Overview

• Area coroner Catherine Cundy told the inquest that NHS services may have missed chances to intervene after Victoria Taylor disclosed suicidal thoughts.
• Records showed she was rescued from the River Derwent on July 31, then assessed by crisis teams that concluded there was "no role for mental health services" and suggested lower‑level therapies.
• She was taken to hospital in August after an overdose, and her GP subsequently restricted prescriptions to weekly to reduce overdose risk.
• On September 30, CCTV captured her at a BP garage and Malton bus station before she walked toward the River Derwent, where her belongings were later found.
• Police recovered her body from the river on October 22, and family members told the court she drank as a coping mechanism and believe she did not intend to take her own life.