Ikram Kort , Ons Hmandi , Syrine Azza Manoubi , Khaled Bchir , Mohamed Bellali , Mohamed Allouche
{"title":"突尼斯北部跳楼自杀模式:一项长达16年的尸检研究","authors":"Ikram Kort , Ons Hmandi , Syrine Azza Manoubi , Khaled Bchir , Mohamed Bellali , Mohamed Allouche","doi":"10.1016/j.jflm.2025.102881","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Suicide by jumping from height is a violent and relatively common method of suicide. There is little data on suicide by jumping from height in the Arab region and North African countries. In this study, we aim to analyze the patterns of suicide by jumping from height in Northern Tunisia.</div></div><div><h3>Methods</h3><div>Autopsy records of all cases of suicide by jumping from height were included over a period of 16 years (January 2005 to December 2020). The collected data included epidemiological characteristics, medical history and autopsy observations.</div></div><div><h3>Results</h3><div>we collected a total of 147 cases of suicide by jumping from height. Among the cases, 69.4 % were men. The average age of the cases was 41.8 <strong>±</strong> 16.4 years (range 15–85 years). A history of psychiatric disorder was reported in 58.5 % of cases. Schizophrenia was the most common psychiatric diagnosis (23.8 %), followed by depression (13.6 %). Among the cases, 27.9 % had a history of previous suicide attempt. The suicidal fall occurred most frequently in a private residence (70.8 %). The average height of the falls was 10.4 ± 7.3 m (range 2–50 m). The most frequent injury site was determined to be the head (70.1 %) followed by the chest (68 %), the spine (56 %). Skeletal trauma mainly included fractures of the ribs (75.5 %), the spine (56 %), the skull (53.5 %) and the pelvis (29.3 %).</div></div><div><h3>Conclusions</h3><div>Suicide by jumping from height is most common in young unemployed men, with psychiatric history, who jump from a private residence. This pattern would help planning preventive strategies.</div></div>","PeriodicalId":16098,"journal":{"name":"Journal of forensic and legal medicine","volume":"112 ","pages":"Article 102881"},"PeriodicalIF":1.2000,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Patterns of suicide by jumping from height in Northern Tunisia: a 16-year autopsy study\",\"authors\":\"Ikram Kort , Ons Hmandi , Syrine Azza Manoubi , Khaled Bchir , Mohamed Bellali , Mohamed Allouche\",\"doi\":\"10.1016/j.jflm.2025.102881\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Suicide by jumping from height is a violent and relatively common method of suicide. There is little data on suicide by jumping from height in the Arab region and North African countries. In this study, we aim to analyze the patterns of suicide by jumping from height in Northern Tunisia.</div></div><div><h3>Methods</h3><div>Autopsy records of all cases of suicide by jumping from height were included over a period of 16 years (January 2005 to December 2020). The collected data included epidemiological characteristics, medical history and autopsy observations.</div></div><div><h3>Results</h3><div>we collected a total of 147 cases of suicide by jumping from height. Among the cases, 69.4 % were men. The average age of the cases was 41.8 <strong>±</strong> 16.4 years (range 15–85 years). A history of psychiatric disorder was reported in 58.5 % of cases. Schizophrenia was the most common psychiatric diagnosis (23.8 %), followed by depression (13.6 %). Among the cases, 27.9 % had a history of previous suicide attempt. The suicidal fall occurred most frequently in a private residence (70.8 %). The average height of the falls was 10.4 ± 7.3 m (range 2–50 m). The most frequent injury site was determined to be the head (70.1 %) followed by the chest (68 %), the spine (56 %). Skeletal trauma mainly included fractures of the ribs (75.5 %), the spine (56 %), the skull (53.5 %) and the pelvis (29.3 %).</div></div><div><h3>Conclusions</h3><div>Suicide by jumping from height is most common in young unemployed men, with psychiatric history, who jump from a private residence. This pattern would help planning preventive strategies.</div></div>\",\"PeriodicalId\":16098,\"journal\":{\"name\":\"Journal of forensic and legal medicine\",\"volume\":\"112 \",\"pages\":\"Article 102881\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-04-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of forensic and legal medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1752928X25000824\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, LEGAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of forensic and legal medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1752928X25000824","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, LEGAL","Score":null,"Total":0}
Patterns of suicide by jumping from height in Northern Tunisia: a 16-year autopsy study
Background
Suicide by jumping from height is a violent and relatively common method of suicide. There is little data on suicide by jumping from height in the Arab region and North African countries. In this study, we aim to analyze the patterns of suicide by jumping from height in Northern Tunisia.
Methods
Autopsy records of all cases of suicide by jumping from height were included over a period of 16 years (January 2005 to December 2020). The collected data included epidemiological characteristics, medical history and autopsy observations.
Results
we collected a total of 147 cases of suicide by jumping from height. Among the cases, 69.4 % were men. The average age of the cases was 41.8 ± 16.4 years (range 15–85 years). A history of psychiatric disorder was reported in 58.5 % of cases. Schizophrenia was the most common psychiatric diagnosis (23.8 %), followed by depression (13.6 %). Among the cases, 27.9 % had a history of previous suicide attempt. The suicidal fall occurred most frequently in a private residence (70.8 %). The average height of the falls was 10.4 ± 7.3 m (range 2–50 m). The most frequent injury site was determined to be the head (70.1 %) followed by the chest (68 %), the spine (56 %). Skeletal trauma mainly included fractures of the ribs (75.5 %), the spine (56 %), the skull (53.5 %) and the pelvis (29.3 %).
Conclusions
Suicide by jumping from height is most common in young unemployed men, with psychiatric history, who jump from a private residence. This pattern would help planning preventive strategies.
期刊介绍:
The Journal of Forensic and Legal Medicine publishes topical articles on aspects of forensic and legal medicine. Specifically the Journal supports research that explores the medical principles of care and forensic assessment of individuals, whether adult or child, in contact with the judicial system. It is a fully peer-review hybrid journal with a broad international perspective.
The Journal accepts submissions of original research, review articles, and pertinent case studies, editorials, and commentaries in relevant areas of Forensic and Legal Medicine, Context of Practice, and Education and Training.
The Journal adheres to strict publication ethical guidelines, and actively supports a culture of inclusive and representative publication.