title: Impact of the Tunisian Revolution on homicide and suicide rates in Tunisia.
abstract: OBJECTIVE
  To analyze the impact of the Tunisian Revolution on suicide and homicide patterns in Tunisia.
  
  
  METHODS
  It is a retrospective, cross-sectional study, including all the cases of homicides and suicides that occurred during an 8-year period (2007-2014) in Northern Tunisia. We compared data before and after the revolution.
  
  
  RESULTS
  After the revolution, the number of suicides rose 1.7 times, with a prevalence rising from 1.8 to 3.12 suicides per 100,000 persons per year. Homicides rose 1.3 times after the revolution. For both manner of death, victims were mostly males, aged between 20 and 39 years, living in urban areas. Hanging and self-immolation rose, respectively, 1.8 and 3 times after 2011. We observed suicide cases most frequently occurred in public places and in front of public administration after 2011. Homicide victims' profile and circumstances showed a single variation which is an increase in number of cases happening in rural areas.
  
  
  CONCLUSIONS
  Our results proved a short-term impact of the transition period on homicides and suicides. Urgent preventive measures are needed especially to decrease the suicide rates.
authors.affiliation: Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia. benkhelilmehdi@yahoo.fr.|Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia. benkhelilmehdi@yahoo.fr.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Ben Khelil
authors.affiliation: Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.|Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
authors.forename: Meriem
authors.initials: M
authors.lastname: Gharbaoui
authors.affiliation: Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.
authors.forename: Fethia
authors.initials: F
authors.lastname: Farhani
authors.affiliation: Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.|Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
authors.forename: Malek
authors.initials: M
authors.lastname: Zaafrane
authors.affiliation: Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.|Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
authors.forename: Hana
authors.initials: H
authors.lastname: Harzallah
authors.affiliation: Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.|Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Allouche
authors.affiliation: Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.|Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
authors.forename: Mongi
authors.initials: M
authors.lastname: Zhioua
authors.affiliation: Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.|Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
authors.forename: Moncef
authors.initials: M
authors.lastname: Hamdoun
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006708:Homicide / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D012111:Residence Characteristics / Q000706:statistics & numerical data; D012189:Retrospective Studies; D017678:Sex Distribution; D012959:Socioeconomic Factors; D013405:Suicide / Q000706:statistics & numerical data*; D014416:Tunisia / Q000453:epidemiology; D014857:Warfare; D055815:Young Adult
keywords: Homicide; Media; Suicide; Tunisian revolution; Unemployment