On Thursday, Israel is set to enter a new and highly sensitive stage in the hostage release negotiations. For the first time since October 7, Hamas is expected to return four hostages who are no longer alive. The Israeli healthcare system and the National Center of Forensic Medicine are preparing to receive the fallen, while mental health organizations are gearing up to address the emotional impact on the families and the public.
The Red Cross will take custody of the fallen from Hamas at a designated transfer point, and hand them over to the IDF. They will then be airlifted to the National Center of Forensic Medicine in Tel Aviv's Abu Kabir, where forensic experts will conduct examinations to confirm identification and attempt to determine the cause and time of death.
The forensic identification process will include imaging scans, DNA sample analysis, and comparisons with existing medical records, such as dental X-rays. This process is expected to take several hours.
The Hostage Families Forum has urged the public to refrain from spreading rumors about the return of the fallen hostages and to avoid contacting the families regarding the matter.
"An emotional roller coaster"
Throughout the war, the forensic institute has received the fallen of numerous hostages recovered from Gaza during military operations, which were made possible through intelligence efforts and interrogations of captured Hamas terrorists. In the early months of the conflict, the IDF's chief rabbinical unit operated a special identification center at the Shura military base.
"We are bracing for the heartbreak we know awaits us in the coming days. This period has been an emotional roller coaster," says Dr. Shiri Daniels of the ERAN mental health support organization, which provides assistance via phone and online. "We experience moments of relief alongside deep loss and mourning. This is a prolonged national trauma." Since the war began, ERAN has handled 437,856 calls and is preparing to expand its support lines.
David Koren, ERAN's CEO, warns of the emotional toll: "We don't know what we are about to witness. This situation is drawing people from multiple circles of connection—direct and indirect—to seek mental health support. There is no precedent for an event of this scale."
Dr. Einat Yahna, head of rehabilitation at the Hostage Families Forum's health division, explains that the release of hostages triggers intense reactions: "For families whose loved ones are not on the release list, for families of the fallen hostages, and even for those who have already buried their loved ones, each development is another emotional upheaval.
"The hostages who returned alive brought signs of life, which sparked both joy and anxiety among families still waiting for news. These families live in a constant state of uncertainty. On one hand, the signs of life provided a glimmer of hope, but on the other, they increased the anxiety level. Some families, whose loved ones have not been declared dead, are living in deep fear. We've learned that even the process of receiving tragic news is deeply unsettling and unclear, unlike the standard military protocol for handling loss."
Coping mechanisms
The psychological impact of these difficult updates may manifest in physical, emotional, and cognitive symptoms, including difficulty concentrating, irritability, confusion, sleep disturbances, headaches, and muscle tension. "There is no single right way to cope with loss and death," says Daniels. "On one hand, avoiding the subject entirely comes with emotional costs. On the other, it is important not to become consumed by grief."
Regarding children and teenagers, experts recommend discussing the situation with them before they encounter distressing footage. "It is crucial to provide age-appropriate information," says Daniels. "Tell them that difficult images and reports are expected and that they do not have to watch every video sent to them. Encourage them to express their thoughts and feelings, while avoiding dismissive comments that undermine their fear or sadness."
Dr. Yahna concludes: "The coming days will be incredibly difficult. We must rise above the immediate pain and understand that this is a necessary step toward closing the collective trauma of the hostage crisis. Only certainty can help move from paralysis to healing."
Contributors: Ran Reznik and Hanan Greenwood
