We greatly appreciate Bulut et al.'s (2025) rigorous observational study exploring the impact of intimate partner violence on suicide risk and treatment adherence in married women with major depression in Türkiye. Their work fills a critical cross-cultural gap by contextualising the intertwined challenges of intimate partner violence and depression within Türkiye's healthcare landscape while highlighting the pivotal role of primary care and psychiatric nursing in supporting this vulnerable population. The study's emphasis on economic dependence and social isolation as key barriers, evidenced by 72.58% of intimate partner violence-exposed participants being housewives, resonates with global research on gendered health disparities and underscores the need for interventions that extend beyond clinical boundaries. Building on these valuable findings, we propose three interconnected evidence-informed strategies that integrate local cultural contexts and digital innovations to strengthen care sustainability and accessibility. A digitally empowered confidential support ecosystem via end-to-end encrypted mobile apps addresses core barriers identified in the study, including fear of retaliation and limited mobility. Such tools can integrate real-time crisis intervention with trained mental health nurse support, personalised safety planning and stigma-free medication reminders, aligning with evidence that digital platforms improve access among marginalised groups as demonstrated by Fortuna et al. (2022). Türkiye's growing adoption of telepsychiatry with studies noting favourable attitudes among patients despite privacy concerns, supports the feasibility of this approach, particularly for women in rural or socially restricted settings. Complementing this, a culturally adapted social ecological framework should link mental health services with legal advocacy, vocational training and family counselling. This model leverages Türkiye's collectivist family structures by engaging supportive relatives as allies in safety planning while reducing economic dependence, a key driver of treatment non-adherence as established by Ellsberg et al. Ellsberg et al. (2008) in the World Health Organization multi-country study. Their research across 10 diverse regions confirmed that intimate partner violence survivors with limited economic autonomy were significantly less likely to access consistent mental health care or maintain medication routines. Finally, longitudinal dynamic risk monitoring uses repeated assessments of validated scales, including the Beck Depression Inventory, Suicide Probability Scale and Morisky Medication Adherence Scale, to enable personalised intervention adjustments. This addresses the chronicity of intimate partner violence-related depression and aligns with Solmi et al.'s (2021) recommendations for adaptive strategies to improve antidepressant adherence over time. These strategies extend Bulut et al.'s foundational work by integrating digital accessibility, cultural relevance and adaptive care elements critical for enhancing intervention feasibility in Türkiye's context. By bridging clinical care with structural and technological supports, we can address the multifaceted barriers that perpetuate poor outcomes for intimate partner violence survivors with major depression. We thank the authors for their impactful contribution and look forward to future research exploring these ecologically grounded approaches to strengthen care for this high-risk population globally. The authors declare no conflicts of interest. Data sharing not applicable to this article as no datasets were generated or analysed during the current study.
Jiang et al. (Sat,) studied this question.