The cause of death for Bobbie Jean Carter , the sister of Backstreet Boys member Nick Carter and late singer Aaron Carter , has been revealed in a report from the Hillsborough County Medical Examiners office that was obtained Tuesday by multiple media outlets .

The document confirmed Bobbie Jean Carter died accidentally from intoxication by the combined effects of fentanyl and methamphetamine. The 41-year-old Tampa local was reportedly found unresponsive on the bathroom floor by her roommate on Dec. 23.

Bobbie Jean Carter, whose roommate had seen her alive half an hour earlier, was rushed to St. Josephs Hospital in cardiac arrest. She was pronounced dead at 8:02 a.m., just over a year after her younger brother died at 34 of an accidental drug overdose in his bathroom.

The report listed a number of prescription medications she had been taking, including propranolol, for anxiety; omeprazole, for indigestion, heartburn and acid reflux; the antibiotic clindamycin; and an antipsychotic for her reported schizophrenia diagnosis.

The Hillsborough County Sheriffs Office told People in December 2023 that they learned Bobbie Jean Carter was on probation for cocaine possession when she died. Authorities watched her 8-year-old daughter, Bella, until Jane Carter, Bobbie Jean Carters mother, arrived from Orlando.

I am in shock from learning of the sudden death of my daughter, Bobbie Jean; and I will need time to process the terrible reality of this happening for the third time, Jane Carter told TMZ at the time . When I am able to think clearly, Ill release a fuller statement.

The Carters have endured several hardships in the past two decades, including familial deaths, substance abuse struggles and criminal charges. Bobbie Jean Carter was arrested for fentanyl possession in June 2023; her mother was charged with domestic battery weeks prior.