• Mehdi Ben Khelil, Meriem Gharbaoui, Fethia Farhani, Malek Zaafrane, Hana Harzallah, Mohamed Allouche, Mongi Zhioua, and Moncef Hamdoun.
• Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia. benkhelilmehdi@yahoo.fr.
• Int J Public Health. 2016 Dec 1; 61 (9): 995-1002.

ObjectivesTo analyze the impact of the Tunisian Revolution on suicide and homicide patterns in Tunisia.MethodsIt 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.ResultsAfter 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.ConclusionsOur 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.

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