Suicide Among Adolescents in Center Tunisia: An 18-Year Autopsy Study

Background: Suicide and suicide attempts are more common among adolescents. Many factors are known to influence suicide in particular: region and culture. Adolescent suicide has been widely studied in many countries, but there are, currently, no data relating to adolescent suicide in Tunisia. Aim: The aims of this study were to describe epidemiological aspects of death related to adolescent suicide in Sousse, a city in central Tunisia. Methods: Data of forensic autopsies from 1998 to 2015 related to suicide of adolescents were retrospectively examined considering age, gender, method of death, year and risk factor. Results: 70 cases were reported with female predominance (62, 8%). The age range was from 10 to 19 and most of the suicides occurred in the 15-to-19 age group (75, 7%). Most victims were from rural zones (70%). Self-poisoning was the most used method (47, 1 %) followed by hanging (35, 7%). Hanging was the most common method used by males (17/26) and self-poisoning by females (29/44). Self-poisoning was related to pesticides in the vast majority of cases (29 cases among 33). The identified precipitating factors were chronic family problems in 51.4%, sentimental deception in 8.6%. Conclusion: This retrospective study raises concerns regarding the use of pesticides and the urgent need to provide rural areas with structures and medical equipment. This will ensure adequate suicide prevention in the region.