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Comparative Analysis of Suicide,Accidental, and Undetermined Cause of Death Classification
Authors:Douglas Gray MD  Hilary Coon PhD  Erin McGlade PhD  William B. Callor BS  Josh Byrd BS  Joseph Viskochil MEd  Amanda Bakian PhD  Deborah Yurgelun‐Todd PhD  Todd Grey MD  William M. McMahon MD
Affiliation:1. Mental Illness Research, Education and Clinical Center (MIRECC), Veterans Integrated Service Network 19 (VISN 19), George E. Whalen Department of Veterans Affairs Medical Center, , Salt Lake City, UT, USA;2. Department of Psychiatry, University of Utah School of Medicine, , Salt Lake City, UT, USA;3. Brain Institute, University of Utah, , Salt Lake City, UT, USA;4. Utah Office of the Medical Examiner, , Salt Lake City, UT, USA;5. Department of Educational Psychology, University of Utah, , Salt Lake City, UT, USA;6. Department of Pathology, University of Utah School of Medicine, , Salt Lake City, UT, USA
Abstract:Suicide determination is not standardized across medical examiners, and many suspected suicides are later classified as accidental or undetermined. The present study investigated patterns between these three groups using a medical examiner database and 633 structured interviews with next of kin. There were similarities across all three classification groups, including rates of mental illness and psychiatric symptoms. Those classified suicide were more likely to be male, to have died in a violent fashion, and have a stronger family history of suicide. Chronic pain was very common across all three groups, but significantly higher in the accidental and undetermined groups.
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