A jury at the inquest of Sarah Reed, a mentally ill prisoner at HMP Holloway who took her life at the jail last year, has identified serious shortcomings in her care.
Reed was in prison awaiting medical reports about whether she was mentally fit to plead after being charged with assaulting a nurse in a secure psychiatric unit. The reports found she was unfit to plead, but Reed killed herself three days before they were due to be completed.
The jury concluded that Reed, 32, killed herself at a time when the balance of her mind was disturbed, but they were unsure whether she had intended to do so. They said a failure in management of her medication and the failure to conclude the fitness to plead assessment in a timely manner contributed to her subsequent death.
A transgender woman found dead in a male prison did not mean to kill herself and should not have been held in a female jail, a jury has concluded.
Vikki Thompson, a vulnerable 21-year-old who had grown up in and out of care in Keighley, West Yorkshire, was found hanged in her cell in the dark at HMP Leeds on 13 November 2015 after warning several people on her way to jail that she would “leave in a box”, Wakefield coroner’s court heard.