New York City's chief medical examiner has ruled fashion designer Kate Spade's death a suicide by hanging.
The determination was released Thursday, two days after the 55-year-old Spade was found dead in her Park Avenue apartment.
A housekeeper discovered her body in her bedroom. Police say she left a note that pointed to "a tragic suicide."
Spade's husband and business partner says she suffered from depression and anxiety for many years.
Andy Spade said in a statement Wednesday that his wife was seeing a doctor regularly and was taking medication to treat her disease.
He said she "sounded happy" the night before and her death was a complete shock.
Andy Spade said his main concern is protecting their 13-year-old daughter's privacy as she deals with "unimaginable grief."
Kate Spade's Death Ruled Suicide by Hanging

NEW YORK —