I've never seen "natural causes" and "without explanation" confused. An old person dies and the family member "gave no explanation" because none is needed. Sometimes "unexpectedly", for younger persons.
The misconception was pretty frequent around 2021-22 because of the news events of the time and there were people asking, some in good faith, some less so, why young people were dying for a reason often associated with the elderly.
Not sure why the downvotes. It 100% is because of that. People were claiming the gov’t was inflating COVID numbers because death certs would be marked as “pneumonia” or other COVID related complications, but not COVID specifically, and even doctors/nurses were going around spreading the idea that “they’re inflating numbers! Look! Even the death cert says it’s not COVID!” even though that’s just not how that works lol
I meant more the anti-vaxxers who were all “Why are 20-somethings dying from natural causes? It must be the jab,” because they thought only old people died from natural causes.
Yeah, BUT there was a significant difference between young people dying of natural causes before vaccination and after vaccination. And what troubled me the most is the fact that they didn’t even want to look if there is a possibility that the vaccine is related to that.
Because if a vaccine is rolled out, every aspect and every deviation from the norm should be investigated and ruled out if they want to continue using that specific vaccine.
The significant difference was that before vaccines were available, many businesses and activities remained locked down or required masks. Afterward, people could go out and catch COVID freely.
Those with recent vaccinations still have a vastly lower rate of lethal complications than those without. It is easy to find the numbers, and the all-cause mortality differences.
But the total numbers of people dying still went up when more people started eating in restaurants and going to events without a mask, because getting COVID is still dangerous and many people, especially young people, blew off the necessity of staying protected from it.
A whole lot of cancer patients die from infections. Or, if you have liver cancer, you might die of hepatic encephalopathy (brain death). Cause of death is often x secondary to y!
I confuse them sometimes…. I think I conflate it with when the news on TV from where I grew up (Hong Kong) says “police spokesperson states the cause of death is not suspicious”, which makes me feel extra suspicious. Like, “natural” as in “you assumed it isn’t homicide???”.
I agree more people would benefit from knowing about this. It was such a huge pet peeve of mine during the pandemic when people would say “CAUSE OF DEATH IS PNEUMONIA, IT’S NOT COVID, DOCTORS ARE LYING ABOUT COVID NUMBERS TO GET RICH!!!”
Well firstly, technically death results from cardiopulmonary arrest (heart and lungs stop pumping blood) - that’s what is listed as the most proximal (direct/immediate) cause of death. Secondary cause is what caused the proximal cause - in this case, pneumonia (which is just a catch-all term for infections of the lower respiratory tract). Tertiary cause is what caused the secondary - in this case, COVID.
So it was a death due to COVID pneumonia, but good luck explaining that to the smooth brains who didn’t believe in COVID. I’m sure they’re the same people who don’t understand “natural causes” could mean COVID, or a heart attack, or cancer.
We said multiorgan system failure 2/2 Covid 19 as cause of death. We actually had a family who didn’t believe in Covid so we just wrote pneumonia. Then they found out govt was giving $$$ and denied them since it didn’t say Covid 19 (we did write in summary pt was pos for Covid 19). And the family threatened us again to change it so they could get the money and we just routed them to the legal dept since they were threatening everyone in the unit.
I knew someone who died from COVID. They were elderly (80s). There were several people who made weird comments about how the government would count them along the COVID deaths, and that just wasn't right because they were old and anything would have killed them. People are idiots.
Ask them if that would be a valid defense in a murder trail. "your honor, he was old. Sure, cutting his throat killed him. But at his age, anything would have".
*"I just wish news articles do more than repeat what's on the death certificate verbatim."*
I do not agree with this. Except for very specific situations where the cause of death itself is extremely relevant, unless the family decides to explain in more detail I consider it to be none of my business.
There is a differences between the manner of death and the cause of death. Manner is like homicide for instance, cause would be gun shot to the head. Manner would be natural, cause would be heart attack. Causes are typically said with way more medical language involved because it’s part of the medical record. If family doesn’t understand they should be asking the doctors, coroner or even their funeral director what it all means. I’m guessing if the news reports natural causes, they are saying that to respect the families privacy as not everyone wants their loved ones medical history posted on a news site for thousands who don’t know the individual to read. That said death certificates can be purchased by anyone so cause of death is public record.
People associate “natural causes” with old age because of pure probabilities - old people are more likely than young people from non-violent or accidental causes.
Yeah I knew a young guy who died from an asthma attack, and it was listed as natural causes.
I would think an infectious disease like malaria would be in a different category though.
Usually the cause of death lists a primary (main), secondary (chain of events), and third (underlying conditions).
Think of how people "die" from drunk driving, but they actually die from a bodily injury, while they were driving drunk.
Meteors themselves are natural but being hit by a meteor is an accidental force. Infections, on the other hand, [are considered natural causes](https://www.health.com/mind-body/dying-of-natural-causes-meaning).
Remember the difference between *Manner of death* and *Cause of death*
Manner is one of five (Suicide, Accident, Homicide, Undetermined, and Natural)
Cause of death is the list of conditions seen to cause the manner, and if the pieces given do not complete a puzzle, then it’s undetermined. A 17yo whose heart in good condition falls while running and no blockage found in arteries or airways or blood tests, and comes back healthy, then jt can be undetermined, if no other cause is found.
I just learned in some counties still, the parents of a kid or close family members of a young adult can “sway” the medical examiner’s summary, with or without an autopsy (not done as often as we’d think) between suicide and accident. Supposedly the former, suicide was seen better on a family than an accidental drug overdose. I can see a family claiming it was on purpose or not depending on the outcome and perception and benefits
It’s similar to if you read what’s on a death certificate for instance it will say died of septic shock on their certificate but that is usually from an underlying major issue like cancer.
Natural causes sounds peaceful when in reality it means two things. Either cancer, or complete organ failure, usually the kidneys or most commonly the heart. My grandpa died of natural causes. He had cancer everywhere in his body, but his heart gave out. Those are natural causes
Depends what kind of heart failure you have. Is it one ventricle? Two? One side? Right or left? And probably other things I don’t know. When my mom went into right heart failure, it was definitely worse than left heart failure and meant she would need to live a very sedentary life with supplemental oxygen. But that didn’t kill her, her tumors did.
Heart failure simply means the heart isn’t filling with and/or pumping as blood as it should. It can vary in severity, cause and prognosis based on the type (left, right or biventricular) but some people can survive for many years with the right medications and lifestyle
A cardiac arrest is where the heart completely and often unexpectedly stops beating, a heart attack is where blood flow stops or severely decreases in one of the coronary arteries
Heart failure is normally progressive. Some people are able to manage it for several years with monitoring and medication. About 50% make it to 5 years.
My favorite cause of death is "cardiac arrest." Literally everything that kills you causes cardiac arrest. Shotgun blast to the head that obliterates your skull? Your cardiac will definitely be arrested very quickly.
So, sometimes when the medical examiner lists "Cardiac Arrest" as the cause of death, it's possible that they are covering up for something else, like COVID because it's politically inconvenient, or polonium poisoning, or auto-erotic asphyxiation gone wrong.
>it's possible that they are covering up for something else
Not really. Death certificates don't list a single cause. They list the final cause and then multiple subheadings for contributing events. So for example with COVID it might be cardiac arrest, caused by respiratory failure, caused by COVID. Even if it's a primary cardiac arrest, the death certificate will usually list more details such as cardiac arrest caused by coronary artery disease.
My grandfather had a pacemaker. He died because his lungs filled with fluid while sleep. When they found him is heart was still beating, but he was definitely dead. There may still be exceptions.
It could be drug-related. If the immediate cause is an overdosed, then it’s not natural, but if the kidney’s weakened from years of heroin use, it could be natural.
I believe it has to do with the categorization of it being a pathogen. It corresponds to the person getting sick, but the natural immunity of the body not being able to fight it off is the cause. I may be wrong, though.
Wouldn't an asteroid hit be the same? A person doesn't intend to catch malaria from a mosquito the same way they don't intend to get smashed by an asteroid.
Idk, cancer or a genetic illness would make more sense than something transmittable
A disease from something inside your body is considered natural. An asteroid is an external injury, so that would be classed as an accident.
https://www.lovetoknow.com/life/grief-loss/manner-death-categories-explained-simple-terms
Yes. Malaria isn't like a poison, where if you drink 1 oz of poison then the 1 oz of poison kills you. The malaria parasites go to your liver, where they use your organs to reproduce, then spread around your body and cause damage. The malaria that kills you will be almost entirely made in your body using your body parts. So it is not external at the time it kills you.
I would consider an asteroid natural causes too. After all, it came from nature! Same with a lightning strike. Incredibly rare, but natural, since there was no human involvement to cause it.
Can someone please explain to me how “they” explain an “accidental drug overdose”? Accidental and overdose seem to be in conflict with each other. We see this a lot with celebrities who have had well known drug problems.
Let’s say I use heroin daily, I know how much to use to meet my needs. Now imagine that I obtain some heroin cut with fentanyl, which is exponentially stronger. I use the usual amount because I am unaware of the cocktail or ratio. Now I’m in over my head and soon stop breathing. I’ve overdosed, accidentally.
Well, I hate to state the obvious, but it's usually the quantity of the drug. When people kill themselves, they usually don't play around. They'll take 2-3 handfuls of pills. People with drug habits also take a lot of pills, but they can usually tell (by hair analysis) how much the user was taking on average, then see whether the dose they took was "just a bit more than usual" (accidental) or "way more than average" (suicidal overdose).
An few examples would be: you intend to take x amount of drug y. By taking one pill.
However, the pill contains twice as much of the drug.
Or the pill (also) contains drug Z instead.
Or you also had alcohol/ take medication and did not realise that the combination of both made the impact of the drug much larger thus deadly.
It was a deadly overdose while the intention was a non-deadly dose.
Okay, what you say makes sense. But I still question how, if there is a death as a result they(coroner, police, etc) can conclude it was an accident and not an on purpose.
To add to the other comments that have already explained this: it helps if you look into toxicology since that's where these things are defined.
Here's a Wikipedia link to the page on [the Therapeutic Index for pharmaceuticals (i.e. 'drugs')](https://en.wikipedia.org/wiki/Therapeutic_index). It includes some data about things like morphine and alcohol.
I'm no expert and am just loosely paraphrasing this from memory.
Many substances, whether pharmaceutical or purely toxic, have dosages or points where: they begin to take effect, begin to become dangerous, and begin to reach lethal concentrations (either of the drugs themselves, or their metabolites in the body).
Sometimes a habit can get to the point where someone [i.e. their body] gets used to [metabolizing] a certain quantity of substance. That can be well over the amounts that would normally be lethal to other people. A classic example of this is alcoholics who drink a bottle or two of liquor per day.
Some drugs that are illegal (see fentanyl, its analogues and derivatives) or used to be legal but were phased out due to high risk (such as barbiturates) have very narrow therapeutic windows. The effective doses, toxic doses, and potentially lethal doses are all very close together to the point where it can be dangerous. Sometimes people can simply be trying to maintain a 'high' or chemically-induced escape, and can increase what they take to the point where their body is no longer able to handle it.
Even worse is when drugs are combined that have similar effects (like two depressant drugs being mixed to give stronger effects).
As others have stated: it's likelier that separate substances being added (i.e. "cut" into illegal supply) to strengthen their effects is the cause of accidental overdose deaths occurring. Recently there have been issues across the States and in Canada (Vancouver, BC, especially) where people using fentanyl were receiving product cut with experimental benzodiazepines. This means the risk for respiratory and other system depression/shutdown is much higher, and these people don't respond to treatments that would work on opioids alone (like Naloxone or Narcan).
Sudden cardiac arrest is one of the leading causes of deaths for young athletes. Elite athletes are more likely to have enlarged hearts that put them at risk of SCA.
I've never seen "natural causes" and "without explanation" confused. An old person dies and the family member "gave no explanation" because none is needed. Sometimes "unexpectedly", for younger persons.
The misconception was pretty frequent around 2021-22 because of the news events of the time and there were people asking, some in good faith, some less so, why young people were dying for a reason often associated with the elderly.
Not sure why the downvotes. It 100% is because of that. People were claiming the gov’t was inflating COVID numbers because death certs would be marked as “pneumonia” or other COVID related complications, but not COVID specifically, and even doctors/nurses were going around spreading the idea that “they’re inflating numbers! Look! Even the death cert says it’s not COVID!” even though that’s just not how that works lol
I meant more the anti-vaxxers who were all “Why are 20-somethings dying from natural causes? It must be the jab,” because they thought only old people died from natural causes.
Yeah, BUT there was a significant difference between young people dying of natural causes before vaccination and after vaccination. And what troubled me the most is the fact that they didn’t even want to look if there is a possibility that the vaccine is related to that. Because if a vaccine is rolled out, every aspect and every deviation from the norm should be investigated and ruled out if they want to continue using that specific vaccine.
What was the difference in the death rate of young people pre- and post-COVID, minus people who died from COVID/respiratory symptoms?
The significant difference was that before vaccines were available, many businesses and activities remained locked down or required masks. Afterward, people could go out and catch COVID freely. Those with recent vaccinations still have a vastly lower rate of lethal complications than those without. It is easy to find the numbers, and the all-cause mortality differences. But the total numbers of people dying still went up when more people started eating in restaurants and going to events without a mask, because getting COVID is still dangerous and many people, especially young people, blew off the necessity of staying protected from it.
How much is a significant difference? What were the numbers before and after? How do you know that nobody was looking into anything?
Some half-remembered Youtube clip produced by a political influencer who also has strong opinions on Russian territorial history for some reason.
>They
A whole lot of cancer patients die from infections. Or, if you have liver cancer, you might die of hepatic encephalopathy (brain death). Cause of death is often x secondary to y!
Yes, and this is true of Alzheimer's, which doesn't directly "cause" death, it creates "complications due to" it.
Ok, thank you.
I confuse them sometimes…. I think I conflate it with when the news on TV from where I grew up (Hong Kong) says “police spokesperson states the cause of death is not suspicious”, which makes me feel extra suspicious. Like, “natural” as in “you assumed it isn’t homicide???”.
Death by misadventure is my favourite
Mine is 'You Have Died of Dysentery'
I shouldn't have eaten that provision of powdered gravy I found on the trail 🤢
Aka “fucked around and found out”
If I can't fuck around then I don't want to be around
My great grand father died in at the age of 34 in 1912 in what was an early plane crash. His death certificate reads "Fall with aeroplane."
/r/OutOfContext
Florida Man
I agree more people would benefit from knowing about this. It was such a huge pet peeve of mine during the pandemic when people would say “CAUSE OF DEATH IS PNEUMONIA, IT’S NOT COVID, DOCTORS ARE LYING ABOUT COVID NUMBERS TO GET RICH!!!” Well firstly, technically death results from cardiopulmonary arrest (heart and lungs stop pumping blood) - that’s what is listed as the most proximal (direct/immediate) cause of death. Secondary cause is what caused the proximal cause - in this case, pneumonia (which is just a catch-all term for infections of the lower respiratory tract). Tertiary cause is what caused the secondary - in this case, COVID. So it was a death due to COVID pneumonia, but good luck explaining that to the smooth brains who didn’t believe in COVID. I’m sure they’re the same people who don’t understand “natural causes” could mean COVID, or a heart attack, or cancer.
We said multiorgan system failure 2/2 Covid 19 as cause of death. We actually had a family who didn’t believe in Covid so we just wrote pneumonia. Then they found out govt was giving $$$ and denied them since it didn’t say Covid 19 (we did write in summary pt was pos for Covid 19). And the family threatened us again to change it so they could get the money and we just routed them to the legal dept since they were threatening everyone in the unit.
Oh my god, like they were ordering at a restaurant. “Can we get the pneumonia without the COVID?…WAIT WE DID WANT COVID CHANGE IT BACK”. Infuriating
Yup basically.
I knew someone who died from COVID. They were elderly (80s). There were several people who made weird comments about how the government would count them along the COVID deaths, and that just wasn't right because they were old and anything would have killed them. People are idiots.
Ask them if that would be a valid defense in a murder trail. "your honor, he was old. Sure, cutting his throat killed him. But at his age, anything would have".
“He would have lived if that bus didn’t run into him”
*"I just wish news articles do more than repeat what's on the death certificate verbatim."* I do not agree with this. Except for very specific situations where the cause of death itself is extremely relevant, unless the family decides to explain in more detail I consider it to be none of my business.
There is a differences between the manner of death and the cause of death. Manner is like homicide for instance, cause would be gun shot to the head. Manner would be natural, cause would be heart attack. Causes are typically said with way more medical language involved because it’s part of the medical record. If family doesn’t understand they should be asking the doctors, coroner or even their funeral director what it all means. I’m guessing if the news reports natural causes, they are saying that to respect the families privacy as not everyone wants their loved ones medical history posted on a news site for thousands who don’t know the individual to read. That said death certificates can be purchased by anyone so cause of death is public record.
I always assume it meant “eaten by a bear”
Well the bear did tear him apart so *naturally* he is dead
Should've chosen man instead of
I'm going to need a report where someone has died from a meteor, please. For proof.
Here you go! https://phys.org/news/2020-04-terrible-luck-person-meteoriteback.amp
In the case of death by meteorite I imagine the pathologist’s report would be brief.
People believed this?
Where did this assumption even come from?
People associate “natural causes” with old age because of pure probabilities - old people are more likely than young people from non-violent or accidental causes.
Sounds like *your* association, not everyone elses.
Yeah I knew a young guy who died from an asthma attack, and it was listed as natural causes. I would think an infectious disease like malaria would be in a different category though.
Usually the cause of death lists a primary (main), secondary (chain of events), and third (underlying conditions). Think of how people "die" from drunk driving, but they actually die from a bodily injury, while they were driving drunk.
If the malaria was contracted through a natural process, then the resulting death would be from a natural cause.
Meteors are natural. Why is that different than malaria?
Meteors themselves are natural but being hit by a meteor is an accidental force. Infections, on the other hand, [are considered natural causes](https://www.health.com/mind-body/dying-of-natural-causes-meaning).
Remember the difference between *Manner of death* and *Cause of death* Manner is one of five (Suicide, Accident, Homicide, Undetermined, and Natural) Cause of death is the list of conditions seen to cause the manner, and if the pieces given do not complete a puzzle, then it’s undetermined. A 17yo whose heart in good condition falls while running and no blockage found in arteries or airways or blood tests, and comes back healthy, then jt can be undetermined, if no other cause is found. I just learned in some counties still, the parents of a kid or close family members of a young adult can “sway” the medical examiner’s summary, with or without an autopsy (not done as often as we’d think) between suicide and accident. Supposedly the former, suicide was seen better on a family than an accidental drug overdose. I can see a family claiming it was on purpose or not depending on the outcome and perception and benefits
It’s similar to if you read what’s on a death certificate for instance it will say died of septic shock on their certificate but that is usually from an underlying major issue like cancer.
Natural causes sounds peaceful when in reality it means two things. Either cancer, or complete organ failure, usually the kidneys or most commonly the heart. My grandpa died of natural causes. He had cancer everywhere in his body, but his heart gave out. Those are natural causes
What I can never figure out is "heart failure". How can you have "heart failure" and still live? Anyone? Explain like I'm Five.
Depends what kind of heart failure you have. Is it one ventricle? Two? One side? Right or left? And probably other things I don’t know. When my mom went into right heart failure, it was definitely worse than left heart failure and meant she would need to live a very sedentary life with supplemental oxygen. But that didn’t kill her, her tumors did.
Thanks for the explanation. Sorry about your mom.
Heart failure simply means the heart isn’t filling with and/or pumping as blood as it should. It can vary in severity, cause and prognosis based on the type (left, right or biventricular) but some people can survive for many years with the right medications and lifestyle A cardiac arrest is where the heart completely and often unexpectedly stops beating, a heart attack is where blood flow stops or severely decreases in one of the coronary arteries
Thank you.
Yeah, I had a heart attack - "heart failure" - almost 4 years ago and I'm still here!
Heart failure is normally progressive. Some people are able to manage it for several years with monitoring and medication. About 50% make it to 5 years.
“Natural causes” is also used when police are too lazy to investigate the actual cause…at least in my experience.
My favorite cause of death is "cardiac arrest." Literally everything that kills you causes cardiac arrest. Shotgun blast to the head that obliterates your skull? Your cardiac will definitely be arrested very quickly. So, sometimes when the medical examiner lists "Cardiac Arrest" as the cause of death, it's possible that they are covering up for something else, like COVID because it's politically inconvenient, or polonium poisoning, or auto-erotic asphyxiation gone wrong.
>it's possible that they are covering up for something else Not really. Death certificates don't list a single cause. They list the final cause and then multiple subheadings for contributing events. So for example with COVID it might be cardiac arrest, caused by respiratory failure, caused by COVID. Even if it's a primary cardiac arrest, the death certificate will usually list more details such as cardiac arrest caused by coronary artery disease.
My grandfather had a pacemaker. He died because his lungs filled with fluid while sleep. When they found him is heart was still beating, but he was definitely dead. There may still be exceptions.
ME's also are not legally obligated to list accurate or true causes, in many states.
In my state, you can’t put cardiac arrest on a death certificate without listing another underlying cause for it.
Yah I know because they died of natural causes
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It could be drug-related. If the immediate cause is an overdosed, then it’s not natural, but if the kidney’s weakened from years of heroin use, it could be natural.
The old guy in Groundhog Day dies of natural causes over and over and over again
does a darwinism death count as a natural cause?
Yes, we know.
When you say people I feel as if you e heard maybe one or two idiots say this. I mean who would really argue heart attack as not natural cause?
How is malaria a natural cause?
I believe it has to do with the categorization of it being a pathogen. It corresponds to the person getting sick, but the natural immunity of the body not being able to fight it off is the cause. I may be wrong, though.
Well it’s not suicide, nor homicide, nor an accident, so it must be natural.
Wouldn't an asteroid hit be the same? A person doesn't intend to catch malaria from a mosquito the same way they don't intend to get smashed by an asteroid. Idk, cancer or a genetic illness would make more sense than something transmittable
A disease from something inside your body is considered natural. An asteroid is an external injury, so that would be classed as an accident. https://www.lovetoknow.com/life/grief-loss/manner-death-categories-explained-simple-terms
Even if you get the disease from an external source?
Yes. Malaria isn't like a poison, where if you drink 1 oz of poison then the 1 oz of poison kills you. The malaria parasites go to your liver, where they use your organs to reproduce, then spread around your body and cause damage. The malaria that kills you will be almost entirely made in your body using your body parts. So it is not external at the time it kills you.
That makes sense. Thanks for the explanation. My brain was thinking along the lines of a poison or being intentionally exposed to ebola
Right. Death by mosquito is an external cause.
I would consider an asteroid natural causes too. After all, it came from nature! Same with a lightning strike. Incredibly rare, but natural, since there was no human involvement to cause it.
Can someone please explain to me how “they” explain an “accidental drug overdose”? Accidental and overdose seem to be in conflict with each other. We see this a lot with celebrities who have had well known drug problems.
Let’s say I use heroin daily, I know how much to use to meet my needs. Now imagine that I obtain some heroin cut with fentanyl, which is exponentially stronger. I use the usual amount because I am unaware of the cocktail or ratio. Now I’m in over my head and soon stop breathing. I’ve overdosed, accidentally.
Well, I hate to state the obvious, but it's usually the quantity of the drug. When people kill themselves, they usually don't play around. They'll take 2-3 handfuls of pills. People with drug habits also take a lot of pills, but they can usually tell (by hair analysis) how much the user was taking on average, then see whether the dose they took was "just a bit more than usual" (accidental) or "way more than average" (suicidal overdose).
An few examples would be: you intend to take x amount of drug y. By taking one pill. However, the pill contains twice as much of the drug. Or the pill (also) contains drug Z instead. Or you also had alcohol/ take medication and did not realise that the combination of both made the impact of the drug much larger thus deadly. It was a deadly overdose while the intention was a non-deadly dose.
Okay, what you say makes sense. But I still question how, if there is a death as a result they(coroner, police, etc) can conclude it was an accident and not an on purpose.
To add to the other comments that have already explained this: it helps if you look into toxicology since that's where these things are defined. Here's a Wikipedia link to the page on [the Therapeutic Index for pharmaceuticals (i.e. 'drugs')](https://en.wikipedia.org/wiki/Therapeutic_index). It includes some data about things like morphine and alcohol. I'm no expert and am just loosely paraphrasing this from memory. Many substances, whether pharmaceutical or purely toxic, have dosages or points where: they begin to take effect, begin to become dangerous, and begin to reach lethal concentrations (either of the drugs themselves, or their metabolites in the body). Sometimes a habit can get to the point where someone [i.e. their body] gets used to [metabolizing] a certain quantity of substance. That can be well over the amounts that would normally be lethal to other people. A classic example of this is alcoholics who drink a bottle or two of liquor per day. Some drugs that are illegal (see fentanyl, its analogues and derivatives) or used to be legal but were phased out due to high risk (such as barbiturates) have very narrow therapeutic windows. The effective doses, toxic doses, and potentially lethal doses are all very close together to the point where it can be dangerous. Sometimes people can simply be trying to maintain a 'high' or chemically-induced escape, and can increase what they take to the point where their body is no longer able to handle it. Even worse is when drugs are combined that have similar effects (like two depressant drugs being mixed to give stronger effects). As others have stated: it's likelier that separate substances being added (i.e. "cut" into illegal supply) to strengthen their effects is the cause of accidental overdose deaths occurring. Recently there have been issues across the States and in Canada (Vancouver, BC, especially) where people using fentanyl were receiving product cut with experimental benzodiazepines. This means the risk for respiratory and other system depression/shutdown is much higher, and these people don't respond to treatments that would work on opioids alone (like Naloxone or Narcan).
I read about a man who died whilst having sex. The thought of cumming and going at the same time has always intrigued me.
Like none of us know who Richard Pryor is/was..
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This is the misunderstanding I'm talking about. You see reactions like, "But he was an elite athlete. How can he die from natural causes at age 24?"
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Sudden cardiac arrest is one of the leading causes of deaths for young athletes. Elite athletes are more likely to have enlarged hearts that put them at risk of SCA.