The Depraved Heart Murder | Full Episode | Forensic Files

[Music] [Music] I hate seeing people get away with stuff and I like figuring stuff out my
name is Ian iavo and I was the lead detective in the Sarah Harris case Sarah Harris she was
incredibly bright um one should always pursue knowledge no matter the topic very energetic very fun did Sarah have
any idea how beautiful she was honestly I don't think she did Sarah Jane Harris Sarah hopes to become an
anesthesiologist she was shocked that she won the Miss Marilyn petique pageant she had thought from a very young age
that she would want to be a doctor she wanted to help people in 2020 Sarah needed wisdom teeth pulled
she initially met James Ryan as a patient at his oral surgery practice I'm James Ryan I mean it's not just that we
say that we care but we really do we take pride Dr James Ryan was a well-respected oral surgeon a lot of
people knew him and thought very highly of him so she gets the teeth done she starts getting all these text messages
and they're from Dr Ryan and he says by the way I'm looking to hire someone as a
surgical assistant do you know anyone she says something like well what about me Mom and he offered her the
job she then became an employee and then his girlfriend and his living girlfriend Sarah's life appeared
glamorous on the outside but buying closed doors I mean that wasn't necessarily the case
I would have never ever thought that her life would end the way it did mon 911 my girlfriend I think overdosed I'm
trying to resuscitate her right now and what is your first and last name j ran I'm doing so compression and is she
responsive is she breathing she's not breathing when the two responding officers um got to the house they saw
Sarah she's laying on the floor what did authorities think had happened to Sarah that day she overdosed and we
don't know if it's an accident if it's suicide or if it's a homicide the decision was made to charge him with
depraved heart murder I think most of our audience will have never heard of depraved heart murder I have never seen
it before you have to show an extreme indifference to human life James Ryan provided those drugs that caused her
death that doesn't mean he's guilty of murder another way of presenting this case would be you never intended to hurt
her I knew this was not just some simple accidental overdose this was much more [Music]
the [Music] [Music] was she sleeping on the couch last night yeah she would do that
sometimes it's the morning of January 26 2022 Sarah Harris lies unresponsive on the floor of the room in disarray her
boyfriend Dr James Ryan tearfully talks with police at the scene the conversation is recorded on a body
camera as they ask him about the night before we're watching TV then she said you should probably go to bed because
you're tired and you have to work tomorrow so I did uhhuh what time did you go to bed probably about 10 or
11 Ryan has already told authorities he's a doctor and that he thinks it's an overdose and he says it's happened
before and I did CPR and brought her back this time Sarah doesn't survive Dr Ryan has suggested where she
got at least one of her drugs of choice a powerful anesthetic she used to take proter she used to
steal that from my office how they got into her body I've caught her before with um like injecting herself with
things and why she was bipolar also so she would could be really angry or could be really
happy Ryan had called Sarah's family with the awful news that morning but her mother Tina just didn't believe anything
he said she immediately suspected James Ryan was responsible for Sarah's death she arrived at the scene about 20
minutes later I started kicking and hitting him and screaming at mail let mail let
what did he say happened he said he went to bed and left her alone and came down and she was
unresponsive in the morning authorities say they found wrappers from syringes tourniquets and saline bags next to the
kitchen sink and Drug vials in Sarah's purse Tina thinks Ryan arranged it that way he wanted to look like it was a
suicide Tina had long held suspicions about Dr Ryan he had encountered Sarah Harris more than a year earlier not as a
girlfriend but as a patient to get her wisdom teeth out Dr Ryan is somebody who's practiced for over 20 years he has
incredible credentials Mary fan is a former prosecutor and defense attorney and a CBS News consultant we asked her
to use her Decades of courtroom experience to help analyze this case he's esteemed and regarded in his
community as one of the best at what he does Tina says the first time her daughter met Dr Ryan for her teeth in
the summer of 2020 the doctor was professional but she does remember at the time feeling it was curious when his
interest in Sarah seemed to change she starts getting all these text messages he asks her how are you doing and she
says I'm fine and he starts sending little emojis what are you thinking as her mom I thought it was a little
bizarre that he added a little happy face and I thought well maybe he just likes using emojis
she says that's when Ryan had mentioned he was looking to hire someone as a surgical assistant I thought well you
know maybe he just thinks that she'd really be a good addition Dr Ryan hardly seemed like a threat he was divorced
with three grown children and was involved with a woman with whom he already had a baby at 47 he was more
than twice Sarah's age he said no I don't need your resume just come on in for a working interview I said well I'm
proud of you honey that's pretty incredible what he's going to teach you all this
stuff at the beginning Sarah seemed to love the job but Tina says as the holidays approached an extravagant gift
retriggered her suspicion that Dr Ryan's interest in Sarah was more than professional what was it a diamond
necklace that's quite a gift I said okay he's after you I said you got to put your foot down instead in early 2021 she
says Sarah and announced she had agreed to go out for a meal with Ryan who was ending his other relationship he seemed
to win over Sarah and Tina admits in their early days as a couple even she found him impressive as a mother was a
part of you excited she was dating a doctor well I was excited I was excited because he had a wonderful reputation
and she says Ryan was generous he would Le Sarah a new car and take her and her family on trips all expenses paid Tina
says in a way he spent time courting her too you know he would say I would love to have you as my mom Sarah's so blessed
to have you Tina says she and Sarah always had a special bond we were very very close she says Sarah was close to her
three siblings too especially older sister Rachel Rachel took it upon herself that she was going to be the
protector but there had been a rough period during Sarah's youth in Suburban Maryland like many young people she
experimented with drugs and had problems moderating her mood she suffered from anxiety when did she first struggle with
depression I noticed depression coming about when she was about 14 15 years old she would start feeling down but Tina
says Sarah still excelled in high school craving knowledge and the skills that came with it um it's currently hanging
in the in Paris she learned German Spanish Russian and sign [Music] language she put a lot of pressure on
herself especially with her grades before long Sarah got her social bearings she fell into a great group of
kids they would sit out in the living room play the guitar play the piano sing she was at a music festival in
2018 when 21 one-year-old Sarah caught the eye of Henry Peterson 7 years older I feel like it was like stars colliding
and uh meeting someone like you're supposed to meet they lived 7 hours apart but he says they quickly became
emotionally Inseparable we talked about everything you could think of in terms of a future marriage and children and
family he says the distance eventually made them drift Peterson broke it off though he says he still imagined they
would end up together she and I never stopped talking the love was always there by her mid 20s Sarah had gotten
into modeling and competing in beauty pageants and in 2020 she'd won that Miss Marilyn petite pageant the next year is
when she started quietly seeing Dr Ryan and by that summer they had decided to live together and that's when everything
goes downhill [Music] [Applause] by the end of the summer of 2021 Tina Harris says James Ryan was dominating
Sarah's life boss boyfriend even letting her live rentree in his house but instead of flourishing Sarah seemed
anxious and depressed she saw a psychiatrist who gave her that bipolar diagnosis her complexion starts to
change she starts to lose weight on a family trip to Key West that September Tina says Sarah had been
asleep when a drunk Dr Ryan revealed something unsettling he had first noticed Sarah in
the park when she was just 14 I used to see Sarah walking the neighborhood and playing at the park with
friends and he says then I found out she worked in the toy store so I would take
my kids there so I could see her and I remember when she dressed up as Elsa from Frozen and she looked just like
Elsa and then he said yeah and then I found out she worked at one of these restaurants and so I would go in there
for dinner so I could get her as my server it sounds like Dr Ryan was obsessed with he was he was very much
so by their next trip to Florida a month later she says Sarah was acting strangely she wore a bulky longsleeve
sweatshirt despite the Heat and it seemed like she and Ryan were always fighting and she goes I hate him I don't
want to be here I want to go home and when they returned to Maryland Tina saw the full horrifying picture of what
Sarah's life had become she says she called Sarah on October 28th 2021 phone rang rang rang she finally
picked up she could barely talk her words were extremely slurred so I said Sarah what's going on what's wrong with
you she goes oh I'm just really tired mom you knew something was wrong yeah well I knew she was slurring Tina says
she and Rachel left for Sarah's house minutes later and we walked into hell what did you see well Sarah
answers the door she smells it looks like she hadn't bathed in a week or more she looked horrible she'd weighed 120
when she'd had oral surgery with Ryan Tina says but Sarah was Skin and Bones now and Tina says there was more The Ivy
bags needles laying all over the floor syringes tourniquets bloody Footprints bloody paper towels and there were drugs
by bottles and vials everywhere Rachel gathered them up and photographed them I never looked at the
drugs and I wish I had I do think some people watching would think how did you not look at what the drugs were of
course I just wanted to get her out she says Sarah had offered an innocent if unconvincing explanation she goes I've
just been dehydrated mom he's just hydrating me I said I'm turning him in and Sarah starts crying mom you can't do
that please don't do that she's begging me I grabbed her arms and I pulled her sleeves up and she had needle marks from
here to here all over her arms bruises I became hysterical against her better judgment Tina agreed to hold off on
calling authorities but she says she insisted Sarah move back home just Days Later Tina says Ryan
convinced Sarah to come back to him in the following weeks Tina says Sarah seemed to be getting better she
started cooking eating even going to church but on December 3rd 20121 Tina says her daughter answered the phone
slurring again Rachel Harris jumped into action Rachel said I'm going to go and check on
her when Rachel got there it was worse than the first time poking around the ground floor
Rachel once again pulled out her camera finding drug bottles and vials as well as a saline bag an IV pole
Ivy needles and bloody footprints on a kitchen mat she was so distraught she left
without talking to her sister a few days later Tina confronted Dr James Ryan she was in no mood for
another explanation I just reach across and smack the living crap out of him you
hit him yeah oh I hit him and I said what are you doing are you trying to kill my daughter Tina says Ryan still
insisted he'd only been hydrating her and you still believed it I believed he was giving her something I didn't know
what it was I did not look at the vas all I could see was my daughter and what kind of trouble she was in but the next
day she says Ryan admitted he'd been doing more than hydrating her he'd been giving Sarah drugs though only to keep
her from them someplace else so I told him I said look you can break it off with my daughter or I'm calling the
police and he said well I'll break it off with her but days turned into weeks and Dr Ryan never did after months of
tension Tina says she couldn't keep arguing with her daughter anymore what was I going to
do lock her up you probably wanted to I threatened it and she said if you do that Mom
when I get out you'll never hear from me again and that scared me to [Music] death within weeks there was a new
tragedy for the Harris family Sarah's brother Christopher just 38 died after a heart attack in
Montana I had to sign the papers to take him off life support which um no mother should have to
do his death was devastating to the whole family Sarah posted this tribute message to her brother never goodbye
I'll see you soon big bro and only 18 days after Christopher's death at about 8:30 a.m. on January 26
2022 Ina says she and Rachel were together when Rachel got James Ryan's call Rachel started screaming she's
holding the phone and James has it on FaceTime and he's got the camera pointed at my
[Music] baby that's there on the ground saying she's gone she's [Music] gone at the time of her death Sarah
Harris weighed just 83 lbs authorities would list her manner of death as undetermined Dr Ryan was not arrested
they seemed to accept his story that Sarah struggling with mental health issues had
overdosed but there would be help from a most UN likely investigator Rachel started trying to
get into Sarah's [Music] eyecloud I just hope that you're happy that I'm with someone who truly truly
loves me 3 months before she died Sarah left a voicemail for her ex-boyfriend Henry Peterson I've
never trusted anybody as much as I've trusted the man that I'm with right now professionally
emotionally you never let me in that way they'd stayed in touch after breaking up so when she didn't answer
her phone after January of 2022 Peterson says he had a strange feeling and decided to go online I Googled her name
and uh uh there's an obituary yeah he says when Tina gave him details he joined her in the belief that James
Ryan the man Sarah said she had trusted more than anybody else was responsible for her
death but First Responders didn't think so they didn't shut it down as a crime scene police seized some drug viol but
left the house unguarded Tina says that's because they believed what Dr Ryan had told them about where she'd
gotten the drugs and how she'd taken them it was an overdose but she says she knew there was
more to it than that though she didn't know how to prove it turns out there was someone very close to her who
did Rachel told me she would find the evidence Rachel Harris decided to ex examin Sarah's laptop to see if it might
contain Clues authorities hadn't seen she didn't know the password but she knew her sister well it took her
about a couple of days to figure out Sarah's password coming through Sarah's computer and iCloud Rachel hit P dirt a
trove of texts between her sister and James Ryan the messages were full of references to drugs including a
tranquilizer named Di Pam and two fast acting surgical anesthetics the type Rachel had seen in the home Dr Ryan and
Sarah shared propop fall and ketamine which is sometimes also used for depression Rachel created a binder
adding the photos she'd taken there Rachel compiled 200 pages of evidence the medical examiner would release
Sarah's autopsy report which showed those same three drugs in Sarah's system research suggests they can all be habit
forming and they can suppress breathing taking them in combination can be lethal
all the while Rachel's building a case yes yes in February 2022 Rachel gave her binder to montomery County Police it
eventually landed on the desk of detective Ian iello an expert in pharmaceutical investigations after more
than 33 years as a cop iello was nearing retirement he decided to come and alone
on a Sunday it was my birthday and nothing was going on you don't get parties when you're this age like I'm
just going to go in the office and look through this binder and just see what I cavello saw in Rachel's
binder suggested cops at the scene had been wrong about Sarah's death he says reading the text between Sarah and James
Ryan was like watching a murder in slow motion you could see Sarah die Sarah is suffering within the first month of
their relationship she had anxiety she was having trouble sleeping Ryan offers a
quick fix I can give you an injection the anxiety will be completely gone in 6 seconds he writes it will work let's try
it he had already made the decision I cavello says the text suggests that over the months Sarah
developed a drug habit and a habit of asking her boyfriend the doctor to feed it in October 2021 do we have ketamine
here in November we need syringes I feel like in December I just really need sleep she writes can you bring
propol she's actively asking for drugs at no point does he say no I cavello says the text suggests Dr
Ryan often brought Sarah the dangerous drugs and that he actually administered at least one about a month before her
death it was December 20th 2021 if you wake up I just went to change after I gave you ketamine just
now he writes he's injecting her while she's asleep no monitoring no anything an
iello points to this exchange from the day before Sarah died is it possible to bring home ketamine when you come she
asks yes I will bring some home I love you Baby Ryan replies the text tell a story they do
so do Rachel's photos from Sarah's house says I cavello though his colleagues lacking experience in pharmaceutical
investigations might not have understood that they had no idea what they were really looking at he says Patrol cops
and paramedics often deal with overdoses of street drugs like heroin and Fentanyl
but the deadly drugs in Sarah Harris's house were masquerading as something else there's a difference
between drugs and medication iello says to the untrained eye the drugs at Sarah look like
medication the paraphernalia around the house might have been confusing too usually what we see is burnt spoons tin
foil uh some hypodermic needles maybe a shoelace or some other string that kind of drug paraphernalia but to iello the
syringes and the saline the professional tourniquets and the plastic wrappers at
SAS made it resemble an operating room that's what a lot of it looked like whatever questions responding
authorities may have had he says Dr Ryan offered answers and you've got James saying she did all of
this without any other information okay well we're just kind of going to go with
what he says he's a doctor he's a doctor but I cavello says after reading through
the family's binder any credibility Dr Ryan may have had that day vanished and on March 22nd 2022 nearly 2
months after Sarah's death James Ryan was arrested for the murder of Sarah Harris but prosecutors
would have to make the case to a jury sometimes it's hard to convince them maybe especially so in this case
because James Ryan's defense is suggesting he was only trying to save Sarah's life and that she had other
ideas [Music] what do you make of those text messages between Sarah and Dr Ryan chat now with
the 48 Hours team on Facebook and X [Music] [Music] I knew the case was solid detective Ian I cavello was sure
Dr James Ryan was responsible for Sarah Harris's death and he had no problem convincing prosecutors on Montgomery
County's overdose task force Jennifer Harrison it's his fault James Dietrich he was the one who was providing those
drugs and kimly sisle he knew how dangerous these drugs were was a doctor after all but as certain as
prosecutors were that he knew he was risking Sarah's life they had no conclusive evidence he intended to kill
her we never suggested that you can accept that James Ryan loved Sarah Harris but it does not excuse all the
other actions that he took that led to Sarah's Sarah's death so they charge Ryan with a subcategory of second
deegree murder unfamiliar to many people it's known as has depraved heart murder
prosecutors say the charge doesn't require proving the killer actually wanted anyone dead only that they knew
their actions would likely kill someone and didn't care we have to prove that he
did it with Reckless disregard for the value of her life Di gave us an example forance if I take a gun and just
randomly shoot it into a crowd I may not necessarily want or care that anybody dies but that is such a grossly Reckless
Act that someone's likely to die prosecutors also charge Ryan with a slightly lesser charge involuntary
manslaughter plus two counts of drug distribution and one count of possession with intent to
distribute ladies and gentlemen meet Dr James Ry opening statements begin on August 16th
20123 there are no cameras in court but there is an audio recording but behind door he was conducting a deadly medical
experiment on his 25-year-old patient turned employee turned living girlfriend the prosecution
portrays Ryan as a controlling older man who got his glamorous young girlfriend hooked on drugs he was stealing
dangerous sedation drugs from his business and administering them to his girlfriend sah
prosecutors say the proof of Ryan's guilt is largely in those text messages Ryan offering to get rid of Sarah's
anxiety in six seconds telling her he gave her katamine while she was sleeping and on the night before her body was
found apparently agreeing to bring ketamine home to her can you tell us not fa I don't know where to start I was the
first to testify she was my baby Tina Harris is emotional as she relives Sarah's downward spiral just months
before dying I asked to see her arms and she said no Mama but I grabbed her arms and I pulled
up the sleeves and her little arms were covered in Needle marks and bruises and then medical examiner tells
the jury about the Dangerous Drug cocktail that brought her life to a tragic end when people use all three
together those just cause profound strong sedation the drugs can be so dangerous in fact the prosecution tells
jurors that doctors who use these drugs have equipment and protocols in place to
revive patients if needed even though Dr Ryan would follow all of those safety protocols calls in his own office he
would never follow those at home she was chemically dependent on she was chemically dependent on him prosecutors
also call social worker Janice Miller who says that kind of power imbalance is a Hallmark of abusive relationships the
drugs were the way that he controlled her and really ensured that she wouldn't leave the relationship he's created an
addict Dr Ryan and his attorneys did not agree to be interviewed by 48 hours but
at trial they argue Sarah Harris may have played an important role in her own demise suggesting that after wrestling
with mental illness she is now losing her battle with anxiety depression and drugs their focus on Sarah Harris is
obviously her mental illness the defense suggests Sarah may have begun stealing the drugs herself they want the jury to
know about her Facebook post about seeing her deceased brother soon but the judge won't allow
it but they are allowed to tell jurors about a text Sarah sent Ryan months before her
death she said I've lost my will to live I've lost my will to live do you think there's any chance
Sarah was suicidal absolutely not absolutely not where's the indication of a suicide on the scene there is none
detective I cavello says the drug bottles found found in Sarah's purse were too far from her body for her to
have given them to herself these drugs are fast acting she's going to be out in seconds how she put all the medication
in her purse then went and laid down not possible she wouldn't have cleaned up somebody else had to have done
it but according to CBS News consultant Mary fan the defense argues that detectives mishandled the seen that
there's no way to know exactly what happened including who administered the Fatal dose they didn't test to see if
his DNA or fingerprints were on those syringes Dr Ryan chooses not to testify the defense argues he was a loving
partner who was just trying to help Sarah this is a case about caring for somebody and possibly loving them to
death his lawyers call a friend who saw Sarah using drugs before she began dating Ryan and relative who saw them as
a happy couple in closings prosecutors remind the jury that to convict Ryan of depraved heart murder it doesn't matter
whether or not he actually put the drugs in Sarah's body or even whether or not he wanted her to Die the act of giving
her the drugs is him handing her a loaded gun but with the jury agree if you were a juror in this case
what would be your verdict and why learn more about the case at 48 [Music] hours.com I try to believe the best in
people and my for as long as Kyle Stevens can remember his friend Dr James Ryan has done right by people he was
pretty straight lace clean cut guy when he talked about Sarah how did he sound in the beginning he seemed enthusiastic
and excited but Steven says at a certain point Ryan did reach out with a concern
he had asked about how to best be helpful and supportive to someone in that place of depression and possibly
addiction did it make you wonder if he was actually asking about Sarah yeah but I didn't press so Steven says he had no
idea what was really going on between the two then he discovered his friend was arrested and headed to trial when
you heard the verdict what did you think I was taken back after a nearly 2 we trial it takes
jurors Less Than 3 hours to reach their decision have to count one murder in second degree
on August 25th 2023 they find James Ryan guilty of the second deegree depraved heart murder of Sarah
Harris relief yeah relief they also convict Ryan on the manslaughter and drug charges my heart
just felt satisfied Sarah's voice was heard through this Tina and Rachel speak at a press conference after the verdict
she was this beautiful beauty queen and she wasted away at the hands of Dr James
Ryan and again at sentencing months later he is a predator he is a wolf and she floating
pleas my bar until his life is done but James Ryan's lawyers had submitted supportive letters from his
friends and a legal filing which detailed that James Ryan had his own struggles with drugs and mental health
Ryan addresses the court and insists he didn't administer the lethal dose but takes responsibility for not preventing
Sarah's access to the drugs that killed her the words do not exist to convey and
express the level of remorse I feel though the guidelines suggest a sentence of 15 to 25 years for the this
case of depraved heart murder the judge has something else in mind it is the sentence of this court that you be
committed to the Maryland Division of Corrections for a period of 40 years with more time for the other
counts it's a total of 45 years in prison a 45e sentence puts James Ryan in a category with some violent murderers
you know 45 years for James Ryan is basically life patients rely on doctors and their expertise in their advice and
I think she's sending a very loud message to the medical community and State's Attorney John
McCarthy wants to send a message to lawmakers the depraved heart murder charge may have worked in this trial but
it's a difficult crime to prove in other overdose cases we need tougher laws as early as 2015 McCarthy began pushing to
streamline Maryland law so State prosecutor ERS can more easily convict dealers and Distributors who Supply the
drugs that lead to overdose deaths but it hasn't been easy we're not at a place in Maryland right now that the
legislature seems very interested in creating new crimes and new penalties Ian iello who read murder
between the lines of this case and retired after the trial says he still thinks of Sarah often I did everything I
could um for her so does her ex-boyfriend Henry Peterson who looks back at their breakup
with regret I guess I always thought she was going to be there a regret Sarah seemed
to share he showed us a letter she wrote him years earlier when their relationship ended you made me feel
alive now that year gone I feel so many pieces and parts have died with you as if to preserve his connection to
Sarah Peterson still practices a kerto he played at her [Music] grave where today a mother who faced
great loss with even greater courage struggles to face the future without Sarah and her brother so close in life
and death that she actually buried their ashes in the same casket I hear Sarah tell me
Mama it's okay what do you want your daughter's legacy to be I want people to remember my Sarah
as a light a brilliant young woman who cared about others and loved life loved it
[Music] [Music] as a kid growing up in Chicago there was one horror movie I was too scared to
watch it was called Candyman but did you know that the movie Candyman was partly
inspired by an actual murder listen to Candyman the true story behind the bathroom mirror murder wherever you get
your podcasts I'm eron morard of 40 8 hours and of all the cases I've covered this is the one that troubles me most
listen to murder in the Orange Grove the trouble case against Crosley green wherever you get your podcast
[Music]

A surgeon is accused of drugging his girlfriend in order to control her. "48 Hours" contributor Nikki Battiste reports. Watch more full episodes of "48 Hours" on Pluto TV. (Aired Oct. 5, 2024)

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Brief Summary

The episode details Sarah Harris's death, Dr. James Ryan's culpability, and the legal battle that followed.

Key points

The Tragic Death of Sarah Harris. Sarah Harris, a promising young woman, tragically dies under suspicious circumstances involving her boyfriend, Dr. James Ryan.
A Mother's Instinct. Tina Harris suspects Dr. Ryan's involvement in her daughter's death, leading to a confrontation.
Uncovering the Truth. Rachel Harris investigates her sister's death, discovering crucial evidence on Sarah's laptop.
James Ryan Found Guilty. After a nearly two-week trial, jurors find James Ryan guilty of second-degree depraved heart murder.
Sentencing of James Ryan. James Ryan is sentenced to 45 years in prison for his role in Sarah's death.

Episode highlights

Episode quotes

I would have never ever thought that her life would end the way it did.

2:00WatchOct 10, 2024

Tension

85/ 100High tension

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