Jeffrey Epstein’s death earlier this month has been ruled a suicide by hanging.

The New York Times reported on Friday that the city’s medical examiner has officially made the ruling six days after Epstein was found dead in his jail cell at the Metropolitan Correctional Center in Manhattan.

According to the Times, which cites a copy of the report, guards found Epstein at about 6:30 a.m. on Saturday while making their rounds. He appeared to have tied a bedsheet to a top row of bunk beds and then knelt to the floor, breaking his neck. This aligns with a report earlier this week, which said Epstein sustained multiple breaks in his neck bones.

A primary autopsy had been conducted on Sunday, but the New York City Medical Examiner’s office said at the time that the results were “pending further information.”

Epstein’s death had been at the center of speculation, given the circumstances surrounding the disgraced multimillionaire. He was awaiting trial on sex trafficking charges, and was found just a day after court records were unsealed in which one of his alleged victims, Virginia Giuffre, claimed that she was kept as a teenage sex slave by the Hollywood financier. 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.

Epstein was arrested on July 9 and pleaded not guilty to the federal charges.