A “MUCH-loved beautiful young woman” took her own life after a “miscommunication" between several mental health services left her feeling like she had "no hope", an inquest heard.

Daisy Mae Wilson, 19, from Hartley Wintney died at her home on July 11, 2021, following an overdose. The inquest was told that her mental health 'significantly' deteriorated throughout 2021.

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The inquest into the teenager's death held at Winchester Coroner's Court today (May 16) heard how the youngster suffered from “complex” mental health issues from a young age, including OCD, anxiety and depression, and she was also awaiting an autism assessment.

During her school years, Daisy received support from the Child and Adolescent Mental Health Services. However, her mother Sarah Bishop-Visser says it was like her daughter was "falling through the cracks after being discharged from the children's services".

In April 2021, Mrs Bishop-Visser said her daughter's OCD had become 'torturous' and in that month she attempted to take her own life twice.

Daisy was then referred to the Crisis Resolution Home Treatment Team (CRHTT) where she received weekly therapy sessions, which she found "challenging" and "not helpful".

Despite contact from her GP, she felt 'pawned off' and 'abandoned' by various mental health services, this grew towards the end of May when she reached the end of her therapy sessions.

Nic Cicutti, an investigating officer for Southern Health NHS Trust, told the inquest that there had been a miscommunication between CRHTT and italk, two services offered by Southern Health NHS Trust.

Mr Cicutti said: “italk believed the care had been reverted back to the GP because there were poor records.

“It was in that misunderstanding in communication that Daisy was not contacted by either italk or the crisis team.”

An email was sent from CRHTT to italk which “had not intended” to say the referral to italk was not needed but the email was misinterpreted.

The email, which was read out to the court, suggested that Daisy’s care had been deferred to her GP.

Mr Cicutti added: “italk gave the view that they believed that the referral had been reconsidered so, therefore, from their perspective that put the seal on. From the perspective of the crisis team, they thought italk was proceeding.

“Both sides believed everything was going the way it should be.”

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The coroner's court heard that in the six weeks leading up to Daisy’s death she had no communication with any mental health service due to an email that was ‘misread’ leaving her feeling “palmed off”.

Mrs Bishop-Visser said it was “heartbreaking to watch” and that Daisy felt “let down over her mental and physical health”.

Caroline Blunden, from the crises team and Vicky Hammond of italk both confirmed they are in communication to ensure "clarity between notes" so this type of “miscommunication” does not happen again.

Area coroner Rosamund Rhodes-Kemp said: “She was obviously a much-loved beautiful young woman.

“She was under the crisis team, italk and the care of her GP. Unfortunately, none of the efforts to help her worked. She was not one who was given to communication regularly. "

Ms Rhodes-Kemp added: “There was a misunderstanding and a miscommunication between these services towards the end of her life, which would have contributed to her feeling abandoned and hopeless and that there was no plan to get better.”

She said she was “not sure” if a plan would have changed what happened but it “resulted in her pulling out of the system at a crucial period”.

Ms Rhodes-Kemp gave a conclusion of suicide.

If you need someone to talk to, you can call Samaritans free, 24/7 on 116 123 or email jo@samaritans.org.

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