Importance and Approach to Manner of Death Opinions in Opioid-Related Deaths.

Importance and Approach to Manner of Death Opinions in Opioid-Related Deaths. J Forensic Sci. 2020 Jan 02;: Authors: Abiragi M, Bauler LD, Brown T Abstract The majority of opioid-related deaths are accidental. However, the number of opioid-related suicidal deaths is likely under recognized. Presented here is a case of suicide by heroin overdose. The manner of death would have likely been deemed accidental if not for critical information shared by the decedent's family during follow-up telephone interviews between the forensic pathologist and the decedent's family, which included text messages that were sent by the decedent just before his death that were not known at the time of the initial medicolegal death scene investigation. This case highlights that when a forensic pathologist establishes an engaged relationship with the decedent's family, the information elucidated can prove to be invaluable in reaching an informed opinion about the manner of death. For overdose cases, identifying an accurate manner of death allows the design of public health efforts that adequately address the health risks in the community. For aid in the determination of the manner of death for overdose cases, we propose a five-step checklist that may assist forensic pathologists and medicolegal death investigators when approaching similar cases. PMID: 31895974 [PubMed - as supplied by publisher]
Source: Journal of Forensic Sciences - Category: Forensic Medicine Authors: Tags: J Forensic Sci Source Type: research

Related Links:

If you were to sum up the overall health of a nation in one single number, what would that be? At the top of the list, you would likely find average life expectancy — the total number of years, on average, that a person in a country can expect to live. Wars, famine, and economic crises are expected to lower life expectancy. Breakthroughs in science, strong economies, and behaviors like eating a healthy diet, exercising, and avoiding tobacco typically raise average life expectancy. An amazing rise, a surprising fall Between 1959 and 2014, the United States experienced an unprecedented increase in life expectancy, whic...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Addiction Health Health care disparities Men's Health Women's Health Source Type: blogs
DiscussionThe clinical presentation and management should be familiar to all those who work in acute care in order to be able to identify and treat it timeously thus preventing morbidity and mortality. Treatment is largely supportive. To the best of our knowledge this is the first case of colchicine overdose described in Sub-Saharan Africa.
Source: African Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research
Publication date: Available online 3 February 2020Source: Preventive MedicineAuthor(s): Marcus D. Durham, Carl Armon, Jonathan D. Mahnken, Richard M. Novak, Frank Palella, Ellen Tedaldi, Kate Buchacz, the HOPS InvestigatorsAbstractBackgroundSuicidal ideation (SI) refers to an individual thinking about, considering or planning suicide. Identifying and characterizing persons with HIV (PWH) at greater risk for SI may lead to better suicide prevention strategies and quality of life improvement.MethodsUsing clinical data gathered from medical chart abstraction for HIV Outpatient Study (HOPS) participants from 2000 to 2017, we a...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
BACKGROUND: Cardiovascular dysfunction is the main manifestation of β-blocker intoxication; however, respiratory manifestations have rarely been reported. CASE PRESENTATION: A 41-year-old man, who had ingested 300 mg carvedilol in a suicide attempt, was ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Home and Consumer Product Safety Source Type: news
CONCLUSIONS: Screening for pain, pain conditions, problematic substance use and psychopathology are recommended in those with any POM. While those in the dependent/hooked, multi-motive and emotional coping classes are most likely to have prescription opioid use disorder (OUD), screening for OUD symptoms in all individuals with POM is also warranted. PMID: 31992376 [PubMed - in process]
Source: Epidemiology and Psychiatric Sciences - Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research
Self-poisoning accounts for a significant number of attendances to acute services. It can occur at any age. The reasons that lead someone to self-poison are variable and individual. It is often a manifestation of distress. Women are more likely to present, or die, after overdose than men, although men are more likely to die by suicide overall. Self-harm, including self-poisoning, is a strong risk factor and antecedent to suicide. Psychosocial assessment offers an important opportunity to intervene.
Source: Medicine - Category: Internal Medicine Authors: Tags: General aspects of poisoning Source Type: research
It seems to me that there has been relatively little written about the current major public heath crisis in the U.S., the opioid epidemic and deaths of despair. (see:Every American family basically pays an $8,000 ‘poll tax’ under the U.S. health system, top economists say)...[Princeton University economists Anne Case and Angus Deaton] have risen to prominence in recent years for their work on America ’s “deaths of despair.” They discovered Americans between the ages of 25 and 64 have been committing suicide, overdosing on opioids or dying from alcohol-related problems like liver disease at sky...
Source: Lab Soft News - Category: Laboratory Medicine Authors: Tags: Medical Consumerism Medical Research Medicolegal Issues Pharmaceutical Industry Population Health Preventive Medicine Public Health Source Type: blogs
(NEW YORK) — Life expectancy in the United States is up for the first time in four years. The increase is small — just a month — but marks at least a temporary halt to a downward trend. The rise is due to lower death rates for cancer and drug overdoses. “Let’s just hope it continues,” said Robert Anderson, who oversees the report released Thursday by the Centers for Disease Control and Prevention. The latest calculation is for 2018 and factors in current death trends and other issues. On average, an infant born that year is expected to live about 78 years and 8 months, the CDC said. For...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized health onetime overnight Source Type: news
Publication date: Available online 22 January 2020Source: Journal of Forensic and Legal MedicineAuthor(s): Karen Eline van den Hondel, Priscilla Punt, Tina Dorn, Manon Ceelen, Udo ReijndersAbstractIntroductionThe three ‘advised’ suicide methods are helium asphyxiation, voluntarily stop eating and drinking and the use of a deadly dose of medication such as barbiturates. The aim of this study was to analyse the number of suicides resulting from barbiturate overdose and examine the influence of publications and internet on this suicide method in the two larger cities of the Netherlands.MethodsData of suicides by m...
Source: Journal of Forensic and Legal Medicine - Category: Forensic Medicine Source Type: research
This article includes references to self-injury, intravenous drug use and disordered eating.* One in five US high school students have reported being bullied. Approximately 160,000 teenagers have skipped school as a preventative measure. I encountered bullies for the first time in second grade, in the midst of such an innocent time of my youth. I dreaded entering my elementary school classroom, as I was well aware of what my presence would entail. I endured both verbal and physical harassment from my fellow peers for nearly a decade. I was passive, inevitably leading to the acceptance of my “fate,” in addition ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Anorexia Bullying Depression Eating Disorders Personal Stories Substance Abuse Addiction Recovery Anorexia Nervosa Drug Use heroin Self Harm Self Injury Source Type: news
More News: Depression | Forensic Medicine | International Medicine & Public Health | Overdose | Pathology | Suicide