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Manner (the intent) includes the following categories:
• Unintentional (accident)
• Suicide or intentionally self-inflicted injury
• Homicide or assault injury
• Intent not able to be determined
• Example:
1) A middle-aged man is found dead in his home bleeding from his head. With him are a gun and a note saying good-bye to his family and friends. Here is the most likely scenario:
Mechanism: firearm
Manner: self-inflicted
Nature of injury: head and/or brain injury1
2) A teenage girl is brought to the emergency department of the local hospital by her parents. She is unconscious and has red marks on her neck. Her parents found her in the basement where a piece of rope was hanging from a ceiling light fixture. Here is the most likely scenario:
Mechanism: strangulation/suffocation (by rope)
Manner: probably self-inflicted, but more investigation is needed to determine if it was attempted homicide
Nature of injury: asphyxiation, burn on the neck
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