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MULTIPLE CAUSES OF DEATH - IN DETAIL
Relationships between Multiple Causes
Influenza and pneumonia (J09-J18) was identified as the underlying cause for 2,873 deaths in 2014. In 27.5% of cases, Influenza and pneumonia was reported alone. In contrast, Diabetes (E10-E14) was reported alone as the underlying cause in only 1.2% of the 4,348 deaths attributed to this cause. This highlights that conditions which are more likely to experience an acute onset leading to death such as specific influenza strains, are less likely to have multiple associated causes and comorbidities than chronic conditions such as diabetes.
Deaths due to external causes are those which occur as a result of accidents, poisonings and/or violence. They are classified according to the event leading to the fatal injury, such as an accidental fall. Multiple cause data for external causes include the nature of injury or poisoning, as well as any other causes reported on the death certificate. ICD-10 codes in the Injury, poisoning and certain other consequences of external causes chapter (S00-T98) cannot be an underlying cause of death, but can be recorded as an associated cause.
In 2014, external causes of mortality (V01-Y98) had a mean of 4.2 causes per death. Of the 10,062 deaths due to an external cause, 99.1% (9968) of these were reported with an injury or poisoning leading directly to death. Intentional self-harm deaths (X60-X84, Y870) accounted for 28.7% (2,864) of deaths with an injury. Asphyxiation, the injury most commonly resulting from hanging, strangulation and suffocation, was the most common injury reported with suicide deaths (1,625 deaths, 56.7%). In addition, 1,974 (68.9%) of deaths due to intentional self-harm were reported with a natural disease or condition, ranging from mental health conditions, substance abuse and chronic diseases. Care should be taken in interpreting numbers of suicide deaths. For further information, see Explanatory Notes 85-92. For more detailed analysis on suicides, see the Suicides section of this publication.
Transport accidents (V01-V99, Y85) accounted for 1,402 deaths (14.1%) reported with an injury. Close to half of these transport accident deaths reported injuries involving multiple body regions (T00-T07) (651 deaths, 46.4%) and/or an injury to the head, neck or thorax (S00-S29) (663 deaths, 47.3%).
Further information on multiple causes of death is presented in the data cubes associated with this publication. These include the number of associated causes for all 3-character underlying causes, as well as the number of mentions of each cause at the 3-character level of ICD-10.
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