Evidence map›Paper›PMID 42129427›Full record

ArticleScientific reports2026

Prevalence of reported harassment and associated mental health outcomes among medical students: a cross-sectional study in Sousse, Tunisia.

Hela Ghali, Salsabil Nouir, Oumaima Benzarti, Tesnim Meddeb, Amal Ben Daly, Sameh Mabrouk, Rana Yaakoubi, Rayene Gharbi, Rania Braham, Hajer Dellai and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Hela GhaliDepartment of Preventive and Community Medicine, Sahloul University Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia. hela.ghali@outlook.com.
Salsabil NouirPediatric Department, Sahloul University Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia.
Oumaima BenzartiFaculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Tesnim MeddebDepartment of Preventive and Community Medicine, Sahloul University Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia.
Amal Ben DalyDepartment of Forensic Medicine, Farhat Hached University Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia.
Sameh MabroukPediatric Department, Sahloul University Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia.
Rana YaakoubiFaculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Rayene GharbiFaculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Rania BrahamFaculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Hajer DellaiFaculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Amel TejPediatric Department, Farhat Hached University Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia.
Jaâfar NakhliPsychiatry Department, Farhat Hached University Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia.
Mohamed Ben DhiabDepartment of Forensic Medicine, Farhat Hached University Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Harassment in academic settings is a global issue with serious psychological, emotional, and professional repercussions. In Tunisia, limited data exist regarding harassment in medical schools. This study aims to determine the prevalence of harassment among students at the Faculty of Medicine of Sousse and assess its effect on their mental health. A cross-sectional descriptive study was conducted during the 2022-2023 academic year among undergraduate medical students at the Faculty of Medicine of Sousse. A self-administered, anonymous questionnaire covering sociodemographic characteristics, experiences of harassment (moral, physical, sexual), responses to harassment, and mental health effects (assessed using the Hospital Anxiety and Depression Scale - HADS) was distributed. We collected 371 responses. Harassment was reported by 66.5% (95% CI [61.7%-71.3%]) of respondents. Moral harassment was most frequent (94.73%), followed by sexual (38.46%) and physical (25.1%) harassment. Victims were predominantly females (72.1%) and second-year students (36%). Only 39.27% of victims disclosed their experiences, with few (12.7%) reporting any action taken against perpetrators. Harassment was significantly associated with adverse outcomes: 29.5% of victims reported anxiety symptoms, 8.3% reported depressive symptoms, 6% reported suicidal ideation, and 6.5% reported suicide attempts. Increased rates of addictive behaviors (smoking, alcohol, cannabis use) as well as personal and professional difficulties (low self-esteem, social isolation, and changes in career orientation) were also observed among affected students. Harassment is highly prevalent among medical students in Sousse and has significant mental health, personal, and professional outcomes. The findings call for urgent preventive measures, structured support protocols, and institutional commitment to creating a safer academic environment.

Indexed as

Mental HealthSexual HarassmentStudents, MedicalAcademiaAdultAnxietyCross-Sectional StudiesDepressionFemaleHumansMalePrevalenceSchools, MedicalSurveys and QuestionnairesTunisiaYoung AdultHarassmentImpactMedical studentsMental healthTunisia

Identifiers

PMID42129427
PMCPMC13365581

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.