My sweet soul sister Krista's Coroner's inquest was held on Friday 20th April 2012 (ten months on after her tragic suicide on the 28th/ 29th June 2011) at the Norwich Court presided by Norfolk Coroner William Armstrong.
Published in EDP24 Norwich Evening News
http://www.edp24.co.uk/news/coroner-calls-for-lessons-to-be-learned-after-norwich-woman-s-suicide-1-1355871 The inquest heard that on June 28th June 2011, Krista should have been seen by a member of the crisis team (Norfolk & Suffolk NHS Foundation Trust) but was not. Trust policy was that a revisit should have been made and family members called within 4 hrs of the attempted failed visit but this was not done!
It was not until the following day 9.45pm in the evening, the next day that they called me and I gave them permission to bring in the police, to force entry into my sister's apartment, of which they did to discover my dear sweet sister Krista's dead rigamortis body.
Norfolk Coroner William Armstrong said there were "significant" failings in the care given to Krista which which were very "disturbing" and most alarming was the lack of any real meaningful action betwen June 28 and the next day 29th June, which he said was"unjustified and unacceptable"
Norfolk Coroner William Armstrong, has called for lessons to be learned folllowing the tragic death of my sweet soul sister Krista's suicide, while suffering from severe depressive illness.
Toxicology report found no traces of drugs or alcohol.
I spoke to Norwich Evening News reporter Peter Walsh that I felt "if more prompt action was taken she could have been alive today!"
I will never forget you Kris and you are in my heart, soul and mind everyday.
Hopefully, by reporting the injustices of your tragic life Krista, you will save others, my dear sweet soul sister Kris.
May you be at peace now Krista.
R.I.P
Love you,
Your Soul Sister
Donna Africa xxx
www.donnaafrica.co.uk