In Austria every death is subject to an examination by a medical docto
r authorized by the local health authority. If death is suspected to b
e unnatural and/or perpetrated by another person, this doctor has to r
eport it to the police. Depending on the investigation results, the ex
amining magistrate in charge demands a judicial autopsy at the Institu
te of Forensic Medicine. In 1989, 41 murders of old patients by nursin
g assistants in a Viennese public hospital were disclosed. The main ai
m of this retrospective study was to determine any change in the deman
d for forensic autopsies by the Viennese health authority, as well as
by the criminal court, after 1989. Furthermore, it was of interest to
analyze the reporting practices of medical doctors examining corpses,
as well as the reaction of the criminal court during the study period.
After 1989, there was a significant increase of non-judicial and judi
cial autopsies, performed by Viennese forensic pathologists. In additi
on, there was a significant increase of reports to the police by coron
ers as well as by forensic pathologists, paralleled by a higher rate o
f forensic autopsies demanded by the examining magistrate. This increa
se of forensic autopsies took place even though the overall rate of de
aths in Vienna significantly decreased during the 10-year study period
. Thus, the disclosure of 41 murders in the Viennese hospital in 1989
can be assumed as a turning point in the reporting practices of Vienne
se coroners, as well as the autopsy rate handled by Viennese forensic
pathologists.