Ranking causes of death helps identify mortality patterns and supports comparisons over time and between populations. Results can vary depending on how causes are grouped. Broad categories like "cancer" or "heart disease" may obscure specific causes, while overly narrow groupings may lack policy relevance.
Leading causes in this publication are based on research presented in the Bulletin of the World Health Organization, Volume 84, Number 4, April 2006, 297-304. Adjustments are informed by global data, prevention strategies, and classification consistency. Notable updates include:
- Influenza and pneumonia (J09-J18): Since 2009, includes code J09, Influenza due to identified zoonotic or pandemic influenza virus.
- Malignant neoplasm of colon, sigmoid, rectum and anus (C18–C21, C26.0): Since 2015, includes C26.0 for consistency across years. For more details see Complexities in the measurement of bowel cancer in Australia.
- Sequelae Codes (Y87.0 Sequelae of intentional self-harm, Y87.1 Sequelae of assault and Y85 Sequelae transport accidents): Since 2017, included with intentional self-harm, assault and transport accident groupings.
- COVID-19 (U07.1, U07.2, U10.9): Included as a leading cause group since 2020.
- Accidental falls (W00-W19, X59.0): Since 2024 includes code X59.0, Exposure to unspecified factor causing fracture (see below).
The overwhelming majority of deaths due to external causes (i.e. when an injury leads directly to death) are considered reportable and certified by a coroner. For deaths due to mechanical falls in the elderly there are different processes in jurisdictions as to how these may be reported. In New South Wales a MCCD may be issued by a doctor under S38(2) of the Coroner's Act 2009 if:
- the person was 72 years of age or older
- they died after sustaining an accidental injury that was attributable to the deceased's age and was not caused by the act or omission of another person
- no relative of the deceased objects to the certificate being issued.
In Queensland, a mechanical fall in a resident of an aged care facility may in some cases be able to be reported to the residential facility or residential facility doctor through the completion a Form 1A Medical practitioner report of a death to a coroner. This means that police attendance is not required as per the usual process with reportable deaths.
As a result of the different processes in New South Wales and Queensland, a coronial case is not always available on the NCIS for these deaths and the cause of death text is available from the RBDM only. In many of these cases, an injury is certified (e.g. hip fracture) but not the cause of the injury. When no mechanism is certified, these deaths are assigned to codes X59.0 Exposure to unspecified factor causing fracture or X59.9 Exposure to unspecified factor causing other and unspecified injury. This affected leading cause tabulations for deaths due to falls for these two jurisdictions. For example, in 2023 accidental falls were the 6th leading cause of death in Victoria but the 19th leading cause of death in New South Wales and 17th in Queensland. A decision was made to include X59.0 Exposure to unspecified factor causing fracture with falls to better represent fall-related mortality, especially for New South Wales and Queensland. With the addition of code X59.0, accidental falls were the 11th and 9th leading cause of death in Queensland and New South Wales respectively.
Deaths coded to R00–R99 (ill-defined or unspecified causes) are excluded from leading cause tables. Many deaths coded to this chapter are likely to be recoded to more specific causes of death as they progress through the revisions process. The exception is for infant deaths under 1 year where R95–R99 include Sudden Infant Death Syndrome (R95) and Sudden Unexpected Death in Infancy (R99).
Prior to 2022, R00-R99 was used in leading cause tabulations for Aboriginal and Torres Strait Islander and non-Indigenous deaths. From 2022, R00–R99 was no longer used in these tabulations as analysis showed it no longer ranked in the top 10 causes once the revisions process was finalised.