Main Article Content
Alcohol drinking is proposed to be one of the most important factors associated with unnatural death. This study aims to investigate the association between the manner of death and blood alcohol levels in Thai postmortem cases at the Institute of Forensic Medicine, Police General Hospital during the time period from October 1, 2017 to September 31, 2018. The data (total number of 4,003 cases) were analyzed using Pearson Chi-square and Cramer’s V statistics. The results demonstrated that blood alcohol findings in corpses were moderately associated to gender. Manner of death was strongly associated with the findings of Blood Alcohol Level--BAC in blood samples. Blood alcohol levels significantly increased relative risk to death with 3 causes of death: accidents, homicides and suicides. Among these 3 causes of death, the causes of death with the highest percentages of cases were traffic accidents, homicides by stabbing and suicides by shooting. This study provides beneficial information for prevention of unnatural deaths attributed to alcoholic consumption.
Cabinet and Royal Gazette Publishing Office. (1994). Ministerial regulation no.16 (B.E. 2537) issued under the road traffic act, B.E. 2522. Retrieved April 5, 2019, from
https://www.ratchakitcha.soc.go.th/DATA/PDF/2537/A/054/56.PDF. (in Thai)
Cabinet and Royal Gazette Publishing Office. (2017). Ministerial regulation no.21 (B.E. 2560) issued under the road traffic act, B.E. 2522. Retrieved April 5, 2019, from
https://www.ratchakitcha.soc.go.th/DATA/PDF/2560/A/059/1.PDF. (in Thai)
Hingson, R., & Winter, M. (2003). Epidemiology and consequences of drinking and driving. Report prepared for the National Institute on Alcohol Abuse and Alcoholism. Boston, Massachusetts. Retrieved May 29, 2019, from https://pubs.niaaa.nih.gov/publications/arh27-1/63-78.htm.
Jung-in, K., & Pinitsoontorn, S. (2017). Drinking behavior and impacts to families of alcoholic drinking who received treatment in Thanyarak Hospital, UdonThani. Community Health Development Quarterly KhonKaen University, 5(3), 487-501. (in Thai)
Koranee, R., Aunchai, C., Ditsawan, A., Pomyai, S., & Vinissorn, T. (2017). A study of blood alcohol level among cases of traffic accidents in the Health Service Region 3 years 2014-2016. Journal of Health Sciences, 26(2), 281-289.
Narongchai, S., & Narongchai, P. (2006). The prevalence of detectable blood alcohol concentration among unnatural deaths in Northern Thailand. Journal of the Medical Association of Thailand, 89(6), 809-813. (in Thai)
Office of the Council of State. (1934). Act promulgating the Criminal Procedure Code B.E. 2477. Retrieved April 5, 2019, from https://web.krisdika.go.th/data/law/law4/%BB05/%BB05-20-9999-update.pdf.
Office of the Council of State. (2008). Alcohol control act, B.E. 2551. Retrieved June 4, 2019, from https://www.krisdika.go.th/librarian/get?sysid=571438&ext=pdf.
Olson, K. R. (2012). Poisoning and drug overdose (6th ed.). New York: McGraw-Hill.
Ratanavalachai, T. (2014). Biochemical alcohol intoxication. Thammasat Medical Journal, 14(3), 405-430. (in Thai)
Sheehan, C. M., Rogers, R. G., William IV, G.W., & Boardman, J. D. (2013). Gender differences in the presence of drugs in violent deaths. Addiction, 108(6), 547-555.
Tangjai, N., Chaiyasong, S., & Ratnachodpanich, T. (2018). Associations between alcohol consumption and injuries in emergency room patients: A case-crossover study. Proceedings of the 14th Mahasarakham University Research, Mahasarakham Province, Thailand. Mahasarakham: Mahasarakham University. (in Thai)
Taylor, B., & Rehm, J. (2012). The relationship between alcohol consumption and fatal motor vehicle injury: High risk at low alcohol levels. Alcoholism: Clinical and Experimental Research, 36(10), 1827-1834.
Thitachote, P., & Tookdee, B. (2015). A retrospective study on occurrence of drowning deaths with presence of alcohol and/or drugs-autopsy performed by the Central Institute of Forensic Science (2010-2014). The Southern College Network Journal of Nursing and Public Health, 2(3), 103-113.