A ‘brilliant’ young artist’s loss of life might change how the NHS treats pupil psychological well being.
Becky Marshall died by suicide simply weeks after beginning college, in November 2017 – one of a number of pupil deaths lately.
Assistant Southwark Coroner Briony Ballard stated there have been ‘many missed opportunities’ in treating the Kent 19-year-old, as NHS trusts promised to be taught lessons from her loss of life.
The historical past of artwork pupil’s mother and father say that when she went to Goldsmiths University in London, she ‘fell in the cracks’ between two trusts.
An investigation and motion plan by each the Lewisham and Kent NHS trusts pledged to extend communication, particularly with college students and high-risk sufferers.
A spokesperson for South London and Maudsley NHS Foundation Trust stated: ‘Following Rebecca’s loss of life, an inner investigation was carried out. We have recognized areas the place we are able to enhance communication and data sharing with different Trusts and organisations, together with universities, concerned in a affected person’s care.’
Parents Stephen and Jeanette Marshall, 59 and 57, came upon daughter Ms Marshall was one of 80 folks seen recurrently by an overwhelmed psychological well being nurse of their hometown of Maidstone.
Inderjit Randhawa, the nurse at Kent and Medway NHS Trust’s major care psychological well being workforce, stated she ought to have been extra proactive when coping with the teenager.
In the 9 months earlier than her loss of life, she was left stranded as she tried to get an in-depth appointment to debate the dosage of her treatment, which she felt was not working.
In July 2017, she tried to take her personal life earlier than members of the general public intervened – however nonetheless didn’t get an appointment or prognosis to assist handle her psychological well being.
Two months later, throughout a gathering with a psychological well being employee, she was by accident advised that specialists had recommended that she might have emotionally unstable persona dysfunction, a controversial prognosis within the UK.
Despite a regarding appointment in September 2017, when Ms Marshall stated she imagined her self-harm wounds on her arm reworking into gaping mouths, there was one other two-month look forward to an appointment, as a result of her want was ‘downgraded from urgent to routine’.
She then moved to London and repeatedly tried to get an in-depth appointment with the South London and Maudsley NHS belief.
Dr Nighat Yasmeen, who was the final physician to see her on 8 November 2017, stated that an error meant she was solely seen for 20 to 30 minutes when the appointment ought to have taken an hour-and-a-half.
That assembly was imagined to be an in-depth dialogue about her psychological well being however ended up being a medicine evaluation.
She died simply two weeks later.
Helen Greatorex, Chief Executive of Kent and Medway NHS and Social Care Partnership Trust, added: ‘Miss Marshall’s loss of life was a tragedy and we, together with our South London and Maudsley colleagues have dedicated to a sequence of actions.
‘We have strengthened our strategy to supporting individuals who search assist via their GPs as half of our major care companies. Our intention is to make it as fast and straightforward as attainable for folks to get the assistance they want, once they want it.
‘We are working way more carefully with the coed wellbeing and assist companies within the schools and universities throughout the county, with an emphasis on quick monitoring college students to the psychological well being assist and assist they want.
‘Our third key change is a county-wide, Public Health led, Suicide Prevention Project. This work has been nationally recognised and is something that we believe is already saving lives and will continue to do so.’
Ms Marshall was seen as a gifted and decided artist, photographer and dancer.
Ian Bottle, her tutor throughout a basis yr on the University for the Creative Arts, Canterbury, stated she made essentially the most ‘profound impression’, including: ‘Her sensitivity, ambition, intelligence and determination in her work were extraordinary and enabled her to realise the most moving final project.’
The night earlier than she died, Ms Marshall despatched her father a textual content message to say that she liked him, her mom, and youthful sister Katy.
The subsequent day he referred to as and messaged her a number of occasions, earlier than utilizing the Find My iPhone operate to trace her to her room, the place her physique was found.
He stated: ‘We would really like neighborhood trusts (and) major care trusts to have a look at young folks holistically.
‘If a person is shifting, deal with them as a person. There has to be checks, balances, follow-ups and communication between the house NHS belief and the belief they’re with at college.
‘If you keep passing it down the line, you don’t take accountability. You throw the ball up and there’s no checks to see if somebody’s truly caught it.
‘But that ball isn’t a ball, it’s a person. It’s a daughter or son or brother or sister.’
Mum Mrs Marshall additionally stated universities have a duty to warn college students if they don’t have the power to look after folks’s psychological well being.