Otto Warmbier, the American student who was detained and held in North Korea before being returned back to the U.S. earlier this month, has died, according to his family. He was 22 years old.

News of Warmbier’s death follows reports from doctors that he had suffered extensive brain damage and was unresponsive to his surroundings. Officials from the University of Cincinnati Medical Center, which treated the student upon his return, labeled his condition as a “state of unresponsive wakefulness.”

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