Jeffrey Epstein died by suicide in his jail cell on August 10, 2019. He was awaiting trial on federal sex trafficking charges at the Metropolitan Correctional Center in New York City. Epstein hanged himself with an orange noose he fashioned from a sheet or a shirt, tying it to the top of his bunk. He was found unresponsive in his cell by prison guards, who performed CPR before he was transported to a hospital where he was pronounced dead. An official investigation by the U.S. Justice Department's Office of the Inspector General concluded that Epstein's death was a suicide by hanging. The medical examiner found no evidence of foul play such as marks on Epstein's hands or bruises that would suggest a struggle. Toxicology tests also revealed no medications or illegal substances in his system. The investigation highlighted numerous failures by jail staff, including not following protocols to have Epstein housed with a cellmate or monitored regularly. The two guards assigned to check on him fell asleep for about three hours and falsified records. Security cameras outside his cell also malfunctioned during the night. Despite these failures, the evidence supports suicide rather than homicide. Epstein had previously attempted suicide in custody a few weeks before his death, and staff were warned he should have been housed with a cellmate, but those policies were not followed. These circumstances, combined with Epstein's knowledge of powerful figures and irregularities at the jail, fueled widespread public speculation and conspiracy theories about his death. However, official findings affirm suicide as the cause.