A coroner is a government official who

  • Investigates human deaths
  • Determines cause of death
  • Issues death certificates
  • Maintains death records
  • Responds to deaths in mass disasters
  • Identifies unknown dead
  • Other functions depending on local laws

Local laws define the deaths a coroner must investigate, but most often include those that are sudden, unexpected, and have no attending physician—and deaths that are suspicious or violent.[1] In some places in the United States, a coroner has other special powers, such as the ability to arrest the county sheriff. In the United Kingdom, Australia, and other countries, coroners often make recommendations for safety practices that may prevent deaths.

Not all U.S. jurisdictions use a coroner system for medicolegal death investigation—some are on a medical examiner system, others are on a mixed coroner-medical examiner system. In the U.S., the terms "coroner" and "medical examiner" vary widely in meaning by jurisdiction, as do qualifications and duties for these offices.[1]

Depending on the jurisdiction, the coroner may adjudge the cause of death personally, or may act as the presiding officer of a special court (a "coroner's jury"). The office of coroner originated in medieval England[2][3] and has been adopted in many countries whose legal systems have at some time been subject to English or United Kingdom law. The additional roles that a coroner may oversee in judicial investigations may be subject to the attainment of suitable legal and medical qualifications. The qualifications required of a coroner vary significantly between jurisdictions, and are described under the entry for each jurisdiction.



In Canada, two systems exist in investigating all unnatural, unexpected, unexplained, or unattended deaths: coroner or medical examiner.[4] While the name differs, they act in similar capacities as they do not determine civil or criminal responsibility but instead, make and offer recommendations to improve public safety and prevention of death in similar circumstances.

Coroner services in Canada are under the jurisdiction of Provincial or Territorial government, within the public safety and security or justice portfolio depending on location. Coroner service is headed by a Chief Coroner (or Chief Medical Examiner) and is supported by a team of coroners or medical examiners are appointed by the executive council.

In the provinces of Alberta, Manitoba, Ontario, Nova Scotia, Newfoundland and Labrador, and Prince Edward Island, all coroners are, by law, physicians. In these instances, they are not coroners, but medical examiners.

In all other provinces and territories, namely British Columbia, Saskatchewan, Quebec, New Brunswick, Northwest Territories, Nunavut, and Yukon, coroners are not necessarily physicians but generally have legal, medical, or investigative backgrounds.

England and Wales

In England and Wales a coroner is an independent judicial office holder, appointed and paid for by the relevant local authority. The Ministry of Justice, which is headed by the Lord Chancellor and Secretary of State for Justice has the responsibility for the coronial law and policy only, and no operational responsibility.[5]


The post of coroner is ancient, dating from approximately the 11th century, shortly after the Norman conquest of England in 1066.

The office of Coroner was formally established in England by Article 20 of the "Articles of Eyre" in September 1194 to "keep the pleas of the Crown" (Latin, custos placitorum coronae) from which the word "coroner" is derived.[6] This role provided a local county official whose primary duty was to protect the financial interest of the crown in criminal proceedings. The office of coroner is, "in many instances, a necessary substitute: for if the sheriff is interested in a suit, or if he is of affinity with one of the parties to a suit, the coroner must execute and return the process of the courts of justice."[7] This role was qualified in Chapter 24 of Magna Carta in 1215, which states: "No sheriff, constable, coroner or bailiff shall hold pleas of our Crown." "Keeping the pleas" was an administrative task, while "holding the pleas" was a judicial one that was not assigned to the locally resident coroner but left to judges who traveled around the country holding Assize Courts. The role of Custos rotulorum or keeper of the county records became an independent office, which after 1836 was held by the Lord Lieutenant of each county. The person who found a body from a death thought sudden or unnatural was required to raise the "hue and cry" and to notify the coroner.

Coroners were introduced into Wales following its military conquest by Edward I of England in 1282 through the Statute of Rhuddlan in 1284.


To become a coroner in England and Wales the applicant must have a degree in a medical or legal field, e.g., criminology or bio-medical sciences. Generally, coroners have had a previous career as a lawyer (solicitor/barrister) or physician of at least five years standing. This reflects the role of a coroner: to determine the cause of death of a deceased in cases where the death was sudden, unexpected, occurred abroad, was suspicious in any way, or happened while the person was under the control of central authority (e.g., in police custody).

Aside from the usual coroners, certain persons are ex officio coroners in limited circumstances — for example the Lord Chancellor has been historically allowed to certify the death of someone killed in rebellion.


The coroner's jurisdiction is limited to determining who the deceased was and how, when and where they came by their death. When the death is suspected to have been either sudden with unknown cause, violent, or unnatural, the coroner decides whether to hold a post-mortem and, if necessary, an inquest.


The coroner's former power to name a suspect for trial upon inquisition has been abolished. The coroner's verdict sometimes is persuasive for the police and Crown Prosecution Service, but normally proceedings in the coroner's court are suspended until after the final outcome of any criminal case is known. More usually, a coroner's verdict is also relied upon in civil proceedings and insurance claims. The coroner commonly tells the jury which verdicts are lawfully available in a particular case.

The most common verdicts include:[8]


Lawful killing includes lawful self-defence. There is no material difference between an accidental death verdict and one of misadventure.[9]

The verdicts of suicide and death by natural causes require proving beyond reasonable doubt. Other verdicts are arrived at on the balance of probabilities.

A verdict of neglect requires that there was a need for relevant care (such as nourishment, medical attention, shelter or warmth) identified, and there was an opportunity to offer or provide that care that was not taken. Neglect can be ruled an aggravating factor in other verdicts as well as a freestanding verdict.[10]

An open verdict is given where the cause of death cannot be identified on the evidence available to the inquest.

A coroner giving a narrative verdict may choose to refer to the other verdicts.[11] A narrative verdict may also consist of answers to a set of questions posed by the Coroner to himself or to the jury (as appropriate).


Any person aware of a dead body lying in the district of a coroner has a duty to report it to the coroner; failure to do so is an offence. This can include bodies brought into England or Wales. The coroner has a team of Coroner's Officers (previously often ex-police officers, but increasingly so from a nursing or other paramedical background) who carry out the investigation on the coroner's behalf. On the basis of the investigation, the coroner decides whether an inquest is appropriate. When a person dies in the custody of the legal authorities (in police cells, or in prison), an inquest must be held. In England, inquests are usually heard without a jury (unless the coroner wants one). However, a case in which a person has died under the control of central authority must have a jury, as a check on the possible abuse of governmental power.

The coroner's court is a court of law, and accordingly the coroner may summon witnesses, and people found lying are guilty of perjury.

Additional powers of the coroner may include the power of subpoena and attachment, the power of arrest, the power to administer oaths, and sequester juries of six during inquests.

Coroners also have a role in treasure trove cases. This role arose from the ancient duty of the coroner as a protector of the property of the Crown. It is now contained in the Treasure Act 1996.

Hong Kong

The Coroner's Court is responsible to inquire into the causes and circumstances of certain deaths. The Coroner is a judicial officer who has the power to:

  • Grant:
    • Burial orders
    • Cremation orders
    • Waivers of autopsy
    • Autopsy orders
    • Exhumation orders
    • Orders to remove dead bodies outside Hong Kong
  • Order police investigations of death
  • Order inquests
  • Approve removal and use of body parts of the dead body
  • Issue certificates of fact of death

The Coroner makes orders after considering the pathologist's report.

New Zealand

Two Coronial Services operate in New Zealand. The older one deals only with deaths before midnight of 30 June 2007 that remain under investigation. The new system operates under the Coroners Act 2006, which:

  • Established the office of the chief coroner to provide leadership and coordination
  • Moved to a smaller number of mostly full-time legally qualified coroners
  • Ensured families are notified of significant steps in the coronial process
  • Introduced a specific regime for attention and release of body parts and body samples
  • Enhanced inquiry and inquest processes[12]

Northern Ireland

Coronial Services in Northern Ireland are broadly similar to those in England and Wales, including dealing with Treasure Trove under the Treasure Act 1996.


Scotland has no system of coronial investigation. Deaths requiring judicial examination are dealt with by Fatal Accident Inquiries.


In Japan, the coroner's office assists with investigations. Members of the coroner's office are police detectives with field experience. Investigators typically hold the rank of captain and have studied forensic medicine and investigation techniques at the National Police Academy.

United States

As of 2004, of the 2,342 death investigation offices in the United States, 1,590 are coroners offices. Of those, only 82 serve jurisdictions of more than 250,000 people.[13] Qualifications for coroners are set by individual states and counties in the U.S. and vary widely. In many jurisdictions, little or no training is required, even though a coroner may overrule a forensic pathologist in naming a cause of death. A coroner may be elected or appointed. Some coroners hold office by virtue of holding another office: in Nebraska, the county district attorney is the coroner; in many counties in Texas, the Justice of the Peace may be in charge of death investigation; in other places, the sheriff is the coroner.

Because of the differences between jurisdictions, the terms "coroner" and "medical examiner" are defined differently from place to place. In some places, stringent rules require that the medical examiner be a forensic pathologist. In others, the medical examiner must be a physician, though not necessarily a forensic pathologist or even a pathologist. General practitioners, obstetricians, and other types of physicians with no experience in forensic medicine have become medical examiners.[14] In others, such as Wisconsin, each county sets standards, and in some, the medical examiner does not need to meet any medical or educational qualifications of any type.[15]


Duties always include determining the cause, time, and manner of death. This uses the same investigatory skills of a police detective in most cases, because the answers are available from the circumstances, scene, and recent medical records. In many American jurisdictions, any death not certified by the person's own physician must be referred to the medical examiner. If an individual dies outside of his/her state of residence, the coroner of the state in which the death took place issues the death certificate. Only a small percentage of deaths require an autopsy to determine the time, cause and manner of death.

In some states, additional functions are handled by the coroner. For example, in Louisiana, coroners are involved in the determination of mental illness of living persons. In Georgia, the coroner has the same powers as a county sheriff to execute arrest warrants and serve process, and in certain situations where there is no sheriff (described in Title 15, Chapter 16, Section 8 of Georgia law), s/he officially acts as sheriff for the county. In Kentucky, section 72.415 of the Kentucky Revised Statutes gives coroners and their deputies the full power and authority of peace officers. This includes the power of arrest and the authority to carry firearms. In New York City, the office of coroner was actually abolished in 1915[16], since before that time, having medical knowledge was not actually a requirement, leading to much abuse of position.[17]

Notable coroners

Artistic depictions



(The following entries are organized by author's last name)


Although coroners are often depicted in police dramas as a source of information for detectives, there are a number of fictional coroners who have taken particular focus on television. (The following entries are alphabetized by program title.)

Body of Proof, starring Dana Delany as Dr. Megan Hunt on the ABC Network is about a medical examiner in Philadelphia, Pennsylvania.

See also


  1. ^ a b National Academy of Sciences, Strengthening Forensic Science in the United States: A Path Forward, (2009), p 241-253.
  2. ^ "coroner". Encyclopædia Britannica, 2009. Accessed 10 August 2009.
  3. ^ Coroner History. Lycoming County, Pennsylvania. Accessed 10 August 2009.
  4. ^ The Coroner System
  5. ^ "Coroners - Ministry of Justice". Retrieved 2007-11-03. 
  6. ^ "Online Etymology Dictionary". 
  7. ^ James Wilson, Lectures on Law, vol. 2, chapter 7
  8. ^ "Enforcement Guide (England & Wales) - Work-related deaths and inquests - Chronology". 
  9. ^ R v Portsmouth Coroner ex parte Anderson (1987) 1 WLR 1640
  10. ^ R v N Humberside and Scunthorpe Coroner ex parte Jamieson [1994] 3 All ER 972
  11. ^ R v HM Coroner for the County of West Yorkshire ex parte Sacker [2004] UKHL 11.
  12. ^ "Welcome to the Coronial Services of New Zealand website". New Zealand Ministry of Justice. Retrieved 10 October 2010. 
  13. ^ J.M. Hickman, K.A. Hughes, K.J. Strom, and J.D. Ropero-Miller, Medical Examiners and Coroners’ Offices, (2004). U.S. Department of Justice, Bureau of Justice Statistics Special Report NCJ216756.
  14. ^ Frontline: Post Mortem
  15. ^ Keach, Jenifer. Coroners and Medical Examiners A Comparison of Options Offered by Both Systems in Wisconsin (2006)
  16. ^ Section 284, New York State Laws of 1915
  17. ^ Helpern, Milton (1977). "Beginnings". Autopsy : the memoirs of Milton Helpern, the world's greatest medical detective. New York: St. Martin's Press. pp. 12–13. ISBN 0451086074. 
  18. ^ The real 'Kay Scarpetta' retires - updated 6:37 p.m. ET Jan. 1, 2008 (By Lisa Billings / AP) - TODAY: Books -
  19. ^ CBC Television Series, 1952-1982: Wojeck

External links

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  • coroner — [ kɔrɔnɛr ] n. m. • 1624; mot angl., de l anglo norm. coroneor « représentant de la Couronne », du lat. corona ♦ Officier de police judiciaire, dans les pays anglo saxons. ⊗ HOM. Coronaire. ● coroner nom masculin (anglais coroner, du latin… …   Encyclopédie Universelle

  • Coroner — Жанр техничный трэш метал Годы 1985 1996,2010 наши дни Страна …   Википедия

  • coroner — cor·o·ner / kȯr ə nər/ n [Anglo French, recorder of crown pleas, from corone crown]: a public officer whose principal duty is to inquire by an inquest into the cause of death when there is reason to think the death may not be due to natural… …   Law dictionary

  • Coroner — Saltar a navegación, búsqueda Coroner Información personal Origen Zúrich, Suiza …   Wikipedia Español

  • Coroner — Pour les articles homonymes, voir coroner (justice). Coroner est un groupe de Thrash metal suisse. Sommaire 1 Carrière 2 Membres …   Wikipédia en Français

  • coroner — CÓRONER, coroneri, s.m. Ofiţer de poliţie judiciară în Anglia şi în S.U.a. – Din engl. coroner. Trimis de IoanSoleriu, 09.01.2005. Sursa: DEX 98  córoner s. m., pl. córoneri Trimis de siveco, 10.08.2004. Sursa: Dicţionar ortografic  CÓRONER …   Dicționar Român

  • Coroner — Cor o*ner (k?r ? n?r), n. [From OE. coronen to crown, OF. coroner, fr. L. coronare, fr. corona crown. Formed as a translation of LL. coronator coroner, fr. L. corona crown, the coroner having been originally a prosecuting officer of the crown.… …   The Collaborative International Dictionary of English

  • Coroner — Corōner (engl.), Kronbeamter, engl. Beamter, welcher mit Beihilfe einer Jury (Coroner s Jury) bei plötzlichen Todesfällen zu untersuchen hat, ob diese auf natürlichem oder gewaltsamem Wege eingetreten sind …   Kleines Konversations-Lexikon

  • Coroner —   [ kɔrənə] der, s/ s, alte, aber noch gebräuchlich, aus dem englischen Common Law stammende Amtsbezeichnung für einen Beamten mit richterlichen Befugnissen, der in Fällen unnatürlichen Todes u. a. die Todesursache festlegt und bei Verdacht einer …   Universal-Lexikon

  • Coroner — Allgemeine Informationen Genre(s) Thrash Metal Gründung 1984 Auflösung 1995 Neugründung 2011 …   Deutsch Wikipedia

  • Corŏner — (engl., spr. Korroner, d. i. Kronbeamter), britische Gerichtsperson, fest u. lebenslang angestellt, untersucht mit Beihülfe einer Jury die Ursachen eines gewaltsamen Todesfalls. Er od. die Jury entscheiden, ob der Todesfall aus Geistesverwirrung… …   Pierer's Universal-Lexikon

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