Suicide might not have been preventable

From the BBC:

"The death of a 14-year-old girl under care of social services might not have been preventable even if more steps had been taken, a serious case review says. Seren Bernard's body was found in Milford Haven, Pembrokeshire, in April 2012 but police ruled out crime."

"Her mother Sarah Pollock complained to an ombudsman after the death claiming her concerns and views were ignored. The Local Safeguarding Children Board which published the report said the death of any child was a profound loss."

"The review, in which Seren was referred to as Child M, was written by an independent author provided by the British Association for Adoption and Fostering." [Independent ? ]

http://www.bbc.co.uk/news/uk-wales-south-west-wales-25881966th

From Wales Online:

"In summing up, Swansea coroner Paul Bennett said that while there were communication problems between the agencies involved in her care, this ‘did not in any way cause or act as a contributory factor in her death.’" [Notice how the BBC failed to mention the communication problems between the agencies.]

"He concluded that Seren Bernard killed herself and had intended to end her life."

"Speaking after the inquest outside the town hall, Seren’s mother Sarah Pollock said: "My lovely daughter Seren took her life when she was under the care of the local authority."

"I am pleased that the coroner has recognised this and that he has found that there were communication failures between the authority and CAMHS in the safeguarding of Seren."

"I just hope that no other parent has to endure what I have been through, finding justice in the last five years."

http://www.walesonline.co.uk/news/wales-news/seren-bernard-inquest-coroner-rules-9484246


Was Seren taking medication I wonder?  That is not something that coroners want to consider but the method of suicide raises that issue.

See: http://alicemooreuk.blogspot.co.uk/2014/02/bridgend-suicides-of-young-people.html