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Answer It's very difficult to tell if the person had a history of drug use. The coroner usually checks the liver, kidneys, spleen, lungs and heart upon autopsy (the filtering organs can tell a lot). Depending how soon after death the autopsy is done is very important. If the person had a long history of drug abuse, then it's usually "death due to drug over-dose" or "heart attack from over-dose of drugs." If the person does not have a long history of drug abuse then the coroner will certainly do a more extensive search. The person could have taken too large a dose or could have had a malfunction of their heart from birth. There are so many scenarios. The coroner will go by the amount of drugs found in certain organs and determine if it was just an over-dose or upon examining the body to see if the injection site (if there were any) was a forced. If the amount of drugs found in the person (who may not have had a previous drug history) is great, then murder is always a suspect. Generally a person with a drug history that passes away (just a matter of time) is not labeled as "suicide", but a coroner's report such as: "Mr. Smith died from _____ amount of Crystal Meth with a percentage of _________ contained in the liver and kidneys. Stomach content was empty ........ (and so on.) Most of us know that hard core drug users are obviously hooked on the drugs and are unfortunately classified as "the walking dead." It's difficult to stop the habit and thus, it's a matter of time before the person expires. There are instances where kids can go to a party and try Crystal Meth or other drugs and the dose is too strong (they could have been drinking first) and between the alcohol and the drugs it could have caused heart failure. You don't have to be a hard core user of drugs to die from one hit of a drug. Also many of the street drugs could be contaminated (on purpose.) Another instance could be that a teenager is depressed (teenage years, no matter what generation we grew up in, can cause slight depression) and the teenager went to a party and decided to try a hit of Crystal Meth or another narcotic and the dose is too high (unknown to the person taking it) and they have heart failure or choke on their own vomit. This wouldn't be considered suicide. Hope this answers your question, and if you have a family member or friend that has died as a result of drugs, then I am very sorry you are going through this.

Drug levels and findings in the various systems (cardiovascular, for example), will reveal what contributed to and ultimately resulted in death, yes. The most obvious--and only conclusive--indicator of suicide is a note, written by the decedent or credible assertion(s) by someone to whom the decedent revealed his intent to kill himself.

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Q: How does a coroner determine whether a drug overdose was a suicide?
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