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

St Helens review

CSP: St Helens Published: September 2023 Year of death: 2020 Extracted: 16 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 failures in multi-agency risk management, particularly regarding the intersection of domestic abuse, substance misuse, homelessness, and trauma. There was a lack of adequate mental health support, suicide prevention planning, and coordinated interventions, compounded by insufficient resources and missed opportunities during the perpetrator's custody.

Home Office classifications

38 tags

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

  • Victim - died by suicide
  • Victim - substance misuse
  • Victim - housing issues
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - post traumatic stress disorder (ptsd)
  • Victim - self harm
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Victim - case heard at marac before homicide
  • Children - subject to child protection or domestic abuse prior to homicide
  • Children - removed into care
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - housing issues
  • Perpetrator - suicide attempts
  • 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 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 - attended drug and alcohol services
  • Perpetrator - supervised by probation services
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - probation services recommendations
  • DHR process - housing services recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - awareness raising recommendation themes

Extracted recommendations

16 recommendations pulled from the report · 5 matched to organisations in the index

Recommendation 1

Addressed to Merseyside Police | St Helens Community Safety Partnership

The MeRIT risk assessment tool has been amended to include questions regarding suicidality and self-harm being asked of the victim.

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

Recommendation 1

Addressed to Ministry of Justice

The existing practice of prohibiting domestic abuse interventions from being offered to victims and perpetrators of domestic abuse whilst on remand in H. M. Prison be changed and such interventions be encouraged.

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

Recommendation 2

Addressed to St Helens Community Safety Partnership | CGL

Funding has been secured to appoint a Complex Needs IDVA in St Helens via CGL.

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

Recommendation 2

Addressed to HMPPS

Preventative interventions aimed at reducing levels of domestic abuse are shown to have been considered in every case where a victim or perpetrator of domestic abuse is in prison or being supervised within the community.

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

Recommendation 3

Addressed to St Helens MBC Adult Safeguarding | St Helens Community Safety Partnership

Following a refresher training course for all Adult Safeguarding staff the Merit/ MARAC training has now been made mandatory for all new staff joining Safeguarding Services and this commitment has been included within the revised Domestic Abuse Strategy for St Helens.

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

Recommendation 3

Addressed to HMPPS | Probation Service | Merseyside Community Rehabilitation Company

Provide all domestic abuse victims with advanced notice of the perpetrators release from prison after sentences of less than twelve months.

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

Recommendation 4

Addressed to St Helens Community Safety Partnership | Chair of MARAC

A program of proactive intervention be developed, implemented and coordinated by MARAC aimed at providing increased safety for victims and their families when a perpetrator is placed on remand or sentenced to a term of imprisonment for domestic abuse related offending and prior to their release.

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

Recommendation 5

Addressed to Merseyside Police | St Helens Public Health

Incorporate the issue of domestic abuse as a suicide risk factor, in any future regional or local Suicide Prevention Strategy Action Plan, with the aim of reducing the number of domestic abuse victims who take their own lives.

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

Recommendation 6

Addressed to St Helens Public Health

The profile of the suicide prevention strategy be raised in St Helens along with clear direction to individuals and agencies regarding the strategies expectations for safety planning and risk management and what tools are required to be used by all services within the partnership.

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

Recommendation 7

Addressed to St Helens Community Safety Partnership

Funding be secured to appoint more Complex Needs IDVA’s in St Helens

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

Recommendation 8

Addressed to St Helens Community Safety Partnership

Embed a trauma informed approach into all training and that training to be co-ordinated and delivered across all relevant partnerships and agencies in St Helens.

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

Recommendation 9

Addressed to St Helens Community Safety Partnership

Training be delivered to accommodation/hostel providers so that they understand their responsibility to safeguard individuals in their accommodation who are experiencing domestic abuse.

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

Recommendation 10

Addressed to St Helens Community Safety Partnership

Accommodation provision be reviewed and relevant changes to current practice made to ensure that victims and perpetrators are able to be accommodated separately at the earliest opportunity.

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

Recommendation 11

Addressed to St Helens Community Safety Partnership | Peoples Board

The impact of temporary/short term funded posts be evaluated and sustainable funding be secured as part of a co-ordinated approach to domestic abuse and suicide prevention across St Helens.

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

Recommendation 12

Addressed to St Helens Community Safety Partnership

Ensure that the contents of the Domestic Abuse Act 2021 are the subject of a joint agency training program across all agencies in St Helens.

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

Recommendation 13

Addressed to St Helens Community Safety Partnership

MeRIT and domestic abuse referral pathways training be included as a mandatory training requirement for all front-line staff by all agencies.

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