An 11-year-old girl died after getting into a fight with another girl over a boy Friday in Long Beach, California, according to an ABC News article. Health officials and Long Beach police are trying to determine the cause of death.

11-year-old, Joanna Ramos, a 5th grader at Willard Elementary School, died Friday night in the hospital after she complained of a headache.

Fellow classmate and friend Stephanie Soltero said that Ramos "was so nice to me; she was like a sister to me...[t]hey were fighting over a boy, just for a boy. It's just stupid."

The two girls pre-planned the fight as they and 7 other classmates went to an alley off campus after school on Friday to settle their argument. Neither of the girls used weapons nor were either of the 2 girls knocked to the ground during the altercation.

Authorities are still waiting for autopsy results to determine Ramos' cause of death.

Further, Ramos' classmate claimed that she complained about a headache after the fight when Ramos and other students attended an after school program.

In fact,  a classmate present at the  after school program said, "[s]he was crying and saying her head was hurting. She said to the supervisor, the principal on call, she told them that my head was hurting and then she called the parents and the parents took her to the hospital."

According to police, Ramos was neither breathing nor conscious when her family rushed her to the hospital around 5:50 p.m. She was subsequently taken into emergency surgery. Unfortunately, she was pronounced dead a mere three hours later.

Long Beach Mayor Bob Foster left the following words after Ramos' passing Saturday: "There are times when words do not convey a sense of sadness and loss that we feel. This was one of those times. Our hearts go out to the families affected by this tragic event yesterday. It resulted in the death of an 11-year-old girl from Long Beach. It's hard to understand how this can happen. If you're like me, you're also thinking of your own children, perhaps your daughter or your granddaughter, and you get a sense of how precious life really is."

Friends and other Long Beach residents have left balloons, candles, stuffed animals, flowers and letters to Ramos outside Willard Elementary School.

Joanna Ramos tragically died in an Elementary School fight and I feel deeply saddened and remorseful for her family, her friends and the city of Long Beach. It is scary to think that the force of what I assume was a fist of another 5th grade girl had enough power to cause a head injury sufficient to end her life just hours later.

The preliminary reports do not indicate that Ramos had a pre-existing condition that made her more susceptible to brain or head injuries that could be exacerbated by, among other things,  an 11-year-old-punch. Yet, the autopsy will shed more light on questions such as her pre-existing medical condition and her cause of death when they are revealed.

Another question is the school's potential liability with regarding Ramos' death as schools are charged with the responsibility to ensure the safety of their students.

One issue here is that the fight occurred off of the school's  premises and after school hours, which could play to the school's advantage. However, Ramos attended the school's after school program, which raises questions as to whether she should have ever been allowed to leave the school premises at all. The answers to these questions will be important because they will tend to prove whether or not Ramos' should have been under the school's supervision when she received the fatal blow .

What do you think?