Factors associated with medico-legal autopsy of decedents with psychiatric disorders

•4.6% of decedents with psychiatric disorders were referred for forensic autopsy•Young age at death increases the likelihood of referral for forensic autopsy•Unnatural causes of death and history of drug use increase the chance of referral•Decedents with recent healthcare system contacts are less likely to be referred•Narrow referral practices may decrease the accuracy of national death statistics