CUSTODIAL DEATHS: AN UNADDRESSED ISSUE
Keywords:
Custody, Death, Autopsy, Human Rights, Natural DiseaseAbstract
Death in custody is usually associated with apprehension and community concern and raises the suspicion of violation of human rights. Studies conducted in few countries have shown that people in custody have increased rate of morbidity and mortality than those not in custody. Many of these deaths are premature deaths and can be prevented with proper care and treatment. The present post-mortem examination based retrospective study was undertaken regarding deaths in custody and provide mortality patterns. A total 75 autopsies were performed in custodial deaths during the 4year period out of which 72(96%) cases were of natural deaths. Among the natural causes of death, multiple organ failure was observed in a majority of the cases (32%). Among the unnatural causes of death, poisoning was observed more commonly than hanging. Male preponderance (94.6%) was observed and most of cases were in 21-40 age group (46.66%). Most of the victims were Sikhs (50.7%) followed by Hindus. Majority of deaths were observed in victims who were lodged in jails for less than 6 months (26.7%). As most of deaths in custody are due to natural causes, appropriate and timely care should be provided to prison inmates to be adopted to reduce morbidity and mortality and prevent allegation of lack of care of prisoners.
References
1. Custody legal definition of custody [Internet]. [cited 2019 Oct 15].Available from: https://legal dictionary.thefreedictionary.com/custody
2. Gill J, Koelmeyer TD. Death in custody and undiagnosed central neurocytoma. Am J Forensic Med Pathol. 2009 Sep;30(3):289-91.
3. Dogra TD, Bhardwaj DN, Sharma GAS, Lalwani S. Postmortem examination in cases of custodial death in India. J Indian Med Assoc. 2008 Feb;106(2):101, 104, 106.
4. Antonowicz D, Winterdyk J. A Review of Deaths in Custody in Three Canadian Provinces. Can J Criminol Crim Justice. 2014 Jan;56(1):85–104.
5. Adeleke A. Deaths in Custody; Is Ireland’s Investigative Process Compliant with Article 2 of the European Convention on Human Rights?[cited on 2021Feb 2021]. Available from:https://arrow.tudublin. ie/cgi/ viewcontent.cgi?article=1042&context=comlinkoth
6. Mitchell RA, Diaz F, Goldfogel GA, Fajardo M, Fiore SE, Henson TV, et al. National Association of Medical Examiners Position Paper: Recommendations for the Definition, Investigation, Postmortem Examination, and Reporting of Deaths in Custody. Acad Forensic Pathol. 2017 Dec;7(4):604–18.
7. Okoye M, Kimmerle EH, Reinhard K. An analysis and report of custodial deaths in Nebraska, USA. J Clin Forensic Med. 1999 Jun;6(2):77–84.
8. Wright L, Borrill J, Teers R, Cassidy T. The mental health consequences of dealing with self-inflicted death in custody. Couns Psychol Q. 2006 Jun;19(2):165–80.
9. Mirza FH, Memon AA, Adil SE-R, Paryar HA. Audit of custodial deaths in Karachi — An autopsy-based study. J Pak Med Assoc. 2012;62(8):752-55.
10. Jadhao VT, Tatiya HS, Taware AA, Punpale SB, Bandgar AL. An Overview of Custodial Deaths in Pune Six years Retrospective Study. J Indian Acad Forensic Med. 2015;37(3):268-71.
11. Pathak AG, Gadhari RK, Chaudhari KM, Devraj NA, Jadhav VT, Gavale PS. Analysis of custody deaths of the year 2015 and 2016. Int J Res Med. 2017; 6(2):79- 85.
12. Jhamad AR, Sikary AK, Millo T. Analysis of Custodial Deaths in New Delhi: A 13 Years Study. J Indian Acad Forensic Med. 2014;36(1):19-22.
13. Kumar DA, Banerjee DS, Kumar DS. Deaths in Prisons: A 3 years retrospective study of histopathological ndings in autopsies conducted at RIMS, Ranchi. GJRA.2017;6(7):1-3.
14. Naik R, Shaha K, Chaudhari V. Are prisons safe? Death due to depression while in custody: a case report. Int J Res Med Sci. 2016;1304-6.
15. Sane MR, Zine KU, Mugadlimath AB, Mishra PK, Sujata P. Custodial deaths: A ten years experience from central Maharashtra. J Indian Acad Forensic Med. 2016;38(3):299-302.
16. Singh SP, Singh D, Aggarwal A, Oberoi SS, Aggarwal KK. Profile of Disease Related Deaths in Custodial Cases An Autopsy Based Experience. J Indian Acad Forensic Med. 2015;37(4):392-95.
17. Bhullar DS, Garg K, Aggarwal KK, Ladhar CK. Retrospective Autopsy Study of Custodial Deaths in Rajindra Hospital (GMC) Patiala. Int J Curr Res Med Sci. 2017 Aug 30;3(8):58–64.
18. NCRB - Empowering Indian Police with IT [Internet]. [cited 2019 Oct 15]. Available from: http://ncrb.gov.in/ StatPublications/PSI/psimainpage.htm
19. Bardale R, Dixit P. Natural Deaths in Custody: A 10 Year Mortality Study. J Indian Acad Forensic med. 2011;33(4):326-29.