ABSTRACT

All death investigation takes place in a medical, scientifi c, administrative, and legal environment that is specifi c to the type of community and legal jurisdiction within which the death occurred. The differences among jurisdictions arise from a variety of interrelated factors including social, religious, political, and legal infl uences, as well as the development of the medical profession and its specialties. At the most mechanical level, records are generated and retained about who has died. A cause of death is assigned within a registry offi ce inside government bureaucracy, generally by recording on a death register the cause of death given in the report or certifi cate of the treating doctor. The maintenance of a death register and a birth register has important social implications. A community needs to know information regarding those who make up its population. From a practical perspective, this is needed in order to ensure that community services are appropriate to the size and makeup of the population. However, at a deeper level our concerns about threats to our safety generate a desire to fi nd out more about deaths that occur in our community and to understand their causes so that we can feel less threatened. Community and personal grief involve important emotions that can have deep effects on the functioning of individuals, families, and in some cases the whole community. In this environment,

a society’s ability to independently investigate critical deaths from a perspective that is focused beyond that of any individual professional group, such as scientists, the medical profession, or the police, is important.