An inquest has heard that a mother was assessed as having 'acute psychosis' just hours before she killed her young son.
Melanie Ruddell was taken to hospital but discharged herself before she could be seen by a specialist mental health team. A short time later, Mrs Ruddell strangled 2 year old Christy.
Helen Ford has been at the inquest in Sunderland.
The inquest into the death of a 2 year old, who was killed by his mother, has heard from a doctor and a nurse.
Family give evidence into death of toddler
Inquest hears of fears for mother who killed her son