Declining Autopsy Rates and Suicide Misclassification: A Cross-National Analysis of 35 Countries

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  Suicides are prone to misclassification during cause-of-death-ascertainment procedures.This problem has generated frequent criticism of the validity of suicide mortality statistics.The study aim was to employ an external measure of the validity of cause-of-death statistics, national autopsy rates, to examine potential misclassification of suicide across countries from Europe and Central and Northern Asia.Data from 35 countries, for the time period 1979-2007, were employed to analyze the association between suicide rates and autopsy rates and death rates of undetermined and ill-defined causes, respectively.
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