 She had left him in a hotel room and he was rushed to the hospital in March. An autopsy showed Aston, who had Down syndrome, died from malnutrition and dehydration, complicated by neglect. Sarah Beth Aldridge with the Shelby County District Attorney's Office tells WBRC Serena Starkey was the sole suspect in her son's death. It's just unfortunate. You know, it's sad. You never want to see the death of anyone. You know, I wish this wouldn't have happened and that, you know, she was still here so we could hold her accountable for what she did and get justice for this family.