Comparative analysis of suicide trends and patterns in northern and southern Tunisia: a five-year autopsy-based study

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ID: 332454
2026
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Abstract
Abstract Background While Tunisian suicide rate have risen since the 2011 revolution, data remains sporadic and regionally limited. To date, no comparative studies have examined cross-regional mortality trends. This study aimed to compare patterns and temporal trends between northern and southern regions, and to identify factors associated with the most prevalent method of suicide. Methods Cross-sectional study conducted over a five-year period (2020–2024). Data were retrospectively collected from the autopsy reports. Variables included demographic characteristics, medical history, as well as circumstances and potential triggers. Results In total, 258 cases were analysed, with an almost equal distribution between the two regions. Suicide mortality exhibited a significant upward trend, reaching 4.51 per 100,000 in the north and 3.45 in the south. A notable upward pattern was observed in the north (R2 = 97%), whereas the southern region exhibited only a sporadic increase in 2021 (R2 = 2.7%). Mental disorders were the leading reported trigger in the north. Hanging was the predominant method in both regions. Suicides occurring at home were significantly associated with hanging. Substance abuse or mental disorders documented cases were less likely to involve hanging. Conclusion Reducing suicide mortality requires targeted prevention and improved mental health services tailored to regional and clinical drivers.
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openalex_W7222324274 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Youssef Nouma, Hana Harzallah, Moez Hamdani, Imen Mlouki, Mehdi Ben Khelil
Journal turkish journal of public health
Year 2026
DOI
10.1093/pubmed/fdag075
URL
https://doi.org/10.1093/pubmed/fdag075
Keywords Keywords not found

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