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A gifted violinist, who committed suicide after giving evidence against a teacher 'could and should' have been prevented from taking her own life.
Frances Andrade was sexually abused by choirmaster Michael Brewer and his wife as a student at Chetham's School of Music in Manchester.
She took an overdose just a week after giving evidence in their trial.
Today a serious case review found her local mental health services and justice system failed her.
A serious case review by Surrey Safeguarding Adults Board into the suicide of violinist Frances Andrade, who killed herself days after giving evidence against a former music teacher, called for these improvements:
- Criminal justice professionals to offer better support to sex abuse survivors and recognise their "vulnerability" when facing their abusers in court
- Provide expert witness testimony in court to explain to jurors how childhood sex abuse can affect people
- Judges "should be proactive" when they consider a witness is vulnerable by introducing special measures, even when they have refused them
- Mental health services to increase their alertness to the fall-out of sexual exploitation and the risks of suicide and self-harm
- Media to be "mindful of the way a person's mental health and their credibility are discussed throughout court proceedings."
Greater Manchester Police say they will review their policies after a report said Frances Andrade's suicide could have been avoided.
They paid tribute to her bravery in testifying against her abusers.
A serious case review into the suicide of a woman during a sexual assault trial has found her death could have been prevented.
Frances Andrade killed herself after giving evidence against Michael Brewer - her violin teacher who abused her while she was a student at Chetham's School of Music.
A report by Surrey Safeguarding Adults Board said: "The Panel considered that this was a suicide that could and should have been prevented. Mrs A had reasons to live and she continued to ask for help throughout this period.
"We therefore invite all the agencies concerned to take real and concrete steps towards improving their practice."