"Further review of the medical records indicate discussion with the decedent and his sister confirm suicidal ideation with cessation of food and water approximately six weeks prior to admission into hospital. It is also noted discussion with the sister and the decedent's attorney confirm prior suicidal ideations and attempts were made by the decedent by refusing intake of food and water. Based on the external examination findings and investigative history as available to me, it is my opinion that Nathan Daniel Larson, a 41-year-old male, died as a result of Complications of Protein Calorie Malnutrition and Wernicke's Encephalopathy. The manner of death is Suicide."