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An investigation revealed that an aspiring teenager who often compared her appearance to that of other social media was found hanging in her wardrobe by her father.
Shante Stephenson, 19, has committed suicide a week after being deemed "out of crisis" by the NHS, said the Walthamstow Coroners Court investigation.
The teenager had low self-esteem vis-à-vis her career and "particularly" of her appearance, frequently looking at social media sites and comparing herself to her peers, said the court investigation Coroners of Walthamstow.
Miss Stephenson, who had just lost her job at River Island, was badigned to an NHS crisis team, but was officially released on June 22 – five days before her death.
It was tragically revealed that she was to receive medication on the day of her death, but they were there with two days late.
Her father, who attended the investigation, found her hanging in her wardrobe after a friend who was staying with them came from church without her.
The investigation revealed that Miss Stephenson had a history of anxiety and depression and attempted murder a year before her death before being sent back to Impart, a NHS Waltham Forest mental health crisis team.
Dr. William Travers, then consultant psychiatrist of the Impart home treatment team, met with Ms. Stephenson at home seven days after her suicide attempt on July 18.
Addressing the investigation, Dr. Travers said: "I saw her alone at home and I established the circumstances of the overdose – that is. was seven days after the incident.
"It seemed to have been triggered by an experience in which she was playing a role in a theatrical series, she did not think she interpreted it well, and she stayed there, replaying it constantly in her mind.
"After that, she spoke to her friend and reported a feeling of hopelessness during the phone call – it was at that point that she developed the idea. "
Dr. Travers said that she seemed more "resigned" to the fact that she had survived rather than "relieved".
He said: "She told me that since the age of 11, she was aiming not to be good enough, with regards to her career ambitions and her physical appearance in particular.
"She continually compared herself to her peers and frequently consulted several social media sites.After the overdose, she had decided to no longer watch them and decided to remove them from her phone.
"She told me that she was worried about her weight, which was normal, but that she weighed more and wanted to lose more.
"She said at the age of 12 that she had tried to hang herself at home after a family dispute.
"I rated it as having low self-esteem badociated with aspirations for the future and for perfectionism."
Miss Stephenson, who was 18 at the time, asked her father not to be contacted by Dr. Travers, who stated that he could "not be legally obliged" to do so because he thought she was "mentally capable".
He said: "I did not want to replace her," she said as a very capable young woman, very mistress of her destiny and whom I wanted to respect.
He discussed the psychological therapies that she could do but added that she had "problems to solve, but I did not think that antidepressants would help these problems."
Miss Stephenson then attempted suicide less than a year later, on June 4, but was found by her friend and taken to the hospital.
She was again referred to Impart, who had a series of meetings with her and will dismiss her the same month as "no longer in crisis".
A meeting organized by the team on June 20, after eight meetings with Miss Stephenson, decided that she did not need crisis services, but that she would be recommended to attend. 39, other therapies.
Dr. Nkechinyera Ofor, a psychiatrist from the team who met her to formally evaluate her and then refer her on June 22, said: "At that time, the patient was of the opinion that the patient was not more in crisis.
"On June 22, she was positive, optimistic, optimistic, she was planning for the future … she had no suicidal thoughts."
Deputy Coroner Ian Wade said, "Do you think she was not sincere and that she was not trying to blame you?"
Dr. Ofor said, "She had already found her usual features, I saw a patient who had come back from this incident and who was not afraid that she was not sincere."
The investigation learned that antidepressant drugs had been put in place for Miss Stephenson and were due to be delivered on June 27, the day of her death, but arrived two days later, on June 29.
Astrid Duminy, Head of the North East London Hospital Trust Crisis Team, said: "The release of her exit medication came after her death – she was supposed to receive the drugs on June 27 and they been delivered on June 29th ".
The coroner felt that if this was a "tragic" addition to the events that had unfolded, it could not be known what would have happened if the delivery had taken place on time.
Ms. Duminy told the investigation that since the death of Miss Stephenson, the team's administration process had become "more robust" and that weekly meetings were being held to discuss patients.
She said, "I do not know exactly what triggered Shante's suicide, all I know is that Shante's work situation was trotting in her head – I may be in the process of take me to the straw.
Deputy Coroner Wade stated that Shante's death was a suicide.
He stated: "I am convinced, beyond all reasonable doubt, that this act was committed and whatever it may be, some misconception of his intention or sadness that she intended to do so. make". The outcome of the events would have made no difference if they had taken place more competently, more compbadionately or more cautiously.
"I spoke to these witnesses and they did not expect that to happen, it took them by surprise and, in my opinion, it was reasonable that they had those opinions to that time.
"What I can say is that Shante was a very vital person, she had imposed very strict standards and conditions.
"A budding actress is a delightful expression that conveys remarkable conduct and shows that she has imposed on herself aspirations and standards far beyond what young people should know. impose on themselves.
"Nobody could reasonably have identified it as being in crisis – a clinician described Shante as a person who had insight, who had plans for the future, an open person and able to to follow the type of therapy that suited him.
"There is no reason for anyone to get angry or have a persistent sense of responsibility."
The coroner sent his "most sincere condolences" to Shante's father, Ian Stephenson, who participated in the investigation.
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