Riedinger M A, de Winter R F P
Leiden University Medical Centre, Department of Psychiatry, Albinusdreef 2, 2333 ZA Leiden, Netherlands.
Medical Directorate Mental Health Institute Rivierduinen, Sandifoortdreef 19, 2333 ZZ Leiden, Netherlands.
Case Rep Psychiatry. 2020 Nov 12;2020:8873893. doi: 10.1155/2020/8873893. eCollection 2020.
In this case report, we will present two cases in which the Dutch municipal coroner registered a natural death, but treating psychiatrists doubted the validity of this decision on the grounds of clinical data and investigation. For both cases, we present evidence that deaths likely resulted from suicide, raising serious doubts about the accuracy of the registered cause of death. According to the WHO bulletin on suicide prevention, the national registration of suicide is unsatisfactory in many countries. The Netherlands is listed by the WHO as having one of the most accurate registration procedures. Nevertheless, there are indications that national registration, even in the Dutch system, is not infallible. In this case report, we present several ways in which the registration process is liable to error and evidence for underregistration of suicide rates.
在本病例报告中,我们将呈现两例荷兰市立验尸官登记为自然死亡,但主治精神科医生基于临床数据和调查对这一判定的有效性存疑的案例。对于这两例案例,我们提供了死亡可能系自杀所致的证据,这引发了对登记死因准确性的严重质疑。根据世界卫生组织关于预防自杀的公报,许多国家的自杀国家登记情况并不理想。荷兰被世界卫生组织列为登记程序最为准确的国家之一。然而,有迹象表明,即便在荷兰的体系中,国家登记也并非万无一失。在本病例报告中,我们展示了登记过程可能出错的几种方式以及自杀率登记不足的证据。