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Smith's death was ruled by the Seminole Police Department in Florida as an "accidental drug overdose with no other criminal element". According to the coroner's toxicology report, Smith was battling a bacterial infection and the flu at the time of her death, and her system contained various substances, including methadone and Valium. While the two drugs are said to be "therapeutic," Smith also takes the sleeping pill chloral hydrate, a rarely prescribed sedative used to treat insomnia and alcohol withdrawal, to ease anxiety. settle. and pain relief after surgery. The drug is known to be fatal if combined with certain other drugs such as the sedative Lorazepam, which was also found in Smith's system during an autopsy. During an inquest into her death years later, Maurice Brighthaupt, Smith's security guard, alleged that he often watched her sip chloral hydrate from a bottle.

Although Smith's tragic death is believed to have been random and without "any evil act", the months leading up to her death were marked by many personal difficulties and questionable decisions. . of those closest to her. In September 2006, Smith gave birth to daughter Dannielynn and just three days later, her 20-year-old son, Daniel, died suddenly while visiting Smith in his
hospital room. His sudden death made it extremely difficult for the model, and at his funeral, Smith is said to have attempted to climb into her son's coffin. In a subsequent court battle for custody of Smith's body, her then-partner Howard K. Stern said he believed "emotionally, she died when Daniel passed away."

In September 2006, Smith gave birth to daughter Dannielynn Hope, but what should have been a happy time was marred by tragedy when her 20-year-old son, Daniel, died suddenly just three days later. Daniel's departure followed a dark period for Smith, who had fallen into a spiral of depression and addiction to prescription drugs. On February 8, 2007, Smith died of an accidental drug overdose. "You have to think: My daughter was born on September 7, and Daniel died on September 10. So you go from extreme high to extreme low, and how do you process that in your head?" Birkhead, also Dannielynn's father, said. "Although her death certificate would list another cause - from a drug overdose - in my mind, I think she actually died of a broken heart."
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