Six months after Liam Payne’s death, his sister Ruth offers an emotional tribute: “I’m still screaming for you in my head.”

And prescription antidepressants” in his bloodstream, according to his toxicology report, which was made public in November.

According to the BBC, an inquest in the UK earlier this year ruled that Payne’s cause of death was “polytrauma,” after a hearing in December at Buckinghamshire Coroner’s Court.

If you or someone you know is experiencing drug misuse, please call 1-800-662-HELP, the SAMHSA hotline.