From the DeKalb County Medical Examiner's Office, Decatur, GA.
Cuyahoga County Medical Examiner's Office, Cleveland, OH.
Am J Forensic Med Pathol. 2024 Sep 1;45(3):231-241. doi: 10.1097/PAF.0000000000000946. Epub 2024 May 23.
In the current body of forensic literature, there is little guidance available regarding death investigations of transgender, intersex, and gender diverse individuals. An increase in the prevalence of gender diverse identifying people and the frequency in which these individuals experience a premature death makes it more likely these deaths will fall under the jurisdiction of the medical examiner's office. The inability to navigate these diverse cases due to a lack of training, education, and support may leave forensic professionals without the tools needed to accurately represent these deaths.This narrative review is intended to provide the foundational knowledge needed by forensic death investigators when investigating gender identity in death, including suggested guidelines for a more effective and empathetic death investigation. A better understanding of the implications and applications of this information when included in reports will bolster the quality and quantity of the data reported and collected. This will lead to more accurate monitoring and reporting of violent, suicidal, and homicidal deaths of transgender, intersex, and other gender diverse individuals, and a higher identification rate of unidentified remains with gender diverse markers.
在当前的法医学文献中,关于跨性别、间性和性别多样化个体的死亡调查几乎没有指导。随着性别多样化个体的流行率增加,以及这些个体过早死亡的频率增加,这些死亡更有可能属于法医办公室的管辖范围。由于缺乏培训、教育和支持,法医专业人员无法处理这些多样化的案件,可能导致他们无法准确代表这些死亡。本叙述性综述旨在为法医死亡调查员在调查死亡中的性别认同时提供所需的基础知识,包括对更有效和富有同情心的死亡调查的建议指南。法医报告中更好地理解和应用这些信息将提高报告和收集数据的质量和数量。这将导致更准确地监测和报告跨性别、间性和其他性别多样化个体的暴力、自杀和凶杀死亡,并提高性别多样化标记的未识别遗体的识别率。