How did Jeffrey Epstein die according to the medical examiner and public investigative reports?

According to the medical examiner and public investigative reports, Jeffrey Epstein died by suicide, specifically by hanging, as determined by the Office of the Chief Medical Examiner, City of New York EFTA00172546. The medical examiner found that the cause of death was hanging and the manner of death was suicide, with evidence including a ligature furrow, petechial hemorrhages, and plethora consistent with suicide by hanging EFTA00172546. However, Epstein’s lawyers and some experts, including a pathologist hired by his brother, have disputed this ruling, suggesting that the injuries could be consistent with homicidal strangulation EFTA01683964. Despite this, the New York City Chief Medical Examiner, Dr. Barbara Sampson, stands by her conclusion that Epstein died by suicide EFTA01683964.