(CNN) Jeffrey Epstein's cause of death was suicide by hanging, the New York City Office of the Chief Medical Examiner said Friday.

Hours later, Epstein's attorneys said they will conduct their own investigation into the circumstances of his death.

The medical examiner's determination came almost a week after the multimillionaire was found in his cell at the Metropolitan Correctional Center, where the 66-year-old was awaiting trial on federal charges accusing him of sexually abusing underage girls and running a sex trafficking ring. He had pleaded not guilty to the charges.

The autopsy was performed Sunday, the chief medical examiner's office said in a statement at the time, but its findings were pending further information. A private pathologist also observed the autopsy, the statement said, calling it "routine practice."

Read More </s> FILE – This March 28, 2017, file photo, provided by the New York State Sex Offender Registry shows Jeffrey Epstein. Epstein has died by suicide while awaiting trial on sex-trafficking charges, says person briefed on the matter, Saturday, Aug. 10, 2019. (New York State Sex Offender Registry via AP, File)

NEW YORK (AP) — The FBI and the Justice Department’s inspector general’s office will investigate how Jeffrey Epstein died in an apparent suicide Saturday, while the probe into sexual abuse allegations against the well-connected financier remains ongoing, officials said.

Epstein, accused of orchestrating a sex-trafficking ring and sexually abusing dozens of underage girls, had been taken off suicide watch before he killed himself in a New York jail, a person familiar with the matter said.

Attorney General William Barr, in announcing the investigation, said he was “appalled” to learn of Epstein’s death while in federal custody.

“Mr. Epstein’s death raises serious questions that must be answered,” Barr said in a statement.

Epstein was found unresponsive in his cell Saturday morning at the Metropolitan Correctional Center, according to the Federal Bureau of Prisons. Fire officials received a call at 6:39 a.m. Saturday that Epstein was in cardiac arrest, and he was pronounced dead at New York Presbyterian-Lower Manhattan Hospital.

Epstein, 66, had been denied bail and faced up to 45 years behind bars on federal sex trafficking and conspiracy charges unsealed last month. He had pleaded not guilty and was awaiting trial.

The federal investigation into the allegations remains steadfast, U.S. Attorney Geoffrey Berman said. He noted in a statement Saturday that the indictment against Epstein includes a conspiracy charge, suggesting others could face charges in the case.

Epstein had been placed on suicide watch and given daily psychiatric evaluations after an incident a little over two weeks ago in which he was found with bruising on his neck, according to the person familiar with the matter who wasn’t authorized to discuss it publicly. It hasn’t been confirmed whether the injury was self-inflicted or the result of an assault.

Epstein was taken off suicide watch at the end of July, the person said.

The Bureau of Prisons confirmed that he had been housed in the jail’s Special Housing Unit, a heavily secured part of the facility that separates high-profile inmates from the general population. Until recently, the same unit had been home to the Mexican drug lord Joaquin “El Chapo” Guzman, who is now serving a life sentence at the so-called Supermax prison in Colorado.

Epstein’s death raises questions about how the Bureau of Prisons ensures the welfare of such high-profile inmates. In October, Boston gangster James “Whitey” Bulger was killed in a federal prison in West Virginia where had just been transferred.

Nebraska Sen. Ben Sasse, a Republican member of the Senate Judiciary Committee, wrote Saturday in a scathing letter to Barr that “heads must roll” after the incident.

“Every single person in the Justice Department — from your Main Justice headquarters staff all the way to the night-shift jailer — knew that this man was a suicide risk, and that his dark secrets couldn’t be allowed to die with him,” Sasse wrote.

Cameron Lindsay, a former warden who ran three federal lockups, said the death represents “an unfortunate and shocking failure, if proven to be a suicide.”

“Unequivocally, he should have been on active suicide watch and therefore under direct and constant supervision,” Lindsay said.

Epstein’s removal from suicide watch would have been approved by both the warden of the jail and the facility’s chief psychologist, said Jack Donson, a former prison official who worked for the Bureau of Prisons for more than two decades.

An attorney for Jeffrey Epstein, Marc Fernich, said in a statement that jailers at the Metropolitan Correctional Center failed to protect Epstein and to prevent the “calamity” of his death.

Fernich also said that reporters, plaintiffs’ lawyers and court officials “should be ashamed of their behavior” following Epstein’s indictment. He said Epstein had “long since paid his debt to society” for his crimes.

Epstein’s arrest last month launched separate investigations into how authorities handled his case initially when similar charges were first brought against him in Florida more than a decade ago. U.S. Labor Secretary Alexander Acosta resigned last month after coming under fire for overseeing that deal when he was U.S. attorney in Miami.

On Friday, more than 2,000 pages of documents were released related to a since-settled lawsuit against Epstein’s ex-girlfriend by Virginia Giuffre, one of Epstein’s accusers. The records contain graphic allegations against Epstein, as well as the transcript of a 2016 deposition of Epstein in which he repeatedly refused to answer questions to avoid incriminating himself.

Giuffre, in an interview with The New York Times, said she’s grateful Epstein will never harm anyone again, but is angry that there would be no chance to see him answer for his conduct.

“We’ve worked so hard to get here, and he stole that from us, too,” she told the newspaper.

Sigrid McCawley, Giuffre’s attorney, said Epstein’s suicide less than 24 hours after the documents were unsealed “is no coincidence.” McCawley urged authorities to continue their investigation, focusing on Epstein associates who she said “participated and facilitated Epstein’s horrifying sex trafficking scheme.”

Other accusers and their lawyers reacted to the news with frustration that the financier won’t have to face them in court.

“We have to live with the scars of his actions for the rest of our lives, while he will never face the consequences of the crimes he committed the pain and trauma he caused so many people,” accuser Jennifer Araoz said in a statement.

Brad Edwards, a Florida lawyer for nearly two dozen other accusers, said that “this is not the ending anyone was looking for.”

“The victims deserved to see Epstein held accountable, and he owed it to everyone he hurt to accept responsibility for all of the pain he caused,” Edwards said in a statement.

Epstein’s arrest drew national attention, particularly focusing on a deal that allowed Epstein to plead guilty in 2008 to soliciting a minor for prostitution in Florida and avoid more serious federal charges.

Federal prosecutors in New York reopened the probe after investigative reporting by The Miami Herald stirred outrage over that plea bargain.

His lawyers maintained that the new charges in New York were covered by the 2008 plea deal and that Epstein hadn’t had any illicit contact with underage girls since serving his 13-month sentence in Florida.

Before his legal troubles, Epstein led a life of extraordinary luxury that drew powerful people into his orbit. He socialized with princes and presidents and lived on a 100-acre private Caribbean island and one of the biggest mansions in New York.

This story has corrected the name of the Metropolitan Correctional Center.

Sisak reported from Myrtle Beach, South Carolina, and Balsamo from Savannah, Georgia. Associated Press writers Curt Anderson, Jennifer Peltz, David Klepper and Larry Neumeister contributed to this report. </s> 1. Jeffrey Epstein, the financier indicted on sex trafficking charges who was able to cultivate a stream of high-profile friends despite his lurid lifestyle, committed suicide at a Manhattan jail, officials said.

Mr. Epstein, pictured above in 2017, hanged himself at the Metropolitan Correctional Center, and his body was found Saturday morning. Last month, he was found unconscious in his cell with marks on his neck but was not under suicide watch when he took his own life.

Attorney General William Barr said that the death “raises serious questions,” and that a special inquiry would be opened into what happened. </s> FILE – This July 25, 2013, file image provided by the Florida Department of Law Enforcement shows financier Jeffrey Epstein. Officials say the FBI and U.S. Inspector General’s office will investigate how Epstein died in an apparent suicide, while the probe into sexual abuse allegations against the well-connected financier remains ongoing. A person familiar with the matter says Epstein, accused of orchestrating a sex-trafficking ring and sexually abusing dozens of underage girls, had been taken off suicide watch before he killed himself Saturday, Aug. 10, 2019, in a New York jail. (Florida Department of Law Enforcement via AP, File)

NEW YORK (AP) — New York City’s medical examiner ruled Jeffrey Epstein’s death a suicide Friday, confirming after nearly a week of speculation that the financier faced with sex trafficking charges hanged himself in his jail cell.

Epstein, 66, was found dead at the Metropolitan Correctional Center on Aug. 10, touching off outrage that such a high-profile prisoner could have gone unwatched at the Manhattan federal lockup where infamous inmates Mexican drug lord Joaquin “El Chapo” Guzman and Wall Street swindler Bernard Madoff came and went without incident.

Chief Medical Examiner Dr. Barbara Sampson said in a statement that she made the suicide determination “after careful review of all investigative information, including complete autopsy findings.”

Sampson’s announcement came as a Justice Department official told The Associated Press that some prison staffers believed to have relevant information aren’t cooperating with investigators.

Epstein’s lawyers said they were “not satisfied” with Sampson’s conclusions and that they would conduct their own investigation, including seeking to obtain any video of the area around Epstein’s cell from the time leading to his death.

Epstein, arrested July 6 and jailed since, was found dead with a bedsheet around his neck less than 24 hours after more than 2,000 pages of documents were made public from a since-settled lawsuit against an ex-girlfriend alleged to be his aide-de-camp. The documents included graphic allegations against Epstein and a 2016 deposition in which he refused to answer questions to avoid incriminating himself.

At the time of Epstein’s death, the Bureau of Prisons said he had apparently killed himself. But that did not squelch conspiracy theories , including one retweeted by President Donald Trump that speculated Epstein was murdered.

What emerged in the days that followed, however, was not evidence of a sinister plot, but early signs that prison staff failed to properly secure and monitor a prisoner, leading to ferocious criticism by everyone from Attorney General William Barr to Epstein’s lawyers.

Jail guards on Epstein’s unit failed to check on him every half hour, as required, and are suspected of falsifying log entries to show they had, according to several people familiar with the matter. Both were working overtime because of staffing shortages, the people said. They spoke on condition of anonymity because they lacked authorization to publicly discuss the investigation.

Epstein, who was charged with sexually abusing numerous underage girls over several years, had been placed on suicide watch last month after he was found on his cell floor July 23 with bruises on his neck.

Multiple people familiar with operations at the jail say Epstein was taken off the watch after about a week and put back in a high-security housing unit where he was less closely monitored, but still supposed to be checked on every 30 minutes.

Barr says officials have uncovered “serious irregularities” at the jail. The FBI and the Justice Department’s inspector general are investigating.

“It is indisputable that the authorities violated their own protocols,” Epstein’s lawyers said in a statement late Friday, calling the conditions in the unit where Epstein spent his final hours, “harsh, even medieval.”

In the wake of Epstein’s death, federal prosecutors have shifted their focus to possible charges against anyone who assisted or enabled him in what authorities say was rampant sexual abuse. Barr, on Monday, warned that “any co-conspirators should not rest easy.”

Authorities are most likely turning their attention to the team of recruiters and employees who, according to police reports, knew about Epstein’s penchant for underage girls and lined up victims for him.

The Associated Press reviewed hundreds of pages of police reports , FBI records and court documents that show Epstein relied on an entire staff of associates to arrange massages that led to sex acts.

Meanwhile, the investigation into Epstein’s death is being hampered because some people, including jail staff members who are believed to have information pertinent to the probe, aren’t cooperating and have not yet been interviewed by the FBI, according to a Justice Department official.

The official said the FBI has repeatedly sought interviews with staff members but those interviews are being delayed by union representatives. The official was not authorized to discuss the investigation publicly and spoke to the AP on condition of anonymity.

One possible roadblock to further charges is the controversial plea agreement Epstein struck more than a decade ago in Florida . The non-prosecution agreement not only allowed Epstein to plead guilty in 2008 to lesser state charges and serve just 13 months behind bars, it also shielded from prosecution several Epstein associates who allegedly were paid to recruit girls for him.

The AP often does not report details of suicide methods but has made an exception because Epstein’s cause of death is pertinent to the ongoing investigations.

The Washington Post and The New York Times reported Thursday that the autopsy revealed that a bone in Epstein’s neck had been broken, leading to speculation his death was a homicide. Sampson responded that “no single finding can be evaluated in a vacuum” and experts said the bone in question often breaks in suicidal hangings.

Autopsy reports are not public records in New York, and the details of the medical examiner’s finding, or the evidence she relied upon, were not immediately available.

An office telephone number for Dr. Michael Baden, the pathologist hired by Epstein’s representatives to observe the autopsy, repeatedly rang unanswered on Friday.

Epstein was a wealth manager who hobnobbed with the rich, famous and influential, including presidents and a prince.

He owned a private island in the Caribbean, homes in Paris and New York City, a New Mexico ranch and a fleet of high-price cars. His friends had once included Britain’s Prince Andrew and Bill Clinton and Donald Trump. Clinton and Trump both said they had not seen Epstein in years when new charges were brought against him last month.

The medical examiner’s ruling that Epstein’s death was a suicide came a day after two more women sued Jeffrey Epstein’s estate, saying he sexually abused them. The suit, filed Thursday in a federal court in New York, claims the women were working as hostesses at a popular Manhattan restaurant in 2004 when they were recruited to give Epstein massages.

One was 18 at the time. The other was 20.

The lawsuit says an unidentified female recruiter offered the hostesses hundreds of dollars to provide massages to Epstein, saying he “liked young, pretty girls to massage him,” and wouldn’t engage in any unwanted touching. The women say Epstein groped them anyway.

One plaintiff now lives in Japan, the other in Baltimore. They seek $100 million in damages, citing depression, anxiety, anger and flashbacks.

Other lawsuits, filed over many years by other women, accused him of hiring girls as young as 14 or 15 to give him massages, then subjecting them to sex acts.

Michael Balsamo reported from Washington. Associated Press writer Jim Mustian in Atlanta, Georgia, contributed to this report. </s> NEW YORK — The FBI and the Justice Department's inspector general's office will investigate how Jeffrey Epstein died in an apparent suicide Saturday, while the probe into sexual abuse allegations against the well-connected financier remains ongoing, officials said.

Epstein, accused of orchestrating a sex-trafficking ring and sexually abusing dozens of underage girls, had been taken off suicide watch before he killed himself in a New York jail, a person familiar with the matter said.

Attorney General William Barr, in announcing the investigation, said he was "appalled" to learn of Epstein's death while in federal custody.

"Mr. Epstein's death raises serious questions that must be answered," Barr said in a statement.

FILE - This March 28, 2017, file photo, provided by the New York State Sex Offender Registry shows Jeffrey Epstein. (New York State Sex Offender Registry via AP)

Epstein was found unresponsive in his cell Saturday morning at the Metropolitan Correctional Center, according to the Federal Bureau of Prisons. Fire officials received a call at 6:39 a.m. Saturday that Epstein was in cardiac arrest, and he was pronounced dead at New York Presbyterian-Lower Manhattan Hospital.

Epstein, 66, had been denied bail and faced up to 45 years behind bars on federal sex trafficking and conspiracy charges unsealed last month. He had pleaded not guilty and was awaiting trial.

The federal investigation into the allegations remains steadfast, U.S. Attorney Geoffrey Berman said. He noted in a statement Saturday that the indictment against Epstein includes a conspiracy charge, suggesting others could face charges in the case.

Epstein had been placed on suicide watch and given daily psychiatric evaluations after an incident a little over two weeks ago in which he was found with bruising on his neck, according to the person familiar with the matter who wasn't authorized to discuss it publicly. It hasn't been confirmed whether the injury was self-inflicted or the result of an assault.

Epstein was taken off suicide watch at the end of July, the person said.

The Bureau of Prisons confirmed that he had been housed in the jail's Special Housing Unit, a heavily secured part of the facility that separates high-profile inmates from the general population. Until recently, the same unit had been home to the Mexican drug lord Joaquin "El Chapo" Guzman, who is now serving a life sentence at the so-called Supermax prison in Colorado.

Epstein's death raises questions about how the Bureau of Prisons ensures the welfare of such high-profile inmates. In October, Boston gangster James "Whitey" Bulger was killed in a federal prison in West Virginia where he had just been transferred.

Nebraska Sen. Ben Sasse, a Republican member of the Senate Judiciary Committee, wrote Saturday in a scathing letter to Barr that "heads must roll" after the incident.

"Every single person in the Justice Department — from your Main Justice headquarters staff all the way to the night-shift jailer — knew that this man was a suicide risk, and that his dark secrets couldn't be allowed to die with him," Sasse wrote.

Cameron Lindsay, a former warden who ran three federal lockups, said the death represents "an unfortunate and shocking failure, if proven to be a suicide."

"Unequivocally, he should have been on active suicide watch and therefore under direct and constant supervision," Lindsay said.

Epstein's removal from suicide watch would have been approved by both the warden of the jail and the facility's chief psychologist, said Jack Donson, a former prison official who worked for the Bureau of Prisons for more than two decades.

An attorney for Jeffrey Epstein, Marc Fernich, said in a statement that jailers at the Metropolitan Correctional Center failed to protect Epstein and to prevent the "calamity" of his death.

Fernich also said that reporters, plaintiffs' lawyers and court officials "should be ashamed of their behavior" following Epstein's indictment. He said Epstein had "long since paid his debt to society" for his crimes.

Epstein's arrest last month launched separate investigations into how authorities handled his case initially when similar charges were first brought against him in Florida more than a decade ago. U.S. Labor Secretary Alexander Acosta resigned last month after coming under fire for overseeing that deal when he was U.S. attorney in Miami.

On Friday, more than 2,000 pages of documents were released related to a since-settled lawsuit against Epstein's ex-girlfriend by Virginia Giuffre, one of Epstein's accusers. The records contain graphic allegations against Epstein, as well as the transcript of a 2016 deposition of Epstein in which he repeatedly refused to answer questions to avoid incriminating himself.

Giuffre, in an interview with The New York Times, said she's grateful Epstein will never harm anyone again, but is angry that there would be no chance to see him answer for his conduct.

"We've worked so hard to get here, and he stole that from us, too," she told the newspaper.

Sigrid McCawley, Giuffre's attorney, said Epstein's suicide less than 24 hours after the documents were unsealed "is no coincidence." McCawley urged authorities to continue their investigation, focusing on Epstein associates who she said "participated and facilitated Epstein's horrifying sex trafficking scheme."

Other accusers and their lawyers reacted to the news with frustration that the financier won't have to face them in court.

"We have to live with the scars of his actions for the rest of our lives, while he will never face the consequences of the crimes he committed the pain and trauma he caused so many people," accuser Jennifer Araoz said in a statement.

Brad Edwards, a Florida lawyer for nearly two dozen other accusers, said that "this is not the ending anyone was looking for."

"The victims deserved to see Epstein held accountable, and he owed it to everyone he hurt to accept responsibility for all of the pain he caused," Edwards said in a statement.

Epstein's arrest drew national attention, particularly focusing on a deal that allowed Epstein to plead guilty in 2008 to soliciting a minor for prostitution in Florida and avoid more serious federal charges.

Federal prosecutors in New York reopened the probe after investigative reporting by The Miami Herald stirred outrage over that plea bargain.

His lawyers maintained that the new charges in New York were covered by the 2008 plea deal and that Epstein hadn't had any illicit contact with underage girls since serving his 13-month sentence in Florida.

Before his legal troubles, Epstein led a life of extraordinary luxury that drew powerful people into his orbit. He socialized with princes and presidents and lived on a 100-acre private Caribbean island and one of the biggest mansions in New York.

Sisak reported from Myrtle Beach, South Carolina, and Balsamo from Savannah, Georgia. Associated Press writers Curt Anderson, Jennifer Peltz, David Klepper and Larry Neumeister contributed to this report.

RELATED: US government will execute inmates for first time since 2003 </s> Jeffrey Epstein died of an apparent suicide in his jail cell, now prompting an additional federal investigation into his death along with one already examining allegations of sexual abuse and conspiracy against him.

Epstein, a wealthy financier accused of orchestrating a sex-trafficking ring and sexually abusing dozens of underage girls, was found Saturday morning unresponsive in his cell at the Metropolitan Correctional Center, according to the Federal Bureau of Prisons. He was later pronounced dead at New York Presbyterian-Lower Manhattan Hospital.

Epstein had been placed on suicide watch after he was found a little over two weeks ago with bruising on his neck, according to a person familiar with the matter who wasn't authorized to discuss it publicly. But he was taken off the watch at the end of July and therefore wasn't on it at the time of his death, the person said.

RELATED: Source: Jeffrey Epstein taken off suicide watch before death; feds to continue probe despite death

Attorney General William Barr, calling for an investigation by the FBI and the Justice Department's inspector general's office, said he was "appalled" to learn of Epstein's death while in federal custody.

"Mr. Epstein's death raises serious questions that must be answered," Barr said in a statement.

Epstein, 66, had been denied bail and faced up to 45 years behind bars on federal sex trafficking and conspiracy charges unsealed last month. He had pleaded not guilty and was awaiting trial.

The federal investigation into the allegations remains ongoing, U.S. Attorney Geoffrey Berman said. He noted in a statement Saturday that the indictment against Epstein includes a conspiracy charge, suggesting others could face charges in the case.

Epstein's death raises questions about how the Bureau of Prisons ensures the welfare of such high-profile inmates. In October, Boston gangster James "Whitey" Bulger was killed in a federal prison in West Virginia where had just been transferred.

Nebraska Sen. Ben Sasse, a Republican member of the Senate Judiciary Committee, wrote Saturday in a scathing letter to Barr that "heads must roll" after the incident.

"Every single person in the Justice Department — from your Main Justice headquarters staff all the way to the night-shift jailer — knew that this man was a suicide risk, and that his dark secrets couldn't be allowed to die with him," Sasse wrote.

Epstein's removal from suicide watch would have been approved by both the warden of the jail and the facility's chief psychologist, said Jack Donson, a former prison official who worked for the Bureau of Prisons for more than two decades.

On Friday, more than 2,000 pages of documents were released related to a since-settled lawsuit against Epstein's ex-girlfriend by Virginia Giuffre, one of Epstein's accusers. The records contain graphic allegations against Epstein, as well as the transcript of a 2016 deposition of Epstein in which he repeatedly refused to answer questions to avoid incriminating himself.

Giuffre, in an interview with The New York Times, said she's grateful Epstein will never harm anyone again, but is angry that there would be no chance to see him answer for his conduct.

"We've worked so hard to get here, and he stole that from us, too," she told the newspaper.

Sigrid McCawley, Giuffre's attorney, said Epstein's suicide less than 24 hours after the documents were unsealed "is no coincidence." McCawley urged authorities to continue their investigation, focusing on Epstein associates who she said "participated and facilitated Epstein's horrifying sex trafficking scheme."

Epstein's arrest drew national attention, particularly focusing on a deal that allowed Epstein to plead guilty in 2008 to soliciting a minor for prostitution in Florida and avoid more serious federal charges.

Federal prosecutors in New York reopened the probe after investigative reporting by The Miami Herald stirred outrage over that plea bargain.

His lawyers maintained that the new charges in New York were covered by the 2008 plea deal and that Epstein hadn't had any illicit contact with underage girls since serving his 13-month sentence in Florida.

Before his legal troubles, Epstein led a life of extraordinary luxury that drew powerful people into his orbit. He socialized with princes and presidents and lived on a 100-acre private Caribbean island and one of the biggest mansions in New York.

Sisak reported from Myrtle Beach, South Carolina, and Balsamo from Savannah, Georgia. Associated Press writers Curt Anderson, Jennifer Peltz, David Klepper and Larry Neumeister contributed to this report. </s> NEW YORK — New York City's medical examiner ruled Jeffrey Epstein's death a suicide Friday, confirming after nearly a week of speculation that the financier hanged himself in his jail cell.

Epstein, 66, was found dead in his cell at the Metropolitan Correctional Center in New York City on Aug. 10, touching off outrage and disbelief over how such a high-profile prisoner, known for socializing with powerful people including presidents Donald Trump and Bill Clinton, could have gone unwatched.

Chief Medical Examiner Dr. Barbara Sampson said in a statement that she made the suicide determination "after careful review of all investigative information, including complete autopsy findings."

The Bureau of Prisons said at the time Epstein had apparently killed himself, but that didn't squelch conspiracy theories about his death.

One of Epstein's lawyers, Marc Fernich, declined to comment. An office telephone number for Dr. Michael Baden, the pathologist hired by Epstein's representatives to observe the autopsy, rang unanswered.

Epstein, who was charged with sexually abusing numerous underage girls over several years, had been placed on suicide watch last month after he was found on his cell floor July 23 with bruises on his neck.

RELATED: Epstein accuser sues as questions swirl about his death

But multiple people familiar with operations at the jail say he was taken off the watch after about a week and put back in a high-security housing unit where he was less closely monitored, but still supposed to be checked on every 30 minutes.

Attorney General William Barr says officials have uncovered "serious irregularities" at the jail. The FBI and the Justice Department's inspector general are both investigating.

After news of Epstein's death went public, U.S. Attorney Geoffrey Berman said the federal investigation into the allegations against Epstein remains steadfast.

Jail guards on duty the night of Epstein's death are suspected of falsifying log entries to show they were checking on inmates every half hour as required, according to several people familiar with the matter. Both were working overtime because of staffing shortages at the jail, the people said. They spoke on condition of anonymity because they lacked authorization to publicly discuss the investigation.

The Associated Press often does not report details of suicide methods but has made an exception because Epstein's cause of death is pertinent to the ongoing investigations.

The Washington Post and The New York Times reported Thursday that the autopsy revealed that a bone in Epstein's neck had been broken, leading to speculation his death was a homicide, though experts said the bone in question often breaks in suicidal hangings.

Sampson issued a statement Thursday in response to those articles, saying: "In all forensic investigations, all information must be synthesized to determine the cause and manner of death. Everything must be consistent; no single finding can be evaluated in a vacuum."

Autopsy reports are not public records in New York and the details of the medical examiner's finding, or what evidence she relied upon, were not immediately made available.

Epstein, 66, was a wealth manager who hobnobbed with the rich, famous and influential, including presidents and a prince.

He owned a private island in the Caribbean, homes in Paris and New York City, a New Mexico ranch, and a fleet of high-price cars. His friends had once included Britain's Prince Andrew, Clinton and Trump. Clinton and Trump both said they hadn't seen Epstein in years when new charges were brought against him last month.

The medical examiner's ruling came a day after two more women sued Jeffrey Epstein's estate, saying he sexually abused them.

The suit, filed Thursday in a federal court in New York, claims the women were working as hostesses at a popular Manhattan restaurant in 2004 when they were recruited to give Epstein massages.

One was 18 at the time. The other was 20.

The lawsuit says an unidentified female recruiter offered the hostesses hundreds of dollars to provide massages to Epstein, saying he "liked young, pretty girls to massage him," and wouldn't engage in any unwanted touching. The women say Epstein groped them anyway.

One plaintiff now lives in Japan, the other in Baltimore. They seek $100 million in damages, citing depression, anxiety, anger and flashbacks.

Other lawsuits, filed over many years by other women, accused him of hiring girls as young as 14 or 15 to give him massages, then subjecting them to sex acts.

If you or someone you know may be struggling with suicidal thoughts you can call the U.S. National Suicide Prevention Lifeline at 800-273-TALK (8255) any time of day or night or chat online. </s> FILE – This July 25, 2013, file image provided by the Florida Department of Law Enforcement shows financier Jeffrey Epstein. Officials say the FBI and U.S. Inspector General’s office will investigate how Epstein died in an apparent suicide, while the probe into sexual abuse allegations against the well-connected financier remains ongoing. A person familiar with the matter says Epstein, accused of orchestrating a sex-trafficking ring and sexually abusing dozens of underage girls, had been taken off suicide watch before he killed himself Saturday, Aug. 10, 2019, in a New York jail. (Florida Department of Law Enforcement via AP, File)

NEW YORK (AP) — Jeffrey Epstein’s prison death has been confirmed a suicide by hanging, the medical examiner’s office said Friday.

Epstein, 66, was found dead in his cell at the Metropolitan Correctional Center in New York City on Aug. 10, touching off outrage and disbelief over how such a high-profile prisoner, known for socializing with powerful people including presidents Donald Trump and Bill Clinton, could have gone unwatched.

The Bureau of Prisons said Epstein had apparently killed himself, but that didn’t squelch conspiracy theories about his death.

Messages seeking comment were left for Epstein’s lawyers. An office telephone number for Dr. Michael Baden, the pathologist hired by Epstein’s representatives to observe the autopsy, rang unanswered.

Epstein, who was charged with sexually abusing numerous underage girls over several years, had been placed on suicide watch last month after he was found on his cell floor on July 23 with bruising on his neck.

But multiple people familiar with operations at the jail say he was taken off the watch after about a week and put back in a high-security housing unit where he was less closely monitored, but still supposed to be checked on every 30 minutes.

Attorney General William Barr says officials have uncovered “serious irregularities” at the jail. The FBI and the Justice Department’s inspector general are both investigating Epstein’s death.

Jail guards on duty the night of Epstein’s death are suspected of falsifying log entries to show they were checking on inmates every half-hour as required, according to several people familiar with the matter.

A guard in Epstein’s unit was working a fifth straight day of overtime and another guard was working mandatory overtime, the people said. They spoke on condition of anonymity because the lacked authorization to publicly discuss the investigation.

U.S. District Judge Richard Berman, who is in charge of the criminal case against Epstein, asked the jail’s warden this week for answers about the earlier episode, writing in a letter Monday that it had “never been definitively explained.”

The warden replied that an internal investigation was completed but that he couldn’t provide information because the findings were being incorporated into investigations into Epstein’s death.

The Associated Press often does not report details of suicide methods, but has made an exception because Epstein’s cause of death is pertinent to the ongoing investigations.

The Washington Post and The New York Times reported Thursday that the autopsy revealed that several bones in Epstein’s neck had been broken, leading to speculation his death was a homicide.

Chief Medical Examiner Barbara Sampson issued a statement Thursday in response to those articles, saying: “In all forensic investigations, all information must be synthesized to determine the cause and manner of death. Everything must be consistent; no single finding can be evaluated in a vacuum.”

The medical examiner’s ruling came a day after two more women sued Jeffrey Epstein’s estate, saying he sexually abused them.

The suit, filed Thursday in a federal court in New York, claims the women were working as hostesses at a popular Manhattan restaurant in 2004 when they were recruited to give Epstein massages.

One was 18 at the time. The other was 20.

The lawsuit says an unidentified female recruiter offered the hostesses hundreds of dollars to provide massages to Epstein, saying he “liked young, pretty girls to massage him,” and wouldn’t engage in any unwanted touching. The women say Epstein groped them anyway.

One plaintiff now lives in Japan, the other in Baltimore. They seek $100 million in damages, citing depression, anxiety, anger and flashbacks.

Other lawsuits, filed over many years by other women, accused him of hiring girls as young as 14 or 15 to give him massages, then subjecting them to sex acts. </s> Jeffrey Epstein's prison death has been ruled a suicide by hanging, the medical examiner's office said Friday.

Epstein, 66, was found dead in his cell at the Metropolitan Correctional Center in New York City on Aug. 10, touching off outrage and disbelief over how such a high-profile prisoner, known for socializing with powerful people including presidents Donald Trump and Bill Clinton, could have gone unwatched.

The Bureau of Prisons said Epstein had apparently killed himself, but that didn't squelch conspiracy theories about his death.

Epstein, who was charged with sexually abusing numerous underage girls over several years, had been placed on suicide watch last month after he was found on his cell floor on July 23 with bruising on his neck.

But multiple people familiar with operations at the jail say he was taken off the watch after about a week and put back in a high-security housing unit where he was less closely monitored, but still supposed to be checked on every 30 minutes.

Attorney General William Barr says officials have uncovered "serious irregularities" at the jail. The FBI and the Justice Department's inspector general are investigating Epstein's death.

Watch: U.S. attorney general appalled by 'irregularities' at Epstein's jail

Jail guards on duty the night of Epstein's death are suspected of falsifying log entries to show they were checking on inmates every half-hour as required, according to several people familiar with the matter.

A guard in Epstein's unit was working a fifth straight day of overtime and another guard was working mandatory overtime, the people said. They spoke on condition of anonymity because the lacked authorization to publicly discuss the investigation.

U.S. District Judge Richard Berman, who is in charge of the criminal case against Epstein, asked the jail's warden this week for answers about the earlier episode, writing in a letter Monday that it had "never been definitively explained."

The warden replied that an internal investigation was completed but that he couldn't provide information because the findings were being incorporated into investigations into Epstein's death.

The Washington Post and the New York Times reported Thursday that the autopsy revealed that several bones in Epstein's neck had been broken, leading to speculation his death was a homicide.

Chief medical examiner Barbara Sampson issued a statement Thursday in response to those articles, saying: "In all forensic investigations, all information must be synthesized to determine the cause and manner of death. Everything must be consistent; no single finding can be evaluated in a vacuum."

The medical examiner's ruling came a day after two more women sued Epstein's estate, saying he sexually abused them.

The suit, filed in a federal court in New York, claims the women were working as hostesses at a popular Manhattan restaurant in 2004 when they were recruited to give Epstein massages.

One was 18 at the time. The other was 20.

The lawsuit says an unidentified female recruiter offered the hostesses hundreds of dollars to provide massages to Epstein, saying he "liked young, pretty girls to massage him," and wouldn't engage in any unwanted touching. The women say Epstein groped them anyway.

One plaintiff now lives in Japan, the other in Baltimore. They seek $100 million US in damages, citing depression, anxiety, anger and flashbacks.

Other lawsuits, filed over many years by other women, accused him of hiring girls as young as 14 or 15 to give him massages, then subjecting them to sex acts.
The death of accused sexual trafficker Jeffrey Epstein is ruled a suicide by hanging by the New York City Office of the Chief Medical Examiner. Epstein's attorneys say they will be conducting their own investigation into his death.