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Medical examiner: homicides easing, firearm suicides rising; drug-overdose mix shifting toward stimulants

Cuyahoga County Council Committee of the Whole · November 10, 2025
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Summary

Cuyahoga County Medical Examiner Thomas Gilson reported an expected modest decline in homicides for 2025, rising suicide rates driven increasingly by firearms, and a projected dip in overdoses with an emerging stimulant (cocaine) pattern that will require adjusted public-health responses.

Dr. Thomas Gilson, the Cuyahoga County medical examiner and crime laboratory director, presented annual trends and a budget summary to county council on Nov. 10. He said the office remains fully accredited and is seeking upgrades to case-management IT and radiology equipment, funded in part by the coroner's lab special‑revenue fund.

On causes of death, Gilson said homicides should decline slightly in 2025 compared…

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