NODOK&NODOV: Inzicht na overlijden, winst voor het leven

This thesis examines how post-mortem investigations into sudden and unexplained deaths among minors and young adults in the Netherlands can be improved. The NODOK procedure for minors has shortcomings, such as an insufficient reporting rate and inadequate recording of refusals. Parents view the procedure positively, as it can help alleviate feelings of guilt and helplessness. A designated point of contact, a personal final consultation and written investigation results are key areas for attention. Post-mortem examination remains essential for reliably determining the cause of death in most cases.

The NODOV procedure has been developed for young adults aged 18 to 45. This makes it possible to determine the cause of death in 89 per cent of the cases investigated. In addition, hereditary risk factors are identified, enabling preventive screening of next of kin. Point-of-care handheld analysers can also complement the post-mortem examination, although further research is needed.

The thesis concludes that standardised post-mortem examinations improve diagnosis, prevention and the establishment of the facts. Amendments to legislation and better compliance are necessary for more effective death investigations.