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The doctor referred her to child and adolescent mental health services (CAMHS) but they decided she did not meet the criteria for specialist support.In February 2016, Mrs Legg noticed patches on Sofia's head and suspected she was self-harming by pulling her own hair out.

Four months later Sofia's GP made an 'urgent referral' to CAMHS after the teenager confessed she had been having suicidal thoughts.

She was seen twice in July by care co-ordinator Camal Dhillon who told Mrs Legg there was a six-month waiting list for cognitive behaviour therapy.

She also met the teenager the day before her death.

Mrs Legg said: 'Camal gave us a crisis plan, which included things like talking.

After the inquest, Mrs Legg said: 'As a family we will forever mourn the loss of our kind, bright, beautiful daughter.

Sofia was failed by the system and we, as a family, feel badly let down.'Tragedies like this have increased dramatically in recent years.

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He said he would be writing a preventing future deaths' report to the mental health Trust raising his concerns about what he had heard in evidence.

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