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Suicide classification--clues and their use. a study of 122 cases of suicide and undetermined manner of death
Authors:Lindqvist P  Gustafsson L
Affiliation:1. Pharmaceutical Care Research Group, School of Pharmacy, University College Cork, Ireland;2. Department of Pharmacy, Mercy University Hospital, Grenville Place, Cork, Ireland;1. Center for Depression Research and Clinical Care, Peter O''Donnell Jr. Brain Institute and the Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA;2. Peter O''Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, TX, USA;3. University of Texas Health Science Center at San Antonio, San Antonio, TX, USA;4. Department of Psychiatry and Behavioral Science, Texas A&M University Health Science Center, Bryan, TX, USA;5. Department of Psychiatry, Texas Tech University Health Science Center, Lubbock, TX, USA;6. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA;7. Ascension Medical Group, Austin, TX, USA;8. Office of Clinical Research, JPS Health Network, Fort Worth, TX, USA;9. Department of Psychiatry, Texas Tech University Health Science Center El Paso, El Paso, USA;10. Department of Psychiatry & Behavioral Sciences, University of Texas at Austin Dell Medical School, Austin, TX, USA;11. Department of Psychiatry and Behavioral Sciences, UT Health Center of Excellence on Mood Disorders, UT Houston Medical School, Houston, TX, USA
Abstract:In order to identify clues to forensic pathologist's classification of suicide, the forensic files of 100 consecutive cases of suicide, and 22 cases of undetermined manner of death, were analysed. Some specific causes of death, suicidal communication and other circumstantial evidence suggesting suicidal intent explained all but three classifications. Problematic cases concerned death by poisoning and by submersion, alcohol-dependent persons and subjects with positive blood alcohol concentration at autopsy. Guidelines to support the police investigation as well as the medico-legal examination can probably reduce the number of undetermined cases in cases of possible suicide.
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