mechanism of health among persons with a disability. Disabil Health J, 2:116–127.
  56. Wilson KG, Kowal J, Henderson PR, McWilliams LA, Péloquin K (2013) Chronic pain and the interpersonal theory of suicide. Rehabil Psychol, 58:111-115.
  57. Yavuz S (2019) Bedensel engelli sporcuların psikolojik sağlamlık ve bilişsel esneklik düzeylerinin incelenmesi (Yüksek lisans tezi). Aksaray, Aksaray Üniversitesi.