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
Somerset review
CSP: SomersetPublished: October 2024Year of death: 2021Extracted: 18 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
Agencies missed opportunities to identify and respond to domestic abuse, mental health concerns, and the cumulative impact of trauma on the family. Information was often held in isolation, hindering a comprehensive understanding of the risks and preventing timely support.
Home Office classifications
37 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - died by suicide
Victim - alcohol misuse
Victim - housing issues
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - suicidal thoughts
Victim - suicide attempts
Victim - had been a victim of an abuser before
Children - under 18 shared parental responsibility (victim and perpetrator)
Children - under 18 shared parental responsibility (between victims)
Children - under 18 shared parental responsibility (between perpetrators)
Children - living with victim (including adult children)
Children - living with perpetrator (including adult children)
Children - present at homicide (including adult children)
Child - primary address same as victim
Perpetrator - mental ill health
Perpetrator - depression
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - stalking
Aggravating factors - physical stalking
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
Aggravating factors - economic abuse
DHR process - police recommendations
DHR process - health services recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - school 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
Addressed to
Project, Change & Improvement Officer in Public Health (Community Safety)
Review of MARAC policy to include ‘when agencies become aware there has been a MARAC in another area, enquiries are to be made for a referral to be made to Somerset MARAC’. Once amended a clear procedure and training is to be offered to partner agencies.
Education Safeguarding to become integral partners of MARAC and share actions and information with schools to support the safety and action plans for victims.
Addressed to
Education Safeguarding | Head teachers of Beckington and Springmead Schools
Domestic abuse to be stand-alone training for all members of educational staff to understand behaviours, complexities surrounding domestic abuse, the DASH RIC, the domestic abuse pathway, and support available within the county.
Addressed to
Improvement and Assurance Officer for Domestic Abuse (Avon and Somerset Constabulary)
Review the Call Handling Grading and Deployment Operational Procedure to try and identify those messages that present the greatest risk and require a prompt attendance.
Addressed to
Improvement and Assurance Officer for Domestic Abuse (Avon and Somerset Constabulary)
To adopt and implement the college of policing guidance to responders and call takers for stalking and harassment offences. All staff within the control room to receive training and use the College of Policing question set to determine risk along with the THRIVE risk assessment principles.
Addressed to
Improvement and Assurance Officer for Domestic Abuse (Avon and Somerset Constabulary)
Officers to ensure they offer a variety of options with regards to speaking with victims especially when there may be reluctance or a possibility of minimisation. Officers need to be proactive in seeking evidence to support the safety of victims and prosecute those using abusive behaviours.
Addressed to
Senior Commissioning Officer Interpersonal Violence (SCC)
Training offered to include local domestic abuse services and specialist male victim services promoting partnership working with the most up to date information and support.
Addressed to
SDAPB Chair | Comms and learning Group Chair | Senior Commissioning Officer Interpersonal Violence (SCC) | Mankind Initiative | SIDAS | ICS
Develop a co-ordinated and multi-agency awareness campaign and roll out to the community and professionals regarding domestic abuse and to include male victims and the impact on mental health and suicide.
Addressed to
LSU Detective Inspector (Avon and Somerset Constabulary)
LSU to increase supervisory oversight of cases through audits and dip sampling to increase consistency in decisions to contact victims of domestic abuse where a crime is recorded.
Although Open Mental Health is available to find online there needs to be positive work raise awareness in other forms ensuring those who may not have access to the internet or social media can seek information of the support available.
Addressed to
Health Improvement Manager for Public Health
The Suicide Prevention Partnership Forum will ensure that a representative from the Domestic Abuse Partnership is invited to forum meetings which occur quarterly.
A representative from the Domestic Abuse Partnership (alongside other professionals within the field) are to be invited to sit on the Suicide Prevention Partnership Forum working group for the High-Risk Groups workstream when they focus on domestic abuse.
Addressed to
Senior Commissioning Officer Interpersonal Violence (SCC)
A member from the Somerset Suicide Prevention Partnership (Public Health or other relevant agency) is to be invited as a panel member for any future domestic abuse suicide reviews within Somerset.