In many legal jurisdictions, the manner of death is a determination, typically made by the

coroner A coroner is a government or judicial official who is empowered to conduct or order an inquest into the manner or cause of death, and to investigate or confirm the identity of an unknown person who has been found dead within the coroner's jur ...

, medical examiner, police, or similar officials, and recorded as a vital statistic. Within the United States and the United Kingdom, a distinction is made between the cause of death, which is a specific disease or injury, versus manner of death, which is primarily a legal determination versus the mechanism of death (also called the mode of death) which does not explain why the person died or the underlying cause of death and can include cardiac arrest or exsanguination. Different categories are used in different jurisdictions, but manner of death determinations include everything from very broad categories like "natural" and "homicide" to specific manners like "traffic accident" or "gunshot wound". In some cases an

autopsy An autopsy (post-mortem examination, obduction, necropsy, or autopsia cadaverum) is a surgical procedure that consists of a thorough examination of a corpse by dissection to determine the cause, mode, and manner of death or to evaluate any d ...

is performed, either due to general legal requirements, because the medical cause of death is uncertain, upon the request of family members or guardians, or because the circumstances of death were suspicious.

International Classification of Disease The International Classification of Diseases (ICD) is a globally used diagnostic tool for epidemiology, health management and clinical purposes. The ICD is maintained by the World Health Organization (WHO), which is the directing and coordinat ...

(ICD) codes can be used to record manner and cause of death in a systematic way that makes it easy to compile statistics and more feasible to compare events across jurisdictions.National Center for Health Statistics �
Classification of Death and Injury Resulting from Terrorism – How are external cause of injury codes assigned?

Centers for Disease Control and Prevention The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georg ...

. retrieved July 7 2019

Terminology

Death by natural causes

A death by natural causes results from an illness and its complications or an internal malfunction of the body not directly caused by external forces, other than

infectious disease An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable di ...

. For example, a person dying from complications from

pneumonia Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severit ...

diarrheal disease Diarrhea, also spelled diarrhoea, is the condition of having at least three loose, liquid, or watery bowel movements each day. It often lasts for a few days and can result in dehydration due to fluid loss. Signs of dehydration often begin w ...

HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ...

(infections),

cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...

stroke A stroke is a disease, medical condition in which poor cerebral circulation, blood flow to the brain causes cell death. There are two main types of stroke: brain ischemia, ischemic, due to lack of blood flow, and intracranial hemorrhage, hemorr ...

or heart disease (internal body malfunctions), or sudden organ failure would most likely be listed as having died from natural causes. "Death by natural causes" is sometimes used as a euphemism for "dying of old age", which is considered problematic as a cause of death (as opposed to a specific age-related disease); there are also many non-age-related causes of "natural" death, for legal manner-of-death purposes. (See )

Unnatural causes

An unnatural death results from an external cause, typically including homicides, suicides, accidents,

medical error A medical error is a preventable adverse effect of care ("iatrogenesis"), whether or not it is evident or harmful to the patient. This might include an inaccurate or incomplete diagnosis or treatment of a disease, injury, syndrome, behavio ...

alcohol intoxication Alcohol intoxication, also known as alcohol poisoning, commonly described as drunkenness or inebriation, is the negative behavior and physical effects caused by a recent consumption of alcohol. In addition to the toxicity of ethanol, the main ...

s and

drug overdose A drug overdose (overdose or OD) is the ingestion or application of a drug or other substance in quantities much greater than are recommended.

s. Jurisdictions differ in how they categorize and report unnatural deaths, including level of detail and whether they are considered a single category with subcategories, or separate top-level categories. There is no international standard on whether or how to classify a death as natural vs. unnatural. "Mechanism of death" is sometimes used to refer to the proximate cause of death, which might differ from the cause that is used to classify the manner of death. For example, the proximate cause or mechanism of death might be brain ischemia (lack of blood flow to the brain), caused by a malignant neoplasm (

), in turn caused by a dose of

ionizing radiation Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel ...

administered by a person with intent to kill or injure, leading to certification of the manner of death as "homicide". The manner of death can be recorded as "undetermined" if there is not enough evidence to reach a firm conclusion. For example, the discovery of a partial human skeleton indicates a death, but might not provide enough evidence to determine a cause.

Categories by jurisdiction

United States

In the

United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country Continental United States, primarily located in North America. It consists of 50 U.S. state, states, a Washington, D.C., ...

, a manner of death is expressed as belonging to one classification of a group of six possible:Snohomish County Government, Washingto
Cause & Manner of Death
retrieved April 27, 2019 * Natural * Accident *

Suicide Suicide is the act of intentionally causing one's own death. Mental disorders (including depression, bipolar disorder, schizophrenia, personality disorders, anxiety disorders), physical disorders (such as chronic fatigue syndrome), and ...

* Homicide * Undetermined * Pending In some jurisdictions, some more detailed manners may be reported in numbers broken out from the main four or five. For example: * Legal intervention (e.g.

capital punishment Capital punishment, also known as the death penalty, is the state-sanctioned practice of deliberately killing a person as a punishment for an actual or supposed crime, usually following an authorized, rule-governed process to conclude that ...

) * Act of war * Automobile accidents * Deaths of prison inmates by acute intoxication

United Kingdom

In the United Kingdom, when people die, either a doctor writes an acceptable natural cause of death

medical certificate A medical certificate or doctor's certificate is a written statement from a physician or another medically qualified health care provider which attests to the result of a medical examination of a patient. It can serve as a sick note ( UK: fit ...

, or a

( procurator fiscal in Scotland) investigates the case. Coroners are independent judicial officers who investigate deaths reported to them, and subsequently whatever inquiries are necessary to discover the cause of death, this includes ordering a post-mortem examination, obtaining witness statements and medical records, or holding an inquest. In the unified legal jurisdiction of

England and Wales England and Wales () is one of the three legal jurisdictions of the United Kingdom. It covers the constituent countries England and Wales and was formed by the Laws in Wales Acts 1535 and 1542. The substantive law of the jurisdiction is En ...

, most deaths are certified by doctors without autopsy or coroner involvement. Almost all deaths certified by the coroner involve an

but most do not involve a formal

inquest An inquest is a judicial inquiry in common law jurisdictions, particularly one held to determine the cause of a person's death. Conducted by a judge, jury, or government official, an inquest may or may not require an autopsy carried out by a c ...

. In England and Wales, a specific list of choices for verdicts is not mandated, and "narrative verdicts" are allowed, which are not specifically classified. The verdicts aggregated by the Ministry of Justice are: – Table 6: Inquest verdicts returned, 1994-2008 * Homicide ** Killed unlawfully ** Killed lawfully *

* Attempted or self-induced

abortion Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of pre ...

* Cause of death aggravated by lack of care, or self-neglect * Dependence on drugs * Non-dependent abuse of drugs * Want of attention at birth * Death from industrial diseases * Death by accident or misadventure * Stillborn * Death from natural causes * Open verdict * Disaster

Other jurisdictions

Some jurisdictions place deaths in absentia, such as deaths at sea and missing persons declared dead in a court of law, in the "Undetermined" category on the grounds that due to the fact-finder's lack of ability to examine the body, the examiner has no personal knowledge of the manner of (assumed) death; others classify such deaths in an additional category "Other," reserving "Undetermined" for deaths in which the fact-finder has access to the body, but the information provided by the body and examination of it is insufficient to provide sufficient grounds for a determination. The

Norwegian Medical Association The Norwegian Medical Association ( no, Den norske lægeforening (1886–2008), spelled ''Den norske legeforening'' since 2008) is the main Norwegian medical association and trade union A trade union (labor union in American English), often ...

classifies what other jurisdictions might call "undetermined" as "unnatural": * Sudden and unexpected death of an unknown cause * Deaths in prison or while in civilian or military detention

Legal implications

A death ruled as homicide or unlawful killing is typically referred to

police The police are a Law enforcement organization, constituted body of Law enforcement officer, persons empowered by a State (polity), state, with the aim to law enforcement, enforce the law, to ensure the safety, health and possessions of citize ...

prosecutor A prosecutor is a legal representative of the prosecution in states with either the common law adversarial system or the civil law inquisitorial system. The prosecution is the legal party responsible for presenting the case in a criminal tria ...

or equivalent official for investigation and criminal charges if warranted. Deaths caused by

, though homicides, are generally assumed to be lawful and are not prosecuted. Most deaths due to war are not prosecuted, unless there is evidence of a war crime, in which case troops on foreign territory might be prosecuted by the military justice system, domestic law enforcement, or the

International Criminal Court The International Criminal Court (ICC or ICCt) is an intergovernmental organization and International court, international tribunal seated in The Hague, Netherlands. It is the first and only permanent international court with jurisdiction to pro ...

. Some insurance contracts, such as life insurance policies, have special rules for certain manners of death.

, for example, may invalidate claims under terms of such a contract.

References

External links

DEATH FROM NATURAL CAUSES – CERTIFICATE OF TREATING OR EXAMINING DOCTOR – Form 3 – Burial and Cremation Act 2013 (section 10)
(Australia) {{death * Medical terminology Public health