Manner of Death: The Six Categories Explained

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Manner of death is the category that describes how a death came about, as opposed to the medical condition that caused it. The CDC's handbook for medical examiners and coroners, citing the National Association of Medical Examiners, lists these categories.

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CategoryWhat it means
NaturalDeath due solely or nearly totally to disease or the aging process
AccidentLittle or no evidence that the injury or poisoning was intended to cause harm or death
SuicideAn intentional, self-inflicted act meant to cause one's own death
HomicideDeath from an injury, poisoning or volitional act by another person
Could not be determinedEvidence for one manner is no more compelling than for competing manners
Pending investigationMore information is needed before the manner can be decided

Cause versus manner

Cause of death names the disease or injury. Manner of death groups the circumstances. For example, the cause could be a particular injury, while the manner could be accident or homicide.

Who decides

The certifier decides, usually a physician, medical examiner or coroner. Deaths involving accident, suicide or homicide are referred to a medical examiner or coroner. Pending cases should be updated once the investigation is complete.

Frequently asked questions

Is manner of death the same as cause of death?

No. Cause is the medical reason for death. Manner is the category describing how it happened.

What does pending mean?

The CDC handbook says pending is used when the manner depends on further information, and the record should be updated afterward.

Is manner of death on every certified copy?

Not necessarily. Washington, for example, omits cause and manner of death from its informational copies. Rules vary by state.

Sources

US Records is a private company and is not a government agency. Government agencies issue certified records; we help you order them.

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US Records Team

The US Records Team writes and reviews guides on birth, death, marriage and divorce certificates, using state statutes, agency instructions and court records as sources.

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