About this page. This page summarises a Domestic Homicide Review published in the Home Office DHR Library. The full report is available at the source link below. Victim and perpetrator names are not included in extracted summaries on this page.

Source · Domestic Homicide Review

Monmouthshire review

CSP: Monmouthshire Published: April 2023 Year of death: 2015 Extracted: 12 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

Original review (PDF) ↗ Source: Home Office DHR Library

Summary AI-generated

Verify against the full report at the source link

The review identified a failure by professionals to recognise coercive and controlling behaviour as a significant risk factor, alongside insufficient multi-agency information sharing regarding the perpetrator's history of violence and mental health issues. It also highlighted the increased danger to the victim when attempting to leave the relationship.

Home Office classifications

35 tags

Source-supplied classifications used by the Home Office to catalogue this review.

Victim - alcohol misuse
Victim - mental ill health
Victim - depression
Victim - had been a victim of an abuser before
Perpetrator - alcohol misuse
Perpetrator - physical disability
Perpetrator - mental ill health
Perpetrator - depression
Perpetrator - self harm
Perpetrator - suicidal thoughts
Perpetrator - suicide attempts
Perpetrator - serious or life limiting illness
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Perpetrator - known to health services as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to friends as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Perpetrator - died by suicide
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - stalking
Aggravating factors - digital stalking
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
DHR process - family contributed to dhr
DHR process - family supported by expert specialist advocate
DHR process - family received draft report
DHR process - police recommendations
DHR process - health services recommendations
DHR process - community safety partnership recommendations
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes

Extracted recommendations

12 recommendations pulled from the report · 9 matched to organisations in the index

Recommendation 6

Addressed to Community Safety Partnerships | police | other agencies

All Community Safety Partnerships, police and other agencies have clear, lean protocols to enable Domestic Homicide Reviews to commence as quickly as possible after death.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7

Addressed to Gwent GPs

A briefing note to be compiled to raise awareness of coercive and controlling behaviour and to be signposted to Gwent GPs.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 8

Addressed to practising solicitors in Gwent

All practising solicitors in Gwent dealing with marital and family issues to be signposted to information to highlight the dangers are trained to understand the dangers that may be faced by a woman leaving an abusive relationship.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 9 (a)

Addressed to Gwent Police

Initial interviewing of suspected victims of domestic abuse, whether violence or coercive and controlling behaviour always takes place out of sight and hearing of the suspected perpetrator.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 9 (b)

Addressed to Gwent Police | National Probation Service

Intervention visits e.g. by Gwent Police Domestic Abuse Officers or by National Probation Service officers take place in a neutral location, well away from the suspected and/or convicted perpetrator. Such visits are always made after Community Orders finish and following incidents where police have attended.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 10

Addressed to hospitals | clinics | health centres | GP surgeries in Gwent

All hospitals, clinics, health centres and GP surgeries in Gwent be provided with public information material offering signposting and information regarding domestic abuse including coercive and controlling behaviour.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 11

Addressed to Gwent Police

When family members, friends or other personally interested parties appear at the scene of a homicide, a Duty Supervisor is always appointed to support them, act as an information conduit and explain crime scene procedure. They also ensure that other close relatives are promptly informed either by themselves or by other officers.

Verified wording from the published review · Original review (PDF) ↗