Heartbreaking news has come to light as a coroner reveals that the tragic passing of 16-year-old Kianna Patton at a disused hotel in Pembroke Dock might have been avoided. Kianna was found on October 24, 2019, after being reported missing. She had been struggling with mental health issues, experiencing psychotic symptoms, and was in the care of Child and Adolescent Mental Health Services (CAMHS).
Despite her challenges, it appears no sufficient plan was in place to ensure her safety. Kianna had been battling low moods since 2017 and was referred to therapy in 2018. Her condition worsened, leading to cannabis use and academic difficulties. Her mother, Joanne, was understandably worried, especially after discovering her daughter had overdosed in May 2018. Though Kianna received some help from CAMHS, the inquest highlighted several missed opportunities to adequately support and protect her.
Her situation spiralled as she lived with a friend, rather than her family, with less strict oversight on substance use. Kianna’s mental state continued to degrade, and distressing details emerged, including hearing voices and experiencing delusions.
Coroner Gareth Lewis criticised CAMHS for not updating Kianna’s assessment and lacking a safety plan, which might have reduced her severe symptoms and possibly prevented her death. The family had also been stuck in a loop between police and social services, unable to find the right support for Kianna in time.
This tragic case sheds light on the crucial need for improved mental health services and intervention strategies. While no third-party involvement was found, and Kianna’s death was ruled an accident due to hanging, the need for better safeguarding practices is undeniable.
Our thoughts are with Kianna’s family and friends as they navigate this unimaginable loss. It’s a stark reminder of the importance of comprehensive mental health care and support systems for vulnerable young people.