Anne Marie Hochhalter, a Columbine shooting survivor, died at 43 from sepsis, with her 1999 injuries contributing to her death, now ruled a homicide.

Anne Marie Hochhalter was found dead at the age of 43 in her home in Westminster, Colo. on Feb. 16. The Columbine survivor's manner of death is 'best classified as homicide,' according to an autopsy report from the Jefferson County Coroner’s Office.

The death of a woman who was partially paralyzed in the Columbine High School shooting has been ruled a homicide, raising the death toll of the 1999 attack to 14.