Death in denial: A study into the Dutch system of postmortem investigation

Recent reports on forensic medicine in the Netherlands highlight the need for significant improvements in postmortem investigations. Concerns have been raised about the effectiveness of the Dutch system, which relies on the distinction between 'natural' and 'non-natural' deaths, often leading to ambiguity and errors in classification. The system places a significant burden on attending physicians, many of whom lack sufficient legal knowledge and consistency in conducting external postmortem examinations. A survey revealed that only about 20% of physicians feel competent, possess the necessary legal knowledge, and act consistently. Furthermore, studies show that only 6.7% of death certificates are completed correctly. This thesis questions the adequacy of the Dutch system, arguing that it may not meet the criteria set by the European Convention on Human Rights for an effective postmortem investigation.