Smith died on October 21, 2003, at age 34 from two stab wounds to the chest.[2] At the time of the stabbing, he was at his Lemoyne Street home in Echo Park, California,[63] where he lived with his girlfriend, Jennifer Chiba. According to Chiba, the two were arguing,[35] and she locked herself in the bathroom to take a shower.[64] Chiba heard him scream, and upon opening the door, saw Smith standing with a knife in his chest. She pulled the knife out, after which he collapsed and she called 9-1-1. Smith died in the hospital with the time of death listed as 1:36 p.m. While Smith's death was originally reported as a suicide, the official autopsy report released in December 2003 left open the question of possible homicide.[2] A possible suicide note, written on a Post-it, read, "I'm so sorry—love, Elliott. God forgive me."[2] The coroner's report had the name Elliott misspelled as "Elliot," however "a coroner's official told TSG that Smith's first name was misspelled in the report," not on the Post-it note.[2]
According to Pitchfork Media, record producer Larry Crane reported on his Tape Op message board that he had planned to help Smith mix his album in mid-November. Crane wrote, "I hadn't talked to Elliott in over a year. His girlfriend, Jennifer, called me [last week] and asked if I'd like to come to L.A. and help mix and finish [Smith's album]. I said yes, of course, and chatted with Elliott for the first time in ages. It seems surreal that he would call me to finish an album and then a week later kill himself. I talked to Jennifer this morning, who was obviously shattered and in tears, and she said, 'I don't understand, he was so healthy.'"[65]
The coroner's report revealed that no traces of illegal substances or alcohol were found in his system at the time of his death, but did find prescribed levels of antidepressant, anxiolytic and ADHD medications in his system, including Clonazepam, Mirtazapine, Atomoxetine and Amphetamine.[66] Also, no hesitation wounds were found on Smith, a trait typical of suicide by self infliction.[35] With his death not being officially declared a suicide, a journalist noted that some have suspected foul play,[67] but also that the authorities do not seem to be investigating the case further.[68] Smith's body was cremated.[69] No public burial site or memorial was ever formally announced.
