A “VULNERABLE” woman who did not receive an “adequate care plan” died days after being discharged from hospital, an inquest has heard.

Senior coroner Wendy James told an inquest into the death of 36-year-old Janet Donna Marie McCarthy that “if the discharge had not been made the outcome for Janet could have been different” as Miss McCarthy was “evidently in crisis and feared for her safety.”

Miss McCarthy died in April 2016, after she was discharged from hospital and attempted to commit suicide.

The inquest heard that Miss McCarthy was a voluntary patient at the Talygarn Unit in the County Hospital, Torfaen, and was a patient three times between November 2015 and March 2016.

Miss McCarthy, of Abergavenny, had an “emotional unstable personality” according to doctors, it was said.

She was prescribed different dosages of medication to treat mental health conditions, including obsessive compulsive disorder (OCD) and cluster borderline personality disorder (BPD).

In her last stay in the Talygarn Unit, on March 29, 2016, a meeting took place where it was said the home support team “did not have the capacity to take on anymore patients” but that they “could make an exception” for the 36-year-old, the inquest was also told.

Unit staff decided Miss McCarthy “would be best off in the community”.

But Ms James said Miss McCarthy was reluctant to go back to her home, as she felt she “couldn’t be kept safe” and was worried her “young son would find her body”.

Miss McCarthy was discharged under the care of the community mental health team and went to live with her mother.

But when her mother went out to the shops days later, on April 1, she returned to find her daughter had attempted suicide.

Miss McCarthy was taken to the intensive care unit in Nevill Hall Hospital, but died on April 5.

Ms James also said that since Miss McCarthy’s death, changes had been made by the Aneurin Bevan Health Board to mental health care plans so the situation would not be repeated.

She also commended Miss McCarthy for donating her organs to help others.

Verdict: suicide.