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. 2017 Aug;107(8):1233-1239.
doi: 10.2105/AJPH.2017.303863. Epub 2017 Jun 22.

Deciphering Suicide and Other Manners of Death Associated with Drug Intoxication: A Centers for Disease Control and Prevention Consultation Meeting Summary

Deborah M Stone  1 , Kristin M Holland  1 , Brad Bartholow  1 , Joseph E Logan  1 , Wendy LiKamWa McIntosh  1 , Aimee Trudeau  1 , Ian R H Rockett  1
Affiliations

Deciphering Suicide and Other Manners of Death Associated with Drug Intoxication: A Centers for Disease Control and Prevention Consultation Meeting Summary

Deborah M Stone et al. Am J Public Health. 2017 Aug.

Abstract

Manner of death (MOD) classification (i.e., natural, accident, suicide, homicide, or undetermined cause) affects mortality surveillance and public health research, policy, and practice. Determination of MOD in deaths caused by drug intoxication is challenging, with marked variability across states. The Centers for Disease Control and Prevention hosted a multidisciplinary meeting to discuss drug intoxication deaths as they relate to suicide and other MOD. The meeting objectives were to identify individual-level, system-level, and place-based factors affecting MOD classification and identify potential solutions to classification barriers. Suggested strategies included improved standardization in death scene investigation, toxicology, and autopsy practice; greater accountability; and creation of job aids for investigators. Continued collaboration and coordination of activities are needed among stakeholders to affect prevention efforts.

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