Table 1.
Case | Age (decade) | Ethnicity | Prior TBI | Nonfatal strangulation | Epilepsy | Mental health disorder | Other medical conditions | Cause and manner of death | Postmortem family interview |
---|---|---|---|---|---|---|---|---|---|
NY1 | 3rd | H | – | – | – | – | – |
Cause: Blunt force trauma of the head Manner: Homicide |
– |
NY2 | 3rd | B | – | – | – | – | HIV/AIDS; COVID–19 |
Cause: COVID–19 Manner: Natural |
+ |
NY3 | 3rd | W | + | – | – | SUD | Asthma; pregnancy |
Cause: Acute intoxication by the combined effects of fentanyl, heroin, and cocaine Manner: Accident (substance use) |
+ |
NY4 | 4th | H | – | + | – | AUD; SUD; depression; anxiety disorder; ADHD | Graves’ disease, s/p radiotherapy, with hypothyroidism |
Cause: Positional asphyxia due to lodgment and suspension within garbage chute complicating acute intoxication by the combined effects of cocaine and ethanol Manner: Accident |
– |
NY5 | 4th | H | – | – | – | – | HIV/AIDS; prior meningitis; pregnancy |
Cause: Multiple blunt trauma Manner: Undetermined |
– |
NY6 | 4th | H | + | + | – | AUD; SUD | Asthma |
Cause: Acute fentanyl intoxication Manner: Accident (substance use) |
+ |
NY7 | 4th | B | + | + | + | AUD | – |
Cause: Homicidal asphyxia including compression of neck Manner: Homicide |
– |
NY8 | 4th | H | + | + | + | SUD; bipolar disorder | – |
Cause: Asphyxia including neck and chest compression Manner: Homicide |
– |
NY9 | 5th | H | – | – | + | AUD; anxiety disorder | Asthma; COVID–19 |
Cause: Undetermined Manner: Undetermined |
– |
NY10 | 5th | B | – | – | – | SUD; bipolar disorder | HIV/AIDS; hypertension; CAD; asthma |
Cause: Probable viral meningoencephalitis Manner: Natural |
– |
NY11 | 6th | W | – | – | + | SUD; anxiety disorder | HIV/AIDS; hypertension; CHD; pacemaker |
Cause: Complications of acute intoxication including methadone Manner: Accident (substance use) |
– |
NY12 | 6th | H | – | – | + | – | Hypertension; Hepatitis C; DM; AVR; pacemaker |
Cause: Complications of chronic and acute substance use including cocaine Manner: Accident (substance use) |
– |
NY13 | 7th | H | + | – | + | AUD; depression | DM; HLD |
Cause: Chronic alcohol use Manner: Natural |
– |
NY14 | 8th | B | + | – | + | Depression | Remote temporal lobectomy for post–traumatic epilepsy; hypertension; pacemaker; “memory loss” |
Cause: Hypertensive and atherosclerotic cardiovascular disease Manner: Natural |
– |
Data were obtained from available medical records, scene investigations, and/or next-of-kin. Data reported herein do not reflect objective postmortem findings; see Table 2 for postmortem data. See Supplement for details of findings in archival cohorts
+ assessed and present, – assessed and evidence not found, ADHD attention deficit-hyperactivity disorder, AUD alcohol use disorder, AVR aortic valve replacement, B Black, CAD coronary artery disease, CHD congenital heart disease, DM diabetes mellitus, H Hispanic/Latina, HIV/AIDS human immunodeficiency virus/acquired immune deficiency syndrome, HLD hyperlipidemia, NY# from New York City Office of Chief Medical Examiner, SUD substance use disorder, W White
See text for further explanation and definitions used