The official autopsy results for Sabrina Ray have been released by the Iowa Office of the State Medical Examiner, and they confirm what had been suspected up until now: the 16-year-old from Perry died of malnutrition.

On May 12th, Sabrina was found dead in the home of her adoptive parents, Marc and Misty Ray, weighing a mere 56 pounds. She also appeared to have suffered from physical abuse, but the autopsy concluded that didn’t directly lead to her death. Marc and Misty are being charged with 11 counts related to Sabrina’s death and are awaiting trial at the Dallas County Jail. Carla and Josie Bousman, Misty’s mother and niece, and Justin Ray, Marc and Misty’s biological son, are also being charged in connection to the incident.

The five suspects will all stand trial starting October 30th at the Dallas County Courthouse. Raccoon Valley Radio will bring more information on this case as it’s made official.