Elena Moore died from natural causes following mental crisis, says coroner

LEXINGTON, SC (WOLO) — According to Lexington County Coroner Margaret Fisher, 39-year-old Elena Moore’s cause of death stemmed from “natural causes” and is listed on the autopsy report as “complications from cardiac dysrhythmias” following a mental health crisis.

Moore’s body was found on June 17th in a ravine at the intersection of Old Cherokee Road and North Lake Drive in Lexington.

Fisher revealed the results of the autopsy, which was performed by MUSC in Charleston, to media Friday afternoon during a press conference at the Lexington County Coroner’s Office.

Fisher confirmed there was no evidence of traumatic injury to Moore’s body, no evidence of sexual assault, and no substances found in Moore’s body other than alcohol — of .089.

With the family’s consent, Fisher also released important medical details regarding Moore’s mental health, saying that Moore was diagnosed with a mental disorder in April of 2025.

She was first reported missing on June 5th — the same day she would be seen on video pretending to be a DoorDash driver. According to Fisher, when EMS arrived, they reported that Moore was not wearing shoes and was in the middle of a mental crisis. She was then taken to the emergency room where psychiatrists had her involuntarily committed to a local mental health facility.

There, Fisher reports that Moore was diagnosed with “unspecified psychosis”, and “paranoia.” Fisher also says Moore had not taken needed cardiac medicine for an extended period of time. The facility, which Fisher chose not to name, reported that Moore was given her cardiac medicine, however Fisher said there were no signs of the medicine found in Moore’s body during the autopsy.

On June 11th, Moore was released by the facility via a taxi. Fisher says Moore’s husband, former police officer Brannon Slice, offered to pick Moore up, but the facility told him they would place Moore in a taxi and send her to his home. Fisher says Moore would then ask the taxi driver to take her by a CVS she used to be employed at, where she would run away on foot.

Moore would later be caught on camera walking across a Lowe’s and then a Publix parking lot … Then later — the intersection where she was found dead. Fisher says the high 100 degree temperatures that day would have exacerbated Moore’s heart condition.

“This is mental illness. Her heart condition, she probably could have lived through that heart condition with her medication, but she was in a full mental health crisis. So many people missed it. The only person that really tried to help this girl, to get her help through the system, is her husband. That’s it,” says Fisher, adding that Slice “is not nor ever was a suspect or person of interest in the case.”

Fisher also said that information regarding the case should come directly from her office, or the assisting agency SLED, commenting on the multiple conspiracy theories and accusations on social media around the case.

Previous information on this story can be found here.