Under what circumstances may autopsies be conducted over personal objections in the U.S.?

Autopsies may be conducted over personal objections primarily when the medical examiner or coroner deems it necessary. This often occurs in situations where there is a need to investigate the cause of death for legal or public health reasons, such as suspected foul play, unexplained deaths, or deaths that occur in custody. The authority of the medical examiner or coroner is generally supported by state laws that prioritize the role of these officials in determining the circumstances surrounding a death, especially when there is a significant public interest or legal implications.

In practice, while families may express their wishes regarding an autopsy, the medical examiner or coroner has the final authority to decide if an autopsy is warranted. This ensures that critical information necessary for legal proceedings or public safety is not overlooked due to private objections.