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Causes of Death in the Presence of Law Enforcement in Johnson County, Iowa, 2011–2020

Bibliographic Data

ID11036626
AuthorsAnne M L Rempel (0009-0001-4229-0873, Anne M. L. Rempel, Jane E. Persons, and Marcus B. Nashelsky are with the Department of Pathology, University of Iowa Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City. Anne M. L. Rempel is also with the University of California, San Francisco, Department of Emergency Medicine, Fresno, CA. Kate Bengtson and Marcus B. Nashelsky are also with the Johnson County, Iowa Medical Examiner Department, Iowa City.), Jane E Persons (0000-0002-2393-6886, Anne M. L. Rempel, Jane E. Persons, and Marcus B. Nashelsky are with the Department of Pathology, University of Iowa Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City. Anne M. L. Rempel is also with the University of California, San Francisco, Department of Emergency Medicine, Fresno, CA. Kate Bengtson and Marcus B. Nashelsky are also with the Johnson County, Iowa Medical Examiner Department, Iowa City.), Kate Bengtson (Anne M. L. Rempel, Jane E. Persons, and Marcus B. Nashelsky are with the Department of Pathology, University of Iowa Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City. Anne M. L. Rempel is also with the University of California, San Francisco, Department of Emergency Medicine, Fresno, CA. Kate Bengtson and Marcus B. Nashelsky are also with the Johnson County, Iowa Medical Examiner Department, Iowa City.), Marcus B Nashelsky (Anne M. L. Rempel, Jane E. Persons, and Marcus B. Nashelsky are with the Department of Pathology, University of Iowa Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City. Anne M. L. Rempel is also with the University of California, San Francisco, Department of Emergency Medicine, Fresno, CA. Kate Bengtson and Marcus B. Nashelsky are also with the Johnson County, Iowa Medical Examiner Department, Iowa City.), Marcus Nashelsky (0000-0002-9685-6959, University of Iowa Hospitals and Clinics)
Year2024
Volume114
Issue6
Pages642-650
Publication date2024-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2024.307616
PMID38574318
OpenAlexW4393928125
LanguageEN
References cited19

Objectives. To examine sudden and unexpected or trauma-related deaths that occurred in the presence of law enforcement in Johnson County, Iowa, between 2011 and 2020. Methods. We identified deaths in the presence of law enforcement using definitions from the National Association of Medical Examiners. We obtained data, including demographics, cause and manner of death, toxicology results, and circumstances and location of event leading to death, from comprehensive medical examiner investigative reports. Results. There were 165 deaths that occurred in the presence of law enforcement: 114 were from a known disease, and 51 were either trauma related or the sudden, unexpected initial presentation of a previously unrecognized disease. Three deaths occurred in the context of physical restraint by law enforcement. Suicide was the leading manner of death among trauma-related deaths; the means of suicide was predictable based on in-custody (hanging) or precustody (firearm) circumstances. Conclusions. Our findings highlight the potential role of medical examiners and coroners in improving completeness of data on reporting death in the presence of law enforcement to public health agencies. ( Am J Public Health. 2024;114(6):642–650. https://doi.org/10.2105/AJPH.2024.307616 )

Context (archaeology) · Criminology · Demographics · Enforcement · Environmental health · Family medicine · Injury prevention · Law enforcement · Medical emergency · Medical examiner · Occupational safety and health · Poison control · Political science · Public health · Sociology · Suicide prevention · Demography · Gun Ownership and Violence Research · History · Law · Medicine · Psychology · Restraint-Related Deaths · Suicide and Self-Harm Studies

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