HONOLULU -- The Honolulu Medical examiner released autopsy results Thursday in the alleged double murder-suicide in Mililani.

The report said Michael James Jr. used different methods to kill his wife and son before killing himself Wednesday

The coroner said the death of insurance salesman Michael Anthony James, 43, was pronounced a suicide by hanging.

His wife Grineline, also known as Elaine, suffered a "blunt injury to the head" but died from asphyxiation from being strangled.

The couple's 7-year-old son Michael was also struck in the head, by his death was caused by being drowned in a bathtub the coroner's report said.

Meanwhile, neighbors, co-workers and friends of the James family said they tried to make sense of the loss.

Especially distressing to fellow elementary school students was the death of the James's son, Michael, who was preparing to enter the third grade.

Michael James III was a student at St. John the Baptist Catholic School in Kalihi.

School officials and teachers said they struggle to comprehend the horror of losing such a bright boy. Michael had been preparing for the summer school art show.

"He was a fun kid. He had lots of friends in fact. My last memory of him is driving up to school seeing him. He was always playing hide and go seek with his friends while they waited for their summer school teacher," Vice Principal Arleen Domondon said.

Domondon said Michael's mother Grineline was a dedicated school volunteer, serving as a homeroom mother, yearbook advisor and parent teacher's guild secretary.

"She was highly involved a very supportive parent. Both of them were," Domondon said.

Father Michael James was a friend to the faculty.

"He always made you feel really comfortable and welcome," Domondon said.

Grineline taught English as a second language at Farrington. Principal Catherine Payne said there was no indication Grineline was suffering.

"Certainly has given us a lot to think about with respect to domestic violence and we want to talk more about and encourage people who may be in situations to reach out," Payne said.

The James' neighbors said it will always be troubling to look at their house.

"It is very hard because it's right across the street. Every time you drive to work or just leave the house it is a reminder every day," Mililani Resident Mark Arce said.

Friends, family, and neighbors said it was sad to think about what happened to a family who seemed to have it all together.