‘The Wire’ Star James Ransone’s Medical Examiner Report Revealed: Medications, No Suicide Note, More

James Ransone’s medical report reveals new information surrounding the actor’s shocking death by suicide.

According to the medical report, obtained by Us Weekly on Wednesday, July 1, Ransone “had a medical history of mental health issues and suicidal ideations” prior to his death in December 2025 at the age of 46.

The medical examiner’s office also revealed that there were “prescription medications found at the scene,” but there was “no drug paraphernalia and no note found at the scene.”

In the “scene description” box, authorities noted, “There were multiple prescription medications labeled, ‘diazepam, hydroxyzine, and trazodone’ found at the scene.” As the medical examiner’s office indicated, Ransone did not leave a note or message before his death.

The toxicology report revealed that despite finding prescription meds on scene, Ransone’s body was free of the drugs they tested for one day after his death.

The examiner’s findings showed that although a preliminary test for benzodiazepines a.k.a. Benzos presented a “presumptive positive” result, when a second test was conducted the drug was “not detected.”

Ransone was tested for several other drugs, including cocaine, metabolites, fentanyl, methamphetamine and MDMA, all of which were not detected.

Opiates codeine and morphine as well as opiates hydrocodone and hydromorphone phencyclidine were also not found in his system.

The Wire actor was also tested for alcohol, which was not detected in his blood, per the report.

The medical examiner’s report included information from the police and the witness statement, who in Ransone’s case was his brother.

According to his brother, Ransone had a “history of suicidal ideations and no prior attempts” to take his own life before December 2025.

The file also stated that the decedent “recently mentioned he needed to go to the hospital to receive treatment for unspecified mental health issues,” per his brother’s statement to authorities.

News broke in December 2025 that the It: Chapter Two actor had died after he was found unresponsive in a shed. Records viewed by Us at the time confirmed that The Los Angeles County Medical Examiner ruled the death an apparent suicide.

Ransone’s official cause of death was listed as suicide on his death certificate, which Us viewed in early January.

Ransone is survived by his wife, Jamie McPhee, and their two children, Jack and Violet.

Two months after his death, Us confirmed that McPhee filed a property petition in Los Angeles.

She revealed that a written agreement between herself and Ransone “does not exist,” but was asking the court to determine her late husband’s estate as now belonging to her since they had been married since 2017.

In May, McPhee gave an update on her family amid their grief as she celebrated her and Ransone’s son, Jack, turning 7 years old.

“To all of our friends and family — it takes a village indeed. We love everyone so much,” she wrote via Instagram at the time. “Thank you for all your support, love, kindness, food, tears, and laughs these last 5 months. I can finally see that every day is a gift so on this one we celebrate Jack together. Thank you thank you thank you.”

If you or someone you know is struggling with substance abuse, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-HELP (4357).