An aspiring teenage actress who often compared her appearance to others on social media was found hanging in her wardrobe by her dad, an inquest has heard.
Shante Stephenson, 19, took her own life a week after being assessed as "no longer in crisis" by the NHS, the inquest at Walthamstow Coroners' Court heard.
The teenager had low self esteem about her career and "particularly" her appearance, frequently looking at social media sites and comparing herself to her peers, the inquest at Walthamstow Coroners' Court heard.
Miss Stephenson, who had recently lost her job at River Island, had been referred to an NHS crisis team, but she was formally discharged on June 22 - five days before her death.
It was tragically revealed that she was supposed to have medication delivered to her the day she died, but it was delivered two days late.
Her father, who attended the inquest found her hanging in her wardrobe after a friend who was staying with them came home from church without her.
The inquest heard Miss Stephenson had a history of anxiety and depression and made an attempt on her life a year before her death before being referred to Impart, a mental health crisis team at Waltham Forest NHS trust.
Dr William Travers, at the time a consultant psychiatrist with the Impart home treatment team, met Miss Stephenson at home seven days after her attempted suicide on July 18.
Addressing the inquest, Dr Travers said: "I saw her at home alone and I established the circumstances on the overdose - this was seven days after the incident.
"It seemed to have been triggered by an experience she had performing a role in a theatre show case, she didn't think she performed it well, and she was dwelling on it, replaying it over and over in her mind.
"After it she had spoken to her friend and reported a feeling of hopelessness during the phone call - that is when she developed the idea."
Dr Travers said she seemed more "resigned" to the fact that she had survived rather than "relieved".
He said: "She told me that since the age of 11 she was focused on not being good enough, with regard to her career ambitions and her physical appearance in particular.
"She was continuously comparing herself to her peers and frequently looking at multiple social media sites - in fact after the overdose she resolved not to carry on looking at them and decided to delete them from her phone.
"She told me she was concerned about her weight, which was normal, but that she used to weigh more and wanted to lose more.
"She said at the age of 12 she had tried to hang herself at home after a family argument.
"I assessed her as having low self-esteem associated with aspirations for the future and with perfectionism."
Miss Stephenson, who was 18 at the time, asked her father not be contacted by Dr Travers, who said he could "not be legally compelled" to do so given he believed her to be "mentally capable".
He said: "I didn't want to override her, she presented as a very capable young woman who was very much in charge of her own destiny and I wanted to respect that."
He discussed psychological therapies she could do but added she had "difficulties that needed to be addressed but I didn't think anti-depressants would help those issues".
Miss Stephenson next attempted to take her life less than a year later on June 4, but was found by her friend and taken to hospital.
She was again referred to Impart who had a series of meetings with her and would discharge her the same month deeming her "no longer in crisis".
A meeting held by the team on June 20 after eight meetings with Miss Stephenson decided she did not need the crisis services but would be recommended for other therapies.
Dr Nkechinyera Ofor, a psychiatrist at the time on the team who met with her to officially assess and subsequently discharge her on June 22 said: "At this point the feedback was that the patient was no longer in crisis.
"On June 22 she was positive, she was optimistic, she was hopeful, she was future planning... she had no suicidal thoughts."
Assistant Coroner Ian Wade said: "Do you think she wasn't being sincere and trying to fob you off?"
Dr Ofor said: "She had already got back to her normal functionality - I was seeing a patient who had bounced back from this incident and had no concerns she wasn't being sincere."
The inquest heard that anti-depressant discharge medication was arranged for Miss Stephenson and was to be delivered on June 27, the day she passed away, but arrived two days after on June 29.
Astrid Duminy, the crisis team manager at North East London Hospital Trust, said: "The delivery of her discharge medication came after her death - she was supposed to get the medication on June 27 and it was delivered on June 29."
The coroner ruled that although this was a "tragic" addition to the events that unfolded, it could not be known what might have happened if the delivery was on time.
Ms Duminy told the inquest that since Miss Stephenson's death the team's administration process had become "more robust" and weekly meetings were held to discuss patients.
She said: "I don't know exactly what triggered Shante's suicide, all I know is that Shante's job situation was playing on her mind - I might be just grasping at straws.
Assistant Coroner Wade ruled Shante's death a suicide.
He said: "I am sure beyond a reasonable doubt that did this particular act and when she did it, however misguided or however distressing that she did intend to carry out the act "I was concerned at one stage but on deeper analysis I believe there would have been no difference to the outcome of events had they happened in a more proficient, compassionate or precautionary way.
"I have spoken to these witnesses and they did not expect this to happen, it took them by surprise and in my judgement it was reasonable for them to have those opinions at the time.
"What I can say it's that Shante was a very vital person, she had set very high standards and conditions for herself.
"Aspiring actress is a delightful term and it conveys she had remarkable drivenness and shows to me she imposed upon herself aspirations and standards which were way beyond what any young person should impose on themselves.
"No-one could sensibly have identified her to be in a crisis - a clinician described Shante as someone who had insight, who had future plans, someone who was open and amenable to the sorts of therapy that was appropriate for her.
"There isn't any reason for anyone to berate themselves or have any lingering sense of responsibility."
The coroner passed on his "deepest condolences" to Shante's father Ian Stephenson, who attended the inquest.
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