Cleveland kidnapper Ariel Castro may have died from auto-erotic asphyxiation rather than suicide, according to a new report.
The 53-year-old's trousers and underwear were around his ankles when he was found hanged on September 3 at the Correctional Reception Center in Orient, according to a report from the Ohio Department of Rehabilitation and Correction.
The former school bus driver was just a few weeks into a life sentence after pleading guilty in August to kidnapping three women from the streets of Cleveland, then imprisoning them in his home for a decade, during which time he repeatedly raped and beat them.
The report suggests that Castro may have died as a result of auto-erotic asphyxiation - where individuals achieve sexual satisfaction by briefly choking themselves into unconsciousness.
Gina DeJesus, Amanda Berry and Michelle Knight were kidnapped by Castro Castro did not leave a suicide note and "multiple levels of assessment" did not find a tendency towards suicide, the report said.
A comprehensive mental health evaluation also found "no evidence of serious mental illness or indications for suicide precautions were present".
Two prison guards falsified logs documenting the number of times they checked on Castro before he died.
Surveillance video indicates guards did not do at least eight required checks during the afternoon and evening.
The Cleveland house where the women were imprisoned has been destroyed The report also said an ambulance contracted to provide medical assistance at the prison was "significantly late" in arriving, but the delay was unlikely to have affected Castro's death.
Staff at the prison reception centre failed to make sure Castro watched a suicide prevention video when he arrived in August.
An autospy showed Castro's death was a suicide, and the cause of death was given as hanging.
His three victims - Gina DeJesus, Amanda Berry and Michelle Knight - disappeared between 2002 and 2004 when they were 14, 16 and 20 years old.
Castro had been sentenced to life in prison after pleading guilty to 937 counts, including kidnap and rape.
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