Death in detention in Sousse, Tunisia: a 10-year autopsy study

Abstract Background Mortality rates and causes of death of the detainees are hence different from those of the general population and there also vary according to regions and countries. Aims To study the peculiarities of death among individuals detained in the region of Sousse in Tunisia and to sugg...

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Main Authors: Maher Jedidi, Mohamed Chérif El khal, Souheil Mlayeh, Mohamed Mahjoub, Zied Mezgar, Tasnim Masmoudi, Mohamed Ben Dhiab, Majed Zemni, Mohamed Kamel Souguir
Format: Article
Language:English
Published: SpringerOpen 2018-01-01
Series:Egyptian Journal of Forensic Sciences
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41935-018-0044-z
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author Maher Jedidi
Mohamed Chérif El khal
Souheil Mlayeh
Mohamed Mahjoub
Zied Mezgar
Tasnim Masmoudi
Mohamed Ben Dhiab
Majed Zemni
Mohamed Kamel Souguir
author_facet Maher Jedidi
Mohamed Chérif El khal
Souheil Mlayeh
Mohamed Mahjoub
Zied Mezgar
Tasnim Masmoudi
Mohamed Ben Dhiab
Majed Zemni
Mohamed Kamel Souguir
author_sort Maher Jedidi
collection DOAJ
description Abstract Background Mortality rates and causes of death of the detainees are hence different from those of the general population and there also vary according to regions and countries. Aims To study the peculiarities of death among individuals detained in the region of Sousse in Tunisia and to suggest preventive measures. Material and methods This is a descriptive retrospective study of all deaths in detention collated in the Forensic Medicine department of Farhat Hached teaching hospital in Sousse, Tunisia during a 10-year period 2006 to 2015. Results 26 deaths were collected. All the victims were males. The mean age was 39.5 years. The deaths occurred inside the prison in 42.3% and 57.7% in a hospital. The deaths were of natural causes in 69.2%. The most common natural causes were cancer (6 cases, 33.3%) and infections (5 cases,27.8%). Violent death accounted for 31.8% of deaths with 08 victims. Suicide and homicide were the violent death causes most incriminated each with 11.5% (3 cases). The suicide means was hanging in all cases. The death was accidental in 2 cases (7.7%). Conclusion This study shows that a large proportion of deaths among prisoners are preventable. Prevention is, on the one side, by improving the prison health coverage and on the other side by training the prison staff on the identification of suicidal crises and on controlling the technical devices facilitating the transition to the suicidal act, in particular the hanging cases.
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spelling doaj.art-c23b5ef5f9094659bab23ac5db13c4a02022-12-22T03:56:04ZengSpringerOpenEgyptian Journal of Forensic Sciences2090-59392018-01-01811410.1186/s41935-018-0044-zDeath in detention in Sousse, Tunisia: a 10-year autopsy studyMaher Jedidi0Mohamed Chérif El khal1Souheil Mlayeh2Mohamed Mahjoub3Zied Mezgar4Tasnim Masmoudi5Mohamed Ben Dhiab6Majed Zemni7Mohamed Kamel Souguir8Department of legal medicine, Farhat Hached University HospitalDepartment of legal medicine, Farhat Hached University HospitalDepartment of legal medicine, Ibn Jazzar University HospitalDepartment of hospital hygiene, Farhat Hached University HospitalDepartment of emergency medicine, Farhat Hached University HospitalDepartment of legal medicine, Farhat Hached University HospitalDepartment of legal medicine, Farhat Hached University HospitalDepartment of legal medicine, Farhat Hached University HospitalDepartment of legal medicine, Farhat Hached University HospitalAbstract Background Mortality rates and causes of death of the detainees are hence different from those of the general population and there also vary according to regions and countries. Aims To study the peculiarities of death among individuals detained in the region of Sousse in Tunisia and to suggest preventive measures. Material and methods This is a descriptive retrospective study of all deaths in detention collated in the Forensic Medicine department of Farhat Hached teaching hospital in Sousse, Tunisia during a 10-year period 2006 to 2015. Results 26 deaths were collected. All the victims were males. The mean age was 39.5 years. The deaths occurred inside the prison in 42.3% and 57.7% in a hospital. The deaths were of natural causes in 69.2%. The most common natural causes were cancer (6 cases, 33.3%) and infections (5 cases,27.8%). Violent death accounted for 31.8% of deaths with 08 victims. Suicide and homicide were the violent death causes most incriminated each with 11.5% (3 cases). The suicide means was hanging in all cases. The death was accidental in 2 cases (7.7%). Conclusion This study shows that a large proportion of deaths among prisoners are preventable. Prevention is, on the one side, by improving the prison health coverage and on the other side by training the prison staff on the identification of suicidal crises and on controlling the technical devices facilitating the transition to the suicidal act, in particular the hanging cases.http://link.springer.com/article/10.1186/s41935-018-0044-zDeathPrisonsDiseaseSuicideTunisia
spellingShingle Maher Jedidi
Mohamed Chérif El khal
Souheil Mlayeh
Mohamed Mahjoub
Zied Mezgar
Tasnim Masmoudi
Mohamed Ben Dhiab
Majed Zemni
Mohamed Kamel Souguir
Death in detention in Sousse, Tunisia: a 10-year autopsy study
Egyptian Journal of Forensic Sciences
Death
Prisons
Disease
Suicide
Tunisia
title Death in detention in Sousse, Tunisia: a 10-year autopsy study
title_full Death in detention in Sousse, Tunisia: a 10-year autopsy study
title_fullStr Death in detention in Sousse, Tunisia: a 10-year autopsy study
title_full_unstemmed Death in detention in Sousse, Tunisia: a 10-year autopsy study
title_short Death in detention in Sousse, Tunisia: a 10-year autopsy study
title_sort death in detention in sousse tunisia a 10 year autopsy study
topic Death
Prisons
Disease
Suicide
Tunisia
url http://link.springer.com/article/10.1186/s41935-018-0044-z
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