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A victim of the Rochdale grooming gang has killed herself after years of enduring sexual abuse which plagued her life and mental health.
Charlotte Tetley, 33, deliberately sat on train tracks until she was fatally hit after battling a 'complex longstanding mental health history', an inquest heard.
Ms Tetley turned to drugs in her adult life as a 'coping mechanism', it was heard.
It also emerged that in July 2023 she was forced to move from her home in Rochdale to Macclesfield as her abuser returned to the area.
Ms Tetley was named as a victim of the Rochdale child sex abuse ring for the first time today by Cheshire coroner Sarah Murphy.
The coroner issued a warning after Ms Tetley was discharged from hospital without a qualified assessment.
Despite expressing suicidal thoughts to mental health workers, she was discharged from hospital after it was judged that she did not require an inpatient bed.
The young woman also had been diagnosed with numerous behavioural and mood illnesses, including Emotional Unstable Personality Disorder and Post Traumatic Stress Disorder.
Charlotte Tetley, 33, deliberately sat on train tracks until she was fatally hit after battling a 'complex longstanding mental health history', an inquest heard
Ms Tetley also had attempted to her life multiple times by overdosing, the inquest heard.
She was named as a high-risk missing person, yet the police and the ambulance service decided that they could not deploy anyone
The sickening child abuse ring saw girls as young as 12 groomed with free booze and drugs before being gang-raped.
Many of the girls were expected to have sex 'whenever and wherever' the defendants and other men wanted in filthy flats, on rancid mattresses, in cars, car parks, alleyways and disused warehouses.
In a Prevention of Future Deaths report, Ms Murphy said: 'Ms Tetley had a complex longstanding mental health history and was a victim of the Rochdale Grooming where she suffered significant sexual abuse.
'She was diagnosed with Emotional Unstable Personality Disorder and had previously been diagnosed with Post Traumatic Stress Disorder and substance misuse causing behavioural and mood disorder.
'Drug dependence was a coping mechanism.
'At the time of her death, she was prescribed medication, but her concordance was sporadic and influenced by whether she had accommodation.
'She had taken multiple previous overdoses with intent to end life.
'She had been under the Macclesfield Community Mental Health Team since July 2023 when she moved from Rochdale after her abuser returned to the area.'
It was heard that in June 2024 she attended A&E in Macclesfield voicing concerns for her safety and saying she was having thoughts of jumping in front of a train.
She was reviewed daily for a week, until it was judged that she did not require a mental health inpatient bed, but options involving the homeless pathway needed to be explored.
Ms Tetley was named as a victim of the Rochdale child sex abuse ring for the first time today by Cheshire coroner Sarah Murphy
After she was discharged she called her probation officer where it was said she was 'screaming down the phone stating that she was going to the railway line to kill herself'.
She also called her family expressing dismay about the situation.
After engaging with the community mental health team, she was later removed from railway tacks in September 2024 after reporting suicidal thoughts.
The police were contacted after she was judged to be a 'high-risk missing person', but they said that nobody would be deployed.
Despite further concerns, the ambulance said they would not deploy anyone as Ms Tetley's location was not known.
On September 24 she had a court hearing but did not attend. She did speak with her mental health keyworker and expressed her suicidal thoughts.
She later attended the office of a community drug and alcohol team and was noted to be in a 'tearful and low mood'.
She was later fatally struck by a train after deliberately sitting on the tracks.
Ms Murphy raised concerns about her care: 'During the course of the investigation my inquiries revealed matters giving rise to concern.
'In my opinion there is a risk that future deaths could occur unless action is taken.
'A matter of concern is that Ms Tetley was removed from the inpatient bed list on the 25 June at 10:37 hours before an attempted review by a mental health practitioner at 11:30 hours the same day.
'I am concerned that there is a risk that patients are removed from the inpatient bed list before an appropriate review that day, by a mental health professional.'
The report was sent to the Chief Executive of Cheshire and Wirral Partnership NHS Trust who has until November 9 to respond.