Anatomic Pathology: Forensic Pathology

1166) What is the manner of death depicted in the photograph?

• There are five manners of death: homicide, suicide, accident, natural, and undetermined.

• In its simplest definition, homicide is the death of an individual caused by another.

• Suicide is the intentional taking of one’s life.

• An accident is an unintentional death either of oneself or another. Accidental deaths are also caused by inanimate objects, animals, and forces of nature.

• Natural deaths are related to disease processes.

• The term undetermined is used when a preponderance of evidence does not point to one specific manner, or there may be multiple manners that are equally valid, or there is not enough information to make a determination.

• If this individual was shot by another, the manner would be homicide. If this individual shot himself or herself, the manner would be suicide. If this individual was handling a gun without the intention to hurt himself or herself and the gun discharged, the manner would be an accident.

Davis GG: Mind your manners. Part I: History of death certification and manner of death classification. Am J Forensic Med Pathol 1997;18(3):219-223.

DiMaio VJM: Gunshot Wounds: Practical Aspects of Firearms, Ballistics, and Forensic Techniques. Boca Raton: CRC Press, 1999.

Goodin J, Hanzlick R: Mind your manners. Part II: General results from the National Association of Medical Examiners Manner of Death Questionnaire, 1995. Am J Forensic Med Pathol 1997;18(3):224-227.

Goodin J, Hanzlick R: Mind your manners. Part III: Individual scenario results and discussion of the National Association of Medical Examiners Manner of Death Questionnaire, 1995. Am J Forensic Med Pathol 1997;18(3):228-245.

Spitz WU: Injury by gunfire.In Spitz WU (ed): Spitz and Fisher’s Medicolegal Investigation of Death. Springfield, StateIL: Charles C Thomas, 1993, pp 311-412.

 
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