An inquest jury yesterday criticised prison staff in the case of a teenage mother found hanged in prison just weeks after giving birth to her third child.
A panel sitting in Stourport-on-Severn, Worcestershire, concluded that Anne-Marie Bates died "an accidental death" and criticised the care she received from prison staff.
The 19-year-old, who also had two children aged four and two, was discovered in her cell by other inmates at HMP Brockhill, near Redditch, Worcestershire.
Ms Bates, from Gillott Road, Edgbaston, Birmingham, had been remanded in custody to the women's prison, two weeks after giving birth, charged with an offence of robbery.
The jury was told that no care plan was put in place for Ms Bates, despite her being a drug addict with a history of self-harming who had been identified as being at risk of suicide. Inquest - a charity which supports the families of people who die in custody - said the panel found that Ms Bates died an "accidental death by applying a ligature to herself while not intending to take her life".