A Statistical Analysis of Legal Autopsies Performed in Korea in 2014

Jang, Jung Sik; Jang, Seon Jung; Choi, Byung Ha; Lee, Han Young; Chung, Nak Eun; Seo, Joong Seok

doi:10.7580/kjlm.2015.39.4.99

Cited by 13 publications

(5 citation statements)

References 5 publications

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“… 31 However, due to a low proportion of deaths certified by clinical diagnosis or autopsy and possible false reporting by family members, many suicide cases in Korea may have been registered as other causes of death in the past. 12 32 Cultural factors such as Confucian values, familyism, and collectivism in Korea may contribute to fear of stigma and shame attached to suicides and their family members. 11 33 There is also a legal issue of denying life insurance claims to suicides, which makes it difficult for family members to accept that the cause of death was suicide.…”

Section: Discussionmentioning

confidence: 99%

Understanding the Fluctuations in Korea’s Suicide Rates: A Change-Point Analysis and Interrupted Time Series Analysis

Ryu,

Nam,

Lee

et al. 2024

J Korean Med Sci

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Background Korea has witnessed significant fluctuations in its suicide rates in recent decades, which may be related to modifications in its death registration system. This study aimed to explore the structural shifts in suicide trends, as well as accidental and ill-defined deaths in Korea, and to analyze the patterns of these changes. Methods We analyzed age-adjusted death rates for suicides, deaths due to transport accidents, falls, drowning, fire-related incidents, poisonings, other external causes, and ill-defined deaths in Korea from 1997 to 2021. We identified change-points using the ‘breakpoints’ function from the ‘strucchange’ package and conducted interrupted time series analyses to assess trends before and after these change-points. Results Korea’s suicide rates had three change-points in February 2003, September 2008, and June 2012, characterized by stair-step changes, with level jumps at the 2003 and 2008 change-points and a sharp decline at the 2012 change-point. Notably, the 2003 and 2008 spikes roughly coincided with modifications to the death ascertainment process. The trend in suicide rates showed a downward slope within the 2003–2008 and 2008–2012 periods. Furthermore, ill-defined deaths and most accidental deaths decreased rapidly through several change-points in the early and mid-2000s. Conclusion The marked fluctuations in Korea’s suicide rate during the 2000s may be largely attributed to improvements in suicide classification, with potential implications beyond socio-economic factors. These findings suggest that the actual prevalence of suicides in Korea in the 2000s might have been considerably higher than officially reported.

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Section: Discussionmentioning

confidence: 99%

Understanding the Fluctuations in Korea’s Suicide Rates: A Change-Point Analysis and Interrupted Time Series Analysis

Ryu,

Nam,

Lee

et al. 2024

J Korean Med Sci

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“…10세 미만의 소아는 신생아 (neonatal period, 사산아를 포함하여 생후 1개월 미만), 영 아(infancy, 생후 1개월-1년 미만), 유아(preschool, 2-5세), 학령기(prepubertal, 6-9세)로 세분한 후 사망의 종류별로 재분류하였다. 통시적인 분석을 위하여 전국통계 연구의 결 과와 본 연구의 결과를 비교 분석하였다 [2][3][4][5][6][7][8][9][10]. 1, 2).…”

Section: 재료 및 방법unclassified

“…특히, 법의부검에서의 변시체의 사례들은 사회예방의 학적인 측면에서 변사현황과 사망 원인의 통계 및 과학적 증 거를 제공하여 사회적 위험으로부터 보호하는 역할을 한다. 지금까지 보고된 전국적인 법의부검에 대한 통계를 통해 지 역 사회 인구구조의 변화와 지역별 특성을 비교하는 것에는 한계가 있다 [4][5][6][7]9,10]. 따라서 저자들은 본 연구를 통하여 2020년에 대전과학수사연구소 중부지역을 대상으로 시행된 법의부검 945건의 사망의 종류와 원인을 분석하여 지역의 특 성을 통계적으로 고찰해 보고자 하였다.…”

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A Statistical Analysis of Forensic Autopsies Performed in the Jungbu Province of Korea in 2020

Kim¹,

Kim²,

Kim³

et al. 2021

Korean J Leg Med

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We analyzed the manner and cause of death in 945 forensic autopsies from the Jungbu province (Central part of South Korea) conducted by the National Forensic Service Daejeon institute in 2020. Analysis of the manner of death revealed that 43.6% (412/945 cases) were natural deaths, 41.6% (393/945 cases) were unnatural deaths, and 14.8% (140/945 cases) deaths were unknown. Among the unnatural deaths, the major manner of death (40.7%, 160/393 cases) were by accidents, 29.5% (116/393 cases) were by suicide, 21.6% (85/393 cases) were undetermined, and 8.1% (32/393 cases) were by homicide. Among the unnatural deaths, the major cause of death (42.7%, 168/393 cases) were by trauma, 19.3% (76/393 cases) were by poisoning, and 16.5% (65/393 cases) were by asphyxia. Falling was the major cause of death by trauma (42.9%, 72/168 cases) and strangulation was the major cause of death by asphyxia (72.3%, 47/65 cases). Among natural deaths, heart disease was the major cause (43.7%, 180/412 cases), followed by vascular disease (18.9%, 78/412 cases). This study is the first statistical analysis of the manner and cause of deaths in the Jungbu province. A time-series statistical analysis of the manner and cause of deaths in this province might allow more advanced interpretations about both public safety and healthcare in the future.

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“…Comparison between NFS study[6][7][8][9] and Park et al 's study[1] 2%로 역시 감소하는 경향을 보였다[16]. 다만 이들 나 라의 경우 병리부검률은 감소하고, 법의부검률은 증가하고 있다는 이전 연구를 참고할 때 이상의 내용을 통해 법의부 검률이 감소한다고 보기는 어려울 것 같다[17,18].…”

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Changes in Medicolegal Autopsy Rates in Korea between 2016 and 2020

Park¹,

Kim²

2022

Korean J Leg Med

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A medicolegal autopsy is usually performed to determine the cause and manner of death based on judicial or administrative directives applicable in cases of unusual deaths. Social interest in medicolegal autopsies is increasing in recent times. In this study, we investigated medicolegal autopsy rates in Korea and compared these with rates reported by other countries. We obtained data regarding autopsies performed between 2016 and 2020 from the relevant institutions. We calculated the autopsy rate using mortality data from Statistics Korea. The number of medicolegal autopsies performed increased from 8,382 in 2016 to 9,308 in 2020, with an annual increase in numbers. The medicolegal autopsy rate of total deaths increased from 2.98% in 2016 to 3.05% in 2020, and the medicolegal autopsy rates of unusual deaths increased from 12.45% to 13.12% during the same period. However, it repeated an increase and a decrease by year during the study period. In conclusion, the numbers of medicolegal autopsies performed in Korea have been increasing since 2016; however, the medicolegal autopsy rate has been maintained.

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A Statistical Analysis of Legal Autopsies Performed in Korea in 2014

Cited by 13 publications

References 5 publications

Understanding the Fluctuations in Korea’s Suicide Rates: A Change-Point Analysis and Interrupted Time Series Analysis

Understanding the Fluctuations in Korea’s Suicide Rates: A Change-Point Analysis and Interrupted Time Series Analysis

A Statistical Analysis of Forensic Autopsies Performed in the Jungbu Province of Korea in 2020

Changes in Medicolegal Autopsy Rates in Korea between 2016 and 2020

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