Jeffrey Epstein’s Death Officially Ruled Suicide

Confirming the original diagnosis, Jeffrey Epstein's death last weekend has been ruled a suicide.

One week after he was found dead in his jail cell, the New York City Medical Examiner has officially ruled his death to be a suicide by hanging:

The New York City medical examiner said on Friday that Jeffrey Epstein’s death in a federal jail cell was a suicide, confirming he had hanged himself.

Mr. Epstein’s death had set off a wave of unfounded conspiracy theories, as people speculated online, without evidence, that he might have been killed to keep him from providing information to prosecutors about others in his social circle, including President Trump, former President Bill Clinton and Prince Andrew of Britain.

But the chief medical examiner in New York City, Dr. Barbara Sampson, ruled out foul play. She released a terse statement saying that, after an autopsy and a “careful review of all investigative information,” she had determined the cause of Mr. Epstein’s death was “hanging” and the manner was “suicide.”

Three of Mr. Epstein’s lawyers, Martin G. Weinberg, Reid Weingarten and Michael Miller, challenged the findings and vowed to conduct their own investigation.

“We are not satisfied with the conclusions of the medical examiner,” said the lawyers, who had hired a private pathologist to observe the autopsy, in a statement. “We will have a more complete response in the coming days.”

The medical examiner’s determination came six days after Mr. Epstein, 66, was found dead in his cell at the Metropolitan Correctional Center in Manhattan, where he was awaiting trial on federal sex trafficking charges.

Guards on their morning rounds found Mr. Epstein at about 6:30 a.m. last Saturday, prison officials said. He appeared to have tied a bedsheet to the top of a set of bunk beds, then knelt toward the floor with enough force that he broke several bones in his neck, officials said.

His suicide followed an apparent attempt to kill himself in late July,and came 12 days after prison staff had recommended he be removed from suicide watch and returned to the wing in which he had been housed before.

Mr. Epstein’s death is the subject of four federal investigations, including by the Justice Department’s inspector general and the F.B.I. The attorney general, William P. Barr, said there were “serious irregularities” in how prison officials handled his supervision.

On July 23, Mr. Epstein was found on the floor of his cell with bruises on his neck and was placed in the prison’s suicide prevention program, where he was under a 24-hour watch in a special cell in which there were no bedclothes or other material could be fashioned into a noose.

But six days later, prison officials determined he was no longer a threat to himself and returned him to a cell in a special housing unit known as 9 South. He was supposed to have been housed with a cellmate and to have been monitored every half-hour by the two guards who patrolled the wing.

The night before he was found, however, he had been left aloneafter his cellmate was transferred. The two employees assigned to guard him had not checked on him for about three hours before he was discovered.
Officials said the employees, who have been placed on leave, were sleeping for some or all of that time.

Mr. Epstein had pleaded not guilty and been denied bail. Prosecutors in Manhattan said he lured dozens of underage girls into giving him erotic massages and engaging in other sexual acts in the early 2000s at his mansions in New York City and Palm Beach, Fla.

The girls were paid hundreds of dollars in cash for the encounters and, once recruited, were asked to return to his homes several times, where they were abused again, the indictment against him said.


Given the lack of explanation, the high-profile nature of Mr. Epstein’s crimes and the disgraced financier’s ties to a number of prominent people, wild theories about his death spread across social media from people of disparate ideologies.

Several prominent figures in politics, media and academia, while insisting they were not conspiracy theorists, expressed skepticism that Mr. Epstein had killed himself. Mr. Trump, who has shared unfounded conspiracy theories in the past, also contributed to the frenzy, sharing a tweet with a baseless theory about Mr. Epstein and the Clintons.

Dr. Sampson, the medical examiner, said on Sunday night that her office had conducted an autopsy of Mr. Epstein but declined to release a determination about the cause of death. A city official said at the time that she wanted more information from law enforcement before releasing her determination. A private pathologist hired by Mr. Epstein’s lawyer observed the autopsy.

On Thursday, an article in The Washington Post fueled further speculation when it reported that Mr. Epstein’s autopsy showed that he had a broken hyoid bone that could have been a sign of strangulation as well as of suicide by hanging.

But Dr. Sampson and several experts cautioned against drawing conclusions, saying the broken bones were consistent with hanging, especially in an older man.

Not surprisingly the week since Epstein’s death has led to a lot of bizarre speculation about this death ranging from the suggestion that he was murdered to speculation that he was actually still alive and had been moved into protection in the Federal Witness Protection Program. Obviously, there hasn’t been any evidence to support these conspiracy theories, but that hasn’t stopped them from spreading across the internet. Depending on who you listened to the guilty party behind Epstein’s death was either the Clinton’s or Donald Trump, with the motive being a desire to hide evidence of involvement in his alleged high-profile ring of pedophiles.

On the tamer side, there has been the suggestion that Epstein was able to commit suicide because prison guards had dropped the ball. As noted above, Epstein had previously apparently tried to kill himself but had been taken off suicide watch after a week. Additionally, it appears that there had not been regular patrols past his cell in several hours before his body was found, thus arguably giving him more than enough time to kill himself unnoticed. These matters ought to be investigated and people held responsible as necessary. As it stands, though, it appears that the original diagnosis of suicide was correct.

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Doug Mataconis
About Doug Mataconis
Doug Mataconis held a B.A. in Political Science from Rutgers University and J.D. from George Mason University School of Law. He joined the staff of OTB in May 2010 and contributed a staggering 16,483 posts before his retirement in January 2020. He passed far too young in July 2021.


  1. CSK says:

    According to the Daily Beast, the person who claimed Epstein’s body is his brother Mark.

  2. Gustopher says:

    Suicide? That’s what they want you to believe….

    (They want you to believe it because it’s true, but that doesn’t meant it isn’t what they want you to believe…)

  3. grumpy realist says:

    I suspect that this will just cause the conspiracy squawking to get louder and louder.

    “Never ascribe to malice that which can be explained by acute incompetence.”

    (Sort of reminds me of my prediction of what would happen with Brexit. I suspected that chances were high that we’d end up with a crash-out of the U.K. simply because no U.K. politician was in fact ever talking about the logistics of how to leave. It was all grandiose claims and airy “we’ll leave the bureaucrats to figure out how to do it”. Rogers, the U.K. ambassador to the EU, kept trying to tell people the issues that would have to be settled. He finally quit because no one was listening to him. It’s the incompetence of the British political class which will result in the expected disaster.)

  4. de stijl says:

    I said this last week:

    1.) A very simple suicide
    2.) A very complicated murder conspiracy.

    Occam’s razor, Hanlon’s razor, blah blah. Which is more likely?

    Turns out “bright” people at the prison took him off suicide watch, and idiot DOC guards slept thru their appointed rounds.

    Incompetency and stupidity underline most actions.