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Post-autopsy communication with next of kin in medico-legal contexts: A cross-national survey of practices in French and Belgian Forensic Institutes

Year: 2026
Type: article
Study design: Observational Study
Abstract: Objectives To describe practices for informing families following medico-legal autopsies in France and Belgium, expectations of professionals involved in communicating such information. Methods This multicentre, cross-sectional, descriptive observational study employed a mixed-methods approach. A questionnaire was distributed to forensic institutes to analyse their practices regarding communication with next of kin. In addition, semi-structured interviews were conducted with magistrates, investigators, and victim support organisations operating within the jurisdiction of the Rennes forensic institute. Results Among the 26 responding French forensic institutes (84%), nine (35%) reported offering meetings with next of kin under broadly similar conditions, subject to prior approval by the public prosecutor. In the remaining 17 institutes (65%), information was primarily conveyed by investigators (94%) or the public prosecutor (82%). Among the two responding Belgian institutes (66%), only one reported having a formal system for informing next of kin. The main barriers to organising meetings included differing conceptions of the forensic pathologist's role (53%) and practical constraints (48%). Judicial professionals also reported a lack of medical knowledge and perceived legitimacy to address medically related questions from families. Conclusions The findings highlight substantial heterogeneity in practices despite a clear demand for information from next of kin. They underscore the value of developing a structured protocol for information delivery that involves both judicial and medico-legal stakeholders.
Language: English
Field: Medicine
Open Access status: hybrid
Estimated APC paid: $2,590
OpenAlex ID: W7214091913
FWCI:
Cites: 17
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Related to: 10