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
Exeter review
CSP: ExeterPublished: July 2023Year of death: 2016Extracted: 4 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The report identifies insufficient inter-agency coordination and information sharing, particularly regarding mental health risk assessments and transitions of care. Concerns include delays in integrating historic domestic abuse support with mental health treatment and inadequate contact with the victim's family by mental health services.
Home Office classifications
23 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - died by suicide
Victim - housing issues
Victim - mental ill health
Victim - self harm
Victim - suicide attempts
Victim - had been a victim of an abuser before
Victim - referred to marac at any time
Victim - case heard at marac before homicide
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 mental health services as a domestic abuse perpetrator
Perpetrator - known to idva or other domestic abuse support service as a domestic abuse perpetrator
Perpetrator - known to housing services as a domestic abuse perpetrator
Aggravating factors - stalking
Aggravating factors - digital stalking
Aggravating factors - sexual abuse
DHR process - family contributed to dhr
DHR process - community safety partnership recommendations
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - multi agency working recommendation themes
DHR process - other recommendation themes
Extracted recommendations
4 recommendations pulled from the report · 3 matched to organisations in the index
Addressed to
Safer Devon Partnership | Exeter Community Safety Partnership
Ensure that support staff from a range of statutory and community settings have the skills to identify when someone is considering suicide, have the confidence to ask, the knowledge to effectively signpost and ability to share concerns with other agencies involved in the person’s care.
Addressed to
Safer Devon Partnership | Exeter Community Safety Partnership
Build capability in the workforces of Devon agencies, including Devon Partnership Trust, to respond in a timely and appropriate way to victims of domestic and sexual violence and abuse.
Review how well Devon Partnership Trust policies and procedures on contact with families fit with the national consensus statement on information sharing and suicide prevention.