ArticleEuropean journal of epidemiology2024
Autopsy rates and the misclassification of suicide and accident deaths.
Article in European journal of epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Registered adolescent suicide mortality in Colombia, 2015-2024: a Bayesian spatiotemporal mapping study.Social psychiatry and psychiatric epidemiology · 2026Article
- Trends in Canadian Suicide Mortality by Age and Sex From 2000 to 2024: Tendances en matière de mortalité attribuable au suicide au Canada selon l'âge et le sexe, de 2000 à 2024.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2026Article
- The evolution of suicide mortality in Europe: decline with persistent disparities in an age-period-cohort analysis.Epidemiology and psychiatric sciences · 2026Article
- Rising trend among young adults: analysis of suicide-related deaths in Türkiye 2007-2022.BMC public health · 2026Article
- Differences in all-cause and death by suicide mortality between health care and other employees in Lithuania: a census-linked mortality follow-up study, 2011-19.European journal of public health · 2026Article
- Cause-Specific Mortality in Gastroesophageal Cancer: A 30-Year Real-World Analysis from the Vienna Gastroesophageal Cancer Database.Clinical epidemiology · 2026Article
- Cause-specific mortality in individuals with and without mental disorders according to socioeconomic position: a population-based cohort study.The Lancet regional health. Europe · 2025Article
- Associations Between Mental Disorders, Personality Disorders, and Filicide-Suicide and Parental Suicide: A Nationwide Cohort Study.Psychiatry and clinical neurosciences · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Mortality statistics are critical to determine the burden of disease. Certain causes of death are prone to being misclassified on cause of death certificates. This poses a serious risk for public health and safety, as accurate death certificates form the basis for mortality statistics, which in turn are crucial for research, funding allocation and health interventions. This study uses generalised estimating equations and regression modelling to investigate for which cause of death categories suicide and accident deaths are misclassified as. National mortality statistics and autopsy rates from North America and Europe covering the past forty years were analysed to determine the associations between the different causes of death in cross-sectional and longitudinal models. We find that suicides and deaths by accidents are frequently mutually misclassified. We also find that suicides are frequently misclassified as drug use disorder deaths, in contrast to accident deaths, which are not misclassified as drug use disorder deaths. Furthermore, suicides do not seem to be misclassified as undetermined deaths or ill-defined deaths. The frequency of misclassification shows that the quality of death certificates should be improved, and autopsies may be used systematically to control the quality of death certificates.
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