Updated

A coroner says that the death of a woman in Cleveland police custody came after she was physically restrained in a prone position and that her heart condition and bipolar disorder also were factors.

A report released Friday by the Cuyahoga (ky-uh-HOH'-guh) County medical examiner ruled Tanisha Anderson's death a homicide.

Anderson died Nov. 12 after losing consciousness in the custody of officers while having a mental-health episode. Relatives say the 37-year-old was schizophrenic and claim an officer used excessive force.

Her family said at a news conference nearly two weeks ago that they wanted more answers about what happened and that Cleveland officers need better training on dealing with mentally ill people.

A message seeking comment was left with Cleveland police.