Mariana Pinto

“It seemed to me at inquest that, when Ms [name redacted] left the emergency department the day before her death, the limitations of the crisis team were not made clear to her family and friends.”

“The view of the psychiatrists treating Ms [name redacted] in the emergency department was that she was suffering cannabis withdrawal, which I heard is generally at its worst during the first three days. Her symptoms were now quiescent, but it would have been very helpful for her family to know that, most particularly as she had taken cannabis the night before, once the lorazepam wore off she might well have a resurgence of symptoms though these were not expected to be as severe as they had been. Worsening”

“The band 7 mental health nurse who took the call to the crisis line at 3.32pm on 16 October, did not suggest to Ms [name redacted] husband that call the emergency services while the nurse rang Ms [name redacted] and spoke to her to offer what support he could. When told him that the situation was now urgent, the nurse responded that the time for home visits was 5-7pm.”