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Forensic Science, Medicine and Pathology
Published in: Forensic Science, Medicine and Pathology 3/2015

01-09-2015 | Original Article

An evidence-based guide to the investigation of sudden unexpected death in infancy

Authors: Joanna Garstang, Catherine Ellis, Peter Sidebotham

Published in: Forensic Science, Medicine and Pathology | Issue 3/2015

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Abstract

Purpose

Many countries now have detailed investigations following sudden unexpected death in infancy (SUDI) but there is no clear evidence as to the most effective way to investigate SUDI. This systematic literature review addresses the following questions: What are the current models of practice for investigating SUDI? What is the evidence to support these investigative models? What are the key factors for effective SUDI investigation?

Methods

This was a systematic review of papers from Europe, North America, and Australasia, detailing models of SUDI investigation or the outcomes of SUDI investigations.

Results

The review includes data detailing four different models of investigation: police-led, coroner or medical examiner-led, healthcare-led or joint agency approach models. There were 18 different publications providing evidence of effectiveness of these models. All models, with the exception of police-led models, have the potential to reach best practice standards for SUDI investigation. Key factors identified for effective SUDI investigation include the need for mandatory investigation, strong leadership, integration with coronial services, and for investigations to be provided by specialist professionals.

Conclusion

Detailed SUDI investigation should lead to greater understanding of why infants die and should help prevent future deaths. The challenge is now to ensure that local SUDI investigative practices are as effective as possible.
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Metadata
Title
An evidence-based guide to the investigation of sudden unexpected death in infancy
Authors
Joanna Garstang
Catherine Ellis
Peter Sidebotham
Publication date
01-09-2015
Publisher
Springer US
Published in
Forensic Science, Medicine and Pathology / Issue 3/2015
Print ISSN: 1547-769X
Electronic ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-015-9680-x

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