Types of Death
Types of Death
Types of Death
Natural is defined as death caused solely by disease or natural process. If natural death is
hastened by injury (such as a fall or drowning in a bathtub), the manner of death is not
considered natural.
Sudden Unexplained Infant Death (SUID), formerly known as sudden infant death syndrome
(SIDS), is a subset of natural death. It is the sudden death of an infant under one year of age
which remains unexplained after a thorough and complete investigation. The investigation
includes a complete autopsy, examination of the death scene, and clinical history. If significant
risk factors were present, such as an unsafe sleep environment, including co-sleeping or
inappropriate bedding, then the cause of death would fall out of the definition of SUID and the
manner would be classified as "undetermined."
Accidental Deaths
Accident is defined for medical examiner death certification purposes as an unnatural death
resulting from an inadvertent chance happening. Traffic related fatalities (involving vehicles
used for transportation on any public roadway) are classified as accidents. On the job injury
related deaths are referred to as industrial deaths and are classified as accidents. Deaths related
to illicit drug or excessive medication use, in the absence of specifically supporting the
conclusion of the manner of death being homicide or suicide, are classified as accident.
Traffic Deaths are a subset of accidental deaths, but deaths resulting from traffic accidents are
reported separately from other accidental deaths for statistical purposes. A traffic death is
defined as an unintentional death of a driver, passenger, or pedestrian involving a motor vehicle
on public roadways. Accidents involving motor vehicles on private property (such as driveways)
are not included in this category and are classified non-traffic vehicular deaths. Classification of
traffic related deaths as an "accident" does not preclude the prosecution as a vehicular homicide
by legal authorities.
Complication of Therapy Deaths are accidental deaths that occur during or due to complications
that occur during medical, surgical, therapeutic, or diagnostic procedures.
Suicide
Suicide is defined for medical examiner death certification purposes as a death from self-
inflicted injury with evidence of intent to die. Evidence of intent includes an explicit expression,
such as a suicide note or verbal threat, previous attempts, or an act constituting implicit intent.
An example would be a self-inflicted contact/close range gunshot wound (particularly of the
head, chest, or abdomen) that is recognized as having very high potential for lethality, and is
considered to be implicit evidence of intent to die
Homicide
Homicide is defined as the action of one person directly causing the death of another. A death
that occurs during and is related to the commission of a felony is also considered homicide. A
violent death may stem from some kind of deliberate or purposeful action, but intent to cause
death need not be present or proven for the classification as homicide.
Homicide and murder are not the same. All murders are homicides, not all homicides are
murder. "Murder" is not an acceptable manner of death classification for death certification
purposes. "Murder" is a term used under specific conditions in criminal law matters as as a
general concept. An example might be that of unintentional firearms-related hunting death.
While it may be classified as a homicide, it is up to legal authorities to determine when to
prosecute such a case as "murder," "manslaughter," etc.
Undetermined
Undetermined is listed as the manner of death classification in only a small number of cases each
year. Undetermined is an appropriate designation for cases that have very little available
information about the circumstances surrounding the death (e.g., partial skeletal remains) or
where known information equally supports, conflicts with, more than one manner of death. An
undetermined manner of death is assigned to cases of unnatural death when a clear
preponderance of evidence supporting a specific manner (homicide, accident, or suicide) is not
available.
Some unexpected infant deaths that are not classified as "natural" (SIDS), such as when an
unsafe sleeping environment is present, may be classified as "undetermined" in manner.