condition but deliberately refused to obtain medical assistance. We therefore conclude that the trial court committed error in admitting this statement into evidence since defendant was not advised of her right to counsel and her right to remain silent. (Escobedo v. Illinois, supra, 378 U.S. 478 ; People v. Dorado, supra, 62 Cal.2d 338.)
Finally, we believe that the erroneous admission of this statement prejudiced defendant. Defendant’s extrajudicial statement constituted the crux of the prosecution’s case. Defendant described the course of Sandra’s illness, Sandra’s alarming physical symptoms which defendant observed, her ineffectual efforts by “home remedies” and prayer to aid Sandra, her deliberate refusal to summon a doctor, her realization of the extreme gravity of Sandra’s condition, and her belief that Sandra might die unless “God took a hand,” and finally her participation in the deathbed baptism. These revelations, amounting to a confession, must have seriously prejudiced defendant’s case in a manner requiring reversal. (People v. Schader (1965) 62 Cal.2d 716, 728-731 [44 Cal.Rptr. 193, 401 P.2d 685] ; People v. Dorado, supra, 62 Cal.2d 338, *356; see Chapman v. California* (1967) 386 U.S. 18, 23 & fn. 8 [17 L.Ed.2d 705, 710, 87 S.Ct. 824, 828].)
This error was not cured by defendant’s testimony at trial, during which she repeated on cross-examination much of the substance of her extrajudicial statements. As we said recently in People v. Spencer (1967) ante, pp. 158, 163-164 [57 Cal.Rptr. 163, 424 P.2d 715], “In determining the effect of defendant’s extrajudicial confession upon the outcome of the instant trial, we must consider the likelihood that it contributed to the verdict by inducing the defendant to admit his guilt in open court. If the improper use of defendant’s extrajudicial confession impelled his testimonial admission of guilt, we could hardly sustain his conviction on the theory that his confession to the police, although inadmissible, merely duplicated his subsequent confession to the jury; in that event we could not, in order to shield the resulting conviction from reversal, separate what he told the jury on the witness stand from what he confessed to the police during interrogation. ’ ’ (Footnotes omitted.)
The state has not sustained its “burden of showing that the causative link between the two confessions had been broken. ’ ’ (People v. Spencer, supra, ante, pp. 158, 168.) Indeed, since “the prosecution . . . presented no substantial evidence of defendant's guilt apart from [her] extrajudicial confes