The jury found that, as a result of Tallulah's dissatisfaction with her friendship group, she created an online persona.

She posted about self harm and suicide. She included photographs that she said were of herself following cutting.

Her consultant psychiatrist gave evidence that, with hindsight, it seems that when her Tumblr account was deleted (following her mother's discovery of the damaging nature of her posts), Tallulah may have felt herself to be in some way deleted. Thousands of people had read her posts and she had gained great satisfaction from that. So on the one hand, her internet use may have had a negative impact; and yet on the other hand, preventing her internet use may have had a negative impact.

The jury included the following in the narrative determination.

This case has highlighted the importance of online life for young people. We all have a responsibility to gain a better understanding of this, which needs to be achieved through appropriate dialogue. This is a particular challenge for health professionals and educators.

Coroner's concerns

During the course of the inquest, the evidence revealed matters giving rise to concern. In my opinion, there is a risk that future deaths will occur unless action is taken. In the circumstances, it is my statutory duty to report to you.

The Matters of Concern are as follows.

Although Tallulah was treated by a number of healthcare professionals, and her mother was extremely concerned about her wellbeing, no person who gave evidence felt that, at the time they were looking after Tallulah, they had a good enough understanding of the evolving way that the internet is used by young people, most particularly in terms of the online life that is quite separate from, but sometimes seems to be used to try to validate, the rest of life. (pp 1–2)