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

Liverpool review

CSP: Liverpool Published: July 2023 Year of death: 2020 Extracted: 6 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 systemic issues in multi-agency information sharing and risk assessment, leading to missed opportunities to identify coercive control and manage the victim's complex needs, including suicide risk. Challenges in victim engagement, a lack of suitable refuge accommodation, and potential unconscious bias in same-sex relationships were also noted.

Home Office classifications

48 tags

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

  • Victim - died by suicide
  • Victim - alcohol misuse
  • Victim - substance misuse
  • Victim - housing issues
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - psychosis
  • Victim - self harm
  • Victim - suicide attempts
  • Victim - had been a victim of an abuser before
  • Perpetrator - mental ill health
  • Perpetrator - psychosis
  • Perpetrator - post traumatic stress disorder (ptsd)
  • Perpetrator - self harm
  • Perpetrator - suicidal thoughts
  • Perpetrator - suicide attempts
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to social services as a domestic abuse perpetrator
  • Perpetrator - known to idva or other domestic abuse support service as a domestic abuse perpetrator
  • Perpetrator - known to probation services as a domestic abuse perpetrator
  • Perpetrator - known to housing 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 - supervised by probation services
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic 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 - social services recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - probation services recommendations
  • DHR process - housing services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

6 recommendations pulled from the report · 1 matched to organisations in the index

Recommendation 17.1

Addressed to Agencies involved in the review | Liverpool Community Safety Partnership

Agencies involved in the review should provide Liverpool Community Safety Partnership with evidence of the training and information provided to staff on suicide prevention. The Community Safety Partnership should assess the information received and consider whether a multi-agency training package for Liverpool is required.

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

Recommendation 17.2

Addressed to Agencies involved in the review | Liverpool Community Safety Partnership

Agencies involved in the review should provide Liverpool Community Safety Partnership with evidence that information has been provided to staff on the links between domestic abuse and suicide. The learning from this review should be used to assess whether a city-wide multi-agency package, to inform practitioners of the links between domestic abuse and suicide, is required.

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

Recommendation 17.3

Addressed to Agencies involved in the review | Liverpool Community Safety Partnership

Agencies involved in the review should provide Liverpool Community Safety Partnership with assurance that their training plans take into account the need to train staff in trauma-informed practice. The Community Safety Partnership should assess whether a city-wide multi-agency approach to trauma-informed practice is required.

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

Recommendation 17.4

Addressed to Local Authorities | Home Office

The Domestic Abuse Act 2021 (section 57) requires all Local Authorities to: (a) assess, or make arrangements for the assessment of, the need for accommodation-based support in its area, (b) prepare and publish a strategy for the provision of such support in its area, and (c) monitor and evaluate the effectiveness of the strategy. The assessment and strategy for Liverpool should take into account the learning from this case. The panel further recommends that the Home Office encourage all local Authorities to ensure that their assessment and strategy for accommodation-based support takes into account people with complex needs, including the risk of suicide.

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

Recommendation 17.5

Addressed to Agencies involved in the review | Liverpool Community Safety Partnership

Agencies involved in the review should provide Liverpool Community Safety Partnership with assurance that staff are trained in relation to the possibility of unconscious bias and domestic abuse in same sex relationships.

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

Recommendation 17.6

Addressed to Liverpool Community Safety Partnership

Guidance for professionals on what factors should be taken into account in making a professional judgement referral to MARAC should be developed.

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