Why do we agree to disagree? Agreement and reasons for disagreement in judgements of intentional self-harm from coroners and a suicide register in Queensland, Australia, from 2001 to 2015

Suicides are likely to be underreported. In Australia, the National Coronial Information System (NCIS) provides information about suicide deaths reported to coroners. The NCIS represents the findings on the intent of the deceased as determined by coroners. We used the Queensland Suicide Register (QSR) to assess the direction, magnitude, and predictors of any differences in […]

Engaging with whanau to improve coronial investigations into rangatahi suicide

This article reports the findings of two studies of the Aotearoa coronial service that sought to understand how coronial processes engage with whānau who have lost a rangatahi to suicide. The aim of the combined study was to understand the extent to which coronial investigations met the needs of Māori bereaved by suicide. We conducted […]

A report on suicide deaths in Ontario

Coroners in Ontario – along with the Ontario Forensics Pathology Service – are tasked with ensuring that no death will be overlooked, concealed, or ignored. While not all deaths require investigation, coroners are charged with investigating all non-natural deaths as well as natural deaths that occur in certain circumstances, including: deaths that occur suddenly and […]

Counting and accounting for mental health related deaths in England and Wales

This article examines how mental health related deaths (MHRDs) in England and Wales are counted and accounted for. Data collated by the National Confidential Inquiry into Suicide and Safety in Mental Health (NCISH) constructs such deaths as being predominantly the result of suicide. This article examines 221 Reports to Prevent Future Deaths (PFDs) issued by […]

Insight of suicide in Iraq: A coroner’s report

Background Suicide is a serious public health problems worldwide. Although suicide rates in the eastern Medetranian region are lower than western countries, increasing incidences is reported. This study aims to explore the demographic, clinical characteristics, and associated variables of people died by suicide in Iraq through a limited retrospective sample symbolized as biopsy. Methods The […]

Training death investigators to identify decedents’ sexual orientation and gender identity: A feasibility study

There is growing impetus within mortality surveillance to identify decedents’ sexual orientation and gender identity (SOGI), but key personnel to this effort (eg, death investigators) are not currently trained to collect SOGI information. To address this gap, we developed a training for death investigators on this topic and tested its feasibility with 114 investigators in […]

A proper, fitting explanation? Suicide bereavement and perceptions of the coroner’s verdict

Background: As in several other countries, inquiries after a suspected suicide in England and Wales now routinely seek to include both medico-legal and family perspectives on the character and motivations of the person who died. Little research attention, however, has been paid to the reactions of the bereaved to the coroner’s verdict. Aims: To explore people’s accounts of […]

Investigating official records of suicides for research purposes: Challenges and coping strategies

In many countries worldwide the circumstances of unnatural deaths, including suicides, are subject to official investigations, usually by medical examiners or coroners. In England and Wales, where our experience is based, investigations into sudden or unexplained deaths are conducted by a coroner, an independent officer appointed by the local government authority, who usually has a […]

Identifying points of prevention in firearm-related suicides: A mixed-methods study based on coronial records

Purpose Firearm-related suicide is a noteworthy and preventable public health issue that has drawn limited attention in Australian research. Firearms are highly lethal and remain in the top three methods of suicide among Australian males. This study examines suicides occurring in Tasmania, the jurisdiction with the highest rate of firearm-related suicide, with the aim of […]

Understanding the context of suicides by older men compared with younger old men and women: An exploration of coronial data in Victoria, Australia

Background: The rate of suicide among men aged 85 years or older is the highest of any age or gender group in many countries, but little is known about their pathways to suicide. Aims: This study aimed to determine the context of suicide by men aged 85 years or older. Method: Data were extracted from the Victorian Suicide Register regarding […]

Suicide by young Australians, 2006-2015: A cross-sectional analysis of national coronial data

Objective: To assess the demographic, social, and clinical characteristics of young Australians who die by suicide. Design: Retrospective analysis of National Coronial Information System (NCIS) data. Setting, participants: People aged 10–24 years who died by suicide in Australia during 2006–2015. Main outcome measures: Demographic, social, and clinical characteristics of young people who died by suicide; circumstances of death recorded […]

Substances used in completed suicide by overdose in Toronto: An observational study of coroner’s data

OBJECTIVE: To identify the substances used by people who die from suicide by overdose in Toronto and to determine the correlates of specific categories of substances used. METHOD: Coroner’s records for all cases of suicide by overdose in Toronto, Ontario, during a 10-year period (1998 to 2007) were examined. Data collected included demographic data, all […]

Postmortem computed tomography findings in suicide victims.

Suicide is the eighth cause of mortality in France and the leading cause in people aged between 25 and 34 years. The most common methods of suicide are hanging, self-poisoning with medicines and firearms. Postmortem computed tomography (CT) is a useful adjunct to autopsy to confirm suicide and exclude other causes of death. At autopsy, […]

Suicide whilst under GMC’s fitness to practise investigation: Were those deaths preventable?

Medical doctors have a high rate of suicide. Professional regulatory investigation is a risk-factor for suicide. Coroners should identify deaths and report them to prevent further deaths. The General Medical Council has a demonstrable duty of care towards doctors. Modification of existing operational practices is needed.

The role of medicolegal systems in producing geographic variation in suicide rates.

~