Latest news with #EUPD
Daily Mirror
22-05-2025
- Health
- Daily Mirror
Woman, 27, was 'excited for future' before she died in tragic accident
WARNING: DISTRESSING CONTENT: Emily Miller, 27, was under the care of a home-based treatment team from Greater Manchester Mental Health at the time of her death An "incredible, kind and beautiful" young woman who was "excited for the future" tragically took her own life by accident, an inquest has determined. Emily Miller, 27, was discovered at her residence on Clyde Road in Didsbury on October 23, 2023. Known affectionately as Ems or Emmie to her loved ones, the court was informed that she had been diagnosed with Emotionally Unstable Personality Disorder (EUPD), which often led to mood swings and self-harm. As a mental health practitioner herself, she was under the care of a home-based treatment team from Greater Manchester Mental Health (GMMH), represented at the inquest by Nicola Flood. However, concerns were raised by her family about potential shortcomings in her care under the Greater Manchester Mental Health Trust. Despite these concerns, area coroner Zak Golombeck concluded on Wednesday, May 21 that her care had been "appropriate and reasonable", with "no clinical reason to escalate her care" in the days leading up to her passing. Testifying on Tuesday, May 20, consultant psychiatrist Dr Faisal Farid acknowledged that Emily had been self-harming most days. However, he added that she viewed it as a means of "control" and "managing her stress", rather than an attempt to end her life. Dr Farid informed the court that she had previously been admitted to hospital twice for brief inpatient stays, but these were deemed "detrimental" to her progress. He elaborated that she had been given the option of a voluntary inpatient stay on October 16 – just seven days before her death – but she declined, opting to continue with visits from the home-based treatment team (HBTT) until her death. The court was advised that she had been categorised as "red zone," signifying her case was under daily review and she often engaged with healthcare professionals. On the tragic day she died, Dr Farid conveyed to the court that Emily expressed a desire to be 'stepped down' from the HBTT as she believed she was "taking up other people's time". "It wasn't because she felt the treatment wasn't working or wasn't helping her," he clarified. "It was about being stepped down, not discharged. We were monitoring her risk and her engagement with services." He noted that Emily had been actively "making an effort" and "engaging" with the team leading up to her death. He interpreted the "ambivalence" she occasionally exhibited towards her own life and her fluctuating attitudes towards therapy as "typical" for someone dealing with EUPD's emotional instability. Subsequently, Lucy Swanson, a specialist in mental health and a social worker, provided evidence to the court. She detailed performing the final formal risk assessment for Emily on October 10, after learning Emily had acquired means to potentially harm herself. Ms Swanson recounted to the court her "good therapeutic relationship" with Emily and shared how she was "surprised" and "upset" upon hearing of Emily's passing. Nicola Conoma, another mental health practitioner who worked closely with Emily, also told the inquest of her "shock" and "devastation" at the news of Emily's death. She recalled her last visit to Emily's home on October 14, where Emily had indicated she hadn't self-harmed in 'a couple of days'. Ms Conoma reflected on Emily's discussions about future events. "Her sister's birthday, her brother's wedding, their plans to go and see Taylor Swift in concert - lots of things. There were times when she was hopeful for the future. She had a place at uni for the following year. I think it was her wish to be alive." Michelle Brown, representing the Miller family, suggested that Emily's purchase of items for self-harm signalled an "escalation" of risk, noting that by October 19, Emily had been self-harming 'daily'. Ms Conoma responded: "We did offer hospital admission, but she was quite clear she did not want to go into hospital. I did not feel use of the Mental Health Act would be appropriate." At Manchester Coroner's Court, Emily's sister Jessica painted a picture of her as "magnificent", "vibrant" and possessing a "calming aura" that made her "great at her job", reports the Manchester Evening News. She said: "I don't know how to find the words to get across the true essence of Ems or how much I absolutely adore her. I want her to be more than a name, more than a statistic, because although her ending was so tragic, she was not. When someone dies by mental health, they're defined by their death. But she was and is so much more than that. I love my baby sis with every fibre of my being and I will never forgive myself for not doing my job as her big sister and protecting her. "Em touched so many hearts, I miss laughing with her, I miss sitting in her presence, I crave it all the time. I miss our 4 hour long phone calls, our walks, our long voice notes, our little adventures – everything about her. As beautiful as the thought is that she's always with me, it doesn't bring me comfort yet because she should be here." Adding to her emotional address, she said: "Please look at her and know that she was the most incredible, kind, beautiful [person]. Her body may not be here anymore but her soul is in every person she ever loved. I'll never find the words to describe how heart wrenching this loss is, how part of me died that day too. She's taken part of my soul with her but that's okay, she can keep it until I get there." The coroner confirmed that the cause of death was determined to be hanging. He provided a summary of Emily's treatment journey, noting her consistent refusal of multiple offers for hospitalisation. He verified that a meeting took place on October 19 regarding Emily's care plan. She was to remain in the red zone with a planned transition from home-based treatment to the Community Mental Health Team "in a safe manner". Mr Golombeck remarke: "Emily continued to self-harm on a daily basis. There was no meaningful escalation in her risk. She was not detainable. On the 23rd, another offer of voluntary admission was extended, but this did not imply that involuntary admission was the subsequent step. I find that the care provided was appropriate and reasonable. There was no clinical justification to escalate her care." The coroner concluded with a verdict of misadventure – an accidental death resulting from a voluntarily taken risk – rather than suicide. "I am not satisfied on the balance of probability that she intended to take her own life. There was no clear expression of intent, no note or communication to her family; and there was some evidence of her future planning. "I conclude that she did not intend to cause her own death. Her death resulted from a deliberate human act, with some awareness of the risks involved, which unexpectedly went awry." The Mirror has reached out to GMMH for their response.
Yahoo
21-05-2025
- Health
- Yahoo
'Incredible, kind' woman, 27, was 'excited for future' before she accidentally took her own life
An 'incredible, kind and beautiful' young woman had been 'excited for the future' before she accidentally took her own life, an inquest has found. Emily Miller, 27, was found at her home on Clyde Road in Didsbury on October 23, 2023. Known as Ems or Emmie to her family, the court heard she had been diagnosed with Emotionally Unstable Personality Disorder (EUPD) and often struggled with fluctuating moods and self-harm. READ MORE: Chris Brown greeted by fans as he leaves Forest Bank prison after being released on £5m bail READ MORE: Tragic message friend sent to Jay Slater at 3am the morning he went missing A mental health practitioner herself, she had been in the care of a home-based treatment team from Greater Manchester Mental Health, who were represented at the inquest by Nicola Flood. At Manchester Coroner's Court, Emily's sister Jessica described her as 'magnificent', 'vibrant' with a 'calming aura' that made her 'great at her job'. She and her family raised concerns there had been failings in her care under the Greater Manchester Mental Health Trust. But area coroner Zak Golombeck concluded today (May 21) that it had been 'appropriate and reasonable', with 'no clinical reason to escalate her care' in the days before her death. Giving evidence on Tuesday (May 20), consultant psychiatrist Dr Faisal Farid said he was aware Emily had been self-harming most days. But he added that she described it as a method of 'control' and 'managing her stress' and was not intended to end her life. Dr Farid told the court she had previously been admitted to hospital twice for short inpatient stays, but these were described as 'detrimental' to her progress. He added she was offered a voluntary inpatient stay on October 16 - a week before her death - but she refused and continued to be seen by the home-based treatment team (HBTT) until her death. The court heard she had been placed in the 'red zone', meaning her care was reviewed on a daily basis and she had contact with professionals most days. On the day she died, Dr Farid told the court Emily had requested to be 'stepped down' from the HBTT because she felt she was 'taking up other people's time'. 'It wasn't because she felt the treatment wasn't working or wasn't helping her,' he said. 'It was about being stepped down, not discharged. We were monitoring her risk and her engagement with services.' He added Emily had been 'making an effort' and 'engaging' with the team prior to her death. He said the 'ambivalence' she showed at times towards her own life and the fluctuations in feelings about her treatment was 'typical' of the emotional dysregulation experienced by someone with EUPD. The court then heard evidence from Lucy Swanson, a mental health practitioner and social worker, who carried out Emily's last formal risk assessment before her death, on October 10 - it followed her learning Emily had purchased items with which she would be able to self harm. In the assessment, she noted Emily 'denied any plans or intent to end her life tonight' but 'remained consistent in stating she wants to die'. The court heard Emily was assessed as at moderate risk of self-harm and suicide but high risk of accidental injury. Ms Swanson told the court she had a 'good therapeutic relationship' with Emily and had been 'surprised' and 'upset' to learn of her death. Nicola Conoma, another mental health practitioner who worked closely with Emily told the inquest she had also been 'shocked' and 'devastated' by her death. She said she last saw her in person at her home on October 14, when Emily told her then she had not self-harmed in 'a couple of days'. Ms Conoma said Emily had talked about plans for the future. "Her sister's birthday, her brother's wedding, their plans to go and see Taylor Swift in concert - lots of things. "There were times when she was hopeful for the future. She had a place at uni for the following year. I think it was her wish to be alive." Michelle Brown, counsel for the Miller family, contended that the purchase of a items intended for self-harm represented an 'escalation' of the risk - and that by October 19 Emily had been self-harming 'daily'. "Would these facts together not lend themselves to a different approach?" asked Ms Brown. "We did offer hospital admission, but she was quite clear she did not want to go into hospital. I did not feel use of the Mental Health Act would be appropriate," Ms Conoma replied. Emily's sister Jessica read a statement to the court, describing her sister in a voice thick with emotion and at points choked with tears. 'I don't know how to find the words to get across the true essence of Ems or how much I absolutely adore her,' she said. 'I want her to be more than a name, more than a statistic, because although her ending was so tragic, she was not. 'When someone dies by mental health, they're defined by their death. But she was and is so much more than that.' 'I love my baby sis with every fibre of my being and I will never forgive myself for not doing my job as her big sister & protecting her.' 'Em touched so many hearts, I miss laughing with her, I miss sitting in her presence, I crave it all the time. I miss our 4 hour long phone calls, our walks, our long voice notes, our little adventures – everything about her. 'As beautiful as the thought is that she's always with me, it doesn't bring me comfort yet because she should be here." She added: 'Please look at her and know that she was the most incredible, kind, beautiful [person]. Her body may not be here anymore but her soul is in every person she ever loved. 'I'll never find the words to describe how heart wrenching this loss is, how part of me died that day too. She's taken part of my soul with her but that's okay, she can keep it until I get there.' The coroner confirmed that the medical cause of death was found to be hanging. He summed up the progress of Emily's treatment, including the multiple offers of hospitalisation which she repeatedly declined. He confirmed that on October 19 there was a meeting concerning Emily's treatment plan. She would remain in the red zone and there was a plan for a transition to the Community Mental Health Team 'in a safe manner' from home-based treatment. 'Emily continued to self-harm on a daily basis,' Mr Golombeck said of this time. 'There was no meaningful escalation in her risk. She was not detainable.' 'On the 23rd there was another offer of voluntary admission but this did not mean that involuntary admission was the next step.' 'I find that the care was appropriate and reasonable. There was no clinical reason to escalate her care.' The coroner reached a short form conclusion of misadventure – accidental death caused by a risk taken voluntarily – rather than suicide. 'I am not satisfied on the balance of probability that she intended to take her own life,' he said. "There was a lack of expression of intent, there being note or communication to her family; and there was some evidence of her future planning. 'I find she did not intend to cause her own death. Her death arose from a deliberate human act, with some knowledge of the risks involved, which unexpectedly went wrong.' The M.E.N has approached GMMH for comment. At Emily's funeral the Miller family requested donations to Bags For Strife, a charity supporting families those bereaved by suicide. You can find their website here. Emily's sister Jessica will also be taking part in the Baton of Hope in London this autumn, a nation-wide relay raising awareness for suicide prevention. Anyone can contact Samaritans FREE any time from any phone on 116 123, even a mobile without credit. This number won't show up on your phone bill. Or you can jo@ or visit Whatever you are going through, you don't have to face it alone. Call Samaritans for free on 116 123, email jo@ or visit for more information When life is difficult, Samaritans are here – day or night, 365 days a year. You can call them for free on 116 123, email them at jo@ or visit for more
BBC News
01-03-2025
- Health
- BBC News
Bournemouth: Teen died after healthcare 'catastrophes', says family
A teenager took his own life after a "catalogue of catastrophes" in his mental healthcare, his family has Channing, 18, also known as "Kieran", was found dead in his room at Arts University Bournemouth (AUB) on 27 January 2022.A coroner previously said there were "missed opportunities" by NHS trusts to teenager's parents, from Devon, said he was "left to his own devices" despite concerns for his safety. In a statement, the parents, who asked not to be named, expressed frustration over his mental health treatment from the age of said: "We were never advised how, as parents, we could help or manage his condition."In September 2021, he began his university course, shortly after making four attempts on his life and being diagnosed with emotionally unstable personality disorder (EUPD), they told the BBC."His care worker was supposed to have referred him to the Bournemouth mental health team but soon after went on long-term sick leave and never came back," they added. In January 2022, the student was detained in hospital in Devon again under the Mental Health weeks later, he returned to Bournemouth where fellow students reported concerns about him to AUB, his parents an NHS appointment days before his death was cancelled when he caught Covid, leaving him feeling let down, they said: "Although we had suspicions throughout his journey that the healthcare professionals could have done more, we were always trusting and hoping they were doing their best."It was only after the seven-day inquest that the coroner confirmed our doubts that... they could have done better."In a Prevention of Future Deaths Report, coroner Richard Middleton said the cancelled Bournemouth appointment was a "missed opportunity".He said the teenager's care after hospital in January 2022 was not properly planned and university welfare staff had no training in EUPD, otherwise known as Borderline Personality the university, Dorset Healthcare NHS Foundation Trust or Devon Partnership NHS Trust offered any comments when approached by the benches in the teenager's memory, paid for by well-wishers, have been placed at a school in Ottery St Mary and in Exminster where he grew you are affected by any of the issues raised in this story, support and advice is available via the BBC Action Line. You can follow BBC Dorset on Facebook, X (Twitter), or Instagram.
