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TABLE 5
Absence of Parallel Case Among 760 Violent Suicides

No. of Violent Deaths / Violent Deaths Including Heroin O.D. / Source
96 / 0 / Selway
369 / 0 / Gatter
51 / 0 / Nowers
246 / 0 / Cooper & Milroy

NONE OF 3586 SUICIDES SHOW PARALLEL TO COBAIN CASE
Additionally, Selway's (83) study of all 96 gunshot suicides in Victoria, Australia during 1988, demonstrates that none of the 64 cases where the blood was analyzed involved narcotics. Only two cases had taken an overdose of any kind, one drinking Paraquat, and the other taking oxazepam, alcohol, and imipramine. Selway's and Nowers' studies collectively deal with 147 suicides in which a gunshot was the cause of death, yet not one single case even distantly resembled the supposed scenario for Cobain's "suicide." The 1862 suicides studied by Gatter included 369 violent deaths, with 51 gunshot suicides as well as a significant degree of drug overdoses, yet again, no parallel exists to Cobain's case. Cooper & Milroy's study involved 536 suicides, 246 of which were violent, 10 of which involved a gun. (15).Thus, in 3586 total suicides, including 208 suicides by gunshot, no case remotely resembles a situation where a gunshot of any kind and a heroin overdose of even minor proportions occurred.

REVIEW OF RARE OVERDOSE CASES IN COBAIN'S RANGE
Remarkably, 8 studies out of 19 reported on at least one of the 26 rare blood morphine levels in Cobain's range. Staubb, et. al., listed 12 cases in particular out of the 52 cases studied which showed total blood morphine levels equal or above Cobain's level. (90). However, it is vital to note that all these cases involved abrupt death immediately following injection, and none of any of the 52 cases studies was reported to have committed suicide with a gun of any kind. Basically, their study showed a remarkable consistency in abrupt reactions, indicating an 85% probability of instant death, and 15% chance of instantaneous collapse into a comatose state. Still, it is worth pointing out that this is the single largest group of cases at or above Cobain's range. Coumbis & Balkrishena (16) show four high level cases, while Gottschalk & Cravey (33) and Hine, et. al. (42) each show 3 such cases. Studies which found only one such level are Richards, et. al. (77), Paterson (70), and Monforte (62). Finally, Nakamura (63), mentioned previously, also found only one very high level case, with 1.8 mg/L, and the manner of death was known to be instantaneous.

WASHINGTON STATE HEROIN OVERDOSES
Regarding Washington State heroin overdose deaths, including Seattle, a 1996 report by Logan & Smirnow in a study of 32 cases of "...deaths involving morphine." (58). The focus of their research basically concerned testing the reliability of postmortem blood samples over time, and the variabilities between morphine levels when collected from different tissues, including different "sites" of blood collection, eg. femoral, iliac, and ventricular sites. Also of specific relevance to the Cobain case is the authors noted "...the pattern of opiate use in this population is almost exclusively one of Mexican black tar heroin." (58). Generally, they conclude that "Although both site dependant differences and time dependant changes have been shown to affect the concentration of some drugs in postmortem samples, neither appears to be the case with morphine." (58). The main point is that the Cobain blood data is generally regarded as reliable, despite the fact that the body was discovered at least three days after death. More importantly, note that only one case of 32 was suicide, with the remainder listed as accidents or probable accidents. The highest total blood morphine level, collected initially from the iliac site, is 0.4 mg/L, shows black tar heroin use among a population of addicts does not appear to necessarily lead to significantly higher blood morphine levels than those found in addict populations where black tar heroin is uncommon.

BLACK TAR HEROIN DEATHS IN NEW MEXICO
The high lethality of black tar heroin due to increased purity levels is discussed in Sperry's 1988 paper (90). Most of the 129 deaths involved "...very high (greater than 1 mg/L) concentrations of opiates in the blood..." (89). Sperry also discovered the highest level of purity in black tar heroin ever reported, 93 % in some rare cases. No case involved "...the so-called acute idiosyncratic reaction...," further supporting the findings that acute heroin overdoses are dose-related primarily. While it is obvious that many adulterants can increase lethality, it would be completely mistaken to think that pure heroin lacks toxicity as a result of it's purity or the lack of toxic adulterants. None of the cases studied by Sperry showed evidence of other drugs, and no case was reported to involve a gun or trauma. While it is unfortunate that Sperry does not provide a detailed list of blood morphine levels and other data, it is important to note that even in a population of addicts overdosing on black tar heroin, levels over 1 mg/L are considered "...very high..." (89) This contrasts with Cobain's level, which registers 50% higher. Due to lack of specific blood data, Sperry's report is excluded from Appendix A.

PREPONDERANCE OF EVIDENCE
Further confirmation of these findings is seen ubiquitously throughout the scientific literature, creating a preponderance of evidence. Gottschalk & Cravey's study of 128 heroin-related deaths showed only 3 cases in Cobain's range. (33). Only one of the 128 deaths involved secondary self-inflicted trauma of any kind, in which one person committed suicide by hanging. Notably, despite evidence of intravenous heroin and/or morphine use, and despite the fact that morphine levels in other tissues confirmed death by overdose, there was no morphine detectable in the blood at all, which helps explain how the individual had time to hang himself. The individual in question tested positive for several drugs, as is common in cases of self-poisoning, and this accounts for the lethality of the otherwise low dose of opiates. Specifically, oral methadone was also consumed, thus there would be a moderately delayed reaction before the combined effects of the drugs took effect and killed the victim before he died from the hanging itself. None of the 128 deaths involved a gun of any kind.

DECONSTRUCTING THE MYTH OF THE SUICIDAL HEROIN ADDICT
Paterson (70) discusses 189 cases of fatal self-poisoning in North and West London between 1975 and 1984. These cases involved only one drug each, and each case was determined to be the direct result of an overdose of that specific drug, with no other contributing causes. The study further confirms that the myth of the suicidal heroin addict is indeed a myth, with only seven cases involving morphine, i.e. less than 0.04% of the cases studied. The average, or "mean," blood morphine level was high, at 1 mg/L, with a range of 0.19 mg/L to 1.9 mg/L, indicating at least one case in which the concentration was at or above Cobain's range (probably only one, which would raise the mean beyond normally seen mean levels). No other details are provided concerning the route of administration, i.e. whether or not the morphine or heroin were administered orally or intravenously. Intravenous administration is a significant possibility, and since Paterson's study includes at least one case in seven in Cobain's range, the data is used in this study to determine the specific probability and/or possibility of an individual attaining such a high blood level. Note that if the data is interpreted as 1 case in 189, then the chances of an individual attaining such a blood morphine level via self-poisoning, during a nine year period, is less than 0.0054%, i.e. extremely remote.

5.) CASE CONSISTENT WITH HOMICIDE PATTERNS:

BENEFIT OF THE DOUBT GOES TO THE VICTIM
The idea that a person could intentionally kill someone is hard to truly accept, and it is even harder to imagine someone staging a murder to look like a suicide. It seems normal to ask "does this really happen?" Yes it does happen...staged deaths are unfortunately not rare. Furthermore, criminology textbooks clearly state that when someone who is drugged supposedly commits suicide, the "...fair supposition..." is murder. Also, when an adult goes "missing," the chances of suicide are very slim. Read a sampling for yourself from O'Hara's, Charles E., Fundamentals of Criminal Investigation (66): "...V. Beck examined forty suicides, whose skulls were smashed... Naturally in such cases the muzzle of the barrel must be placed directly under the chin or in the mouth. It is not therefore impossible that a murder may be committed in this way, and all the more likely as it lends itself easily to the suspicion of suicide; it is a fair supposition that a person asleep, stupefied, or bound, may thus be killed."


Introduction / Table 1 / Table 2 / Table 3 / Table 4 / Table 5 / Table 6 / Table 7 / Table 8 / Table 9
Appendix A / Appendix B / References
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