The 66-year-old disgraced financier was found dead in his prison cell on August 10th. He had pleaded guilty in 2008 to Florida state charges of soliciting prostitution from a minor, in a controversial non-prosecution agreement with the US.
The statement released by Chief Medical Examiner Barbara Sampson, which specified that Epstein hanged himself, confirms her office's preliminary findings last weekend. A private pathologist also observed the autopsy, the statement said, calling it "routine practice".
In response to Epstein's suicide, the Justice Department suspended two jail guards and transferred the warden.
Saturday morning, alleged sex-trafficker Jeffrey Epstein was found dead. According to the report, the marks around Epstein's neck looked like they had been left by fabric, not rope.
"This is not a 75-year-old menopausal woman who has osteoporosis", he said.
It's protocol for detainees coming off suicide watch not to be placed alone in a cell, the source said, and Epstein initially had a cellmate in the special housing unit.
The lawsuit by Jennifer Araoz was also directed at Epstein's former girlfriend Ghislaine Maxwell and three other unidentified accomplices.
An ex-convict - who spent time in the same jail as Epstein - recently told the New York Post that it is "impossible" to kill yourself inside the cells.
Attorney-General William Barr said officials have uncovered "serious irregularities" at the jail, which has housed other high-profile detainees such as Mexican drug baron El Chapo and fraudster Bernie Madoff.
Epstein's lawyers say they are not satisfied with the medical examiner's findings, and that they are planning their own investigation.
Even if one assumes, for the sake of argument, that the medical examiner's ruling is correct and Epstein's death was a suicide, that by no means forecloses the possibility, if not likelihood, of a conspiracy to eliminate him prior to a trial or plea deal.
The official says the Federal Bureau of Investigation has repeatedly sought interviews with some staff members but those interviews are being delayed by union representatives. The suit claims the women were working as hostesses in a Manhattan restaurant in 2004, when they were 18 and 20, and told to give Epstein massages. Her claims implicated a number of other high-power figures, including Britain's Prince Andrew, former New Mexico Gov. Bill Richardson and former U.S. Senator George Mitchell, all of whom have denied the accusations. They seek $100 million in damages, citing depression, anxiety, anger and flashbacks.