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Editor’s Note : This article contains discussions of suicide. Reader discretion is advised. If you or someone you know is struggling with thoughts of suicide, you can find resources in your area on the National Crisis Line website or by calling 988.

( NewsNation ) — The Philadelphia Medical Examiner’s Office has determined Ellen Greenberg’s cause of death and ruled it a suicide again.

The review comes just ahead of a Tuesday hearing in a civil case filed by Greenberg’s parents , according to People Magazine. Greenberg was found dead Jan. 26, 2011, in the kitchen of her apartment by her fiancé. The 27-year-old had been stabbed 2

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