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and recommended we should perhaps move to irregular timing. For people with emotionally unstable personality disorder, you don't say that is going to take place on the hour. It needs to be unpredictable. "In their analysis they felt patients often timed self harm behaviour to coincide with the actual time the observation was going to take place. We had evidence of that because of a previous death that had occurred at the trust.

"Mr Deery said one of the deaths was Kids Adidas Superstar Blue of a woman suffering from EUPD, who had a history of putting ligatures around her neck. These incidents had happened on the hour when staff were coming to observe her and "on a number of occasions" she had been saved. "Sadly on this day Adidas Superstar Kids

when she was lucid she was .

ore Paige died. He said: "The confidential inquiry looked into some serious and untoward incidents Adidas Superstar Dark Blue White

in question at one of these observation points, staff were attending to another incident happening on the ward and didn't get to this patient on the hour. "A new observation policy now called the engagement and observation policy was trialed at St George's hospital in Morpeth and is due to be rolled out south of the Tyne at the end of this month. Under the new policy those under hourly observation, like Paige was when she was found, will be observed during various points of the day, coinciding with meal times activities and medication.

Mr Deery said all four deaths reviewed were as a result of either hanging or strangulation with a ligature, they were all women aged between 30 and 40 and all suffered emotionally unstable personality disorder. THE manager of a Sunderland homeless hostel where Paige Bell was staying called her "a lovely lassie" who had appeared in good spirits until she received a mystery phone call shortly before she was rescued from the Wearmouth Bridge. Giving evidence at the inquest into her death, service manager Christine Ritchie said Paige had arrived at Swan Lodge in High Street East on June 26 last year. Ms Ritchie described how there were two sides to Paige, Adidas Superstar Men Green