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

Peterborough review

CSP: Peterborough Published: May 2025 Year of death: 2021 Extracted: 10 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 concluded that domestic abuse was a causal or contributory factor in the victim's suicide, identifying missed opportunities by agencies to identify abuse and a lack of professional curiosity. It also highlighted challenges in providing accessible support for the Lithuanian community and police communication regarding domestic abuse allegations.

Home Office classifications

28 tags

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

  • Victim - died by suicide
  • Victim - pregnancy
  • Victim - mental ill health
  • Victim - self harm
  • Victim - had been a victim of an abuser before
  • Victim - immigration involvement
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Child - immigration involvement
  • Perpetrator - alcohol misuse
  • 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 - known to workplace (employer) as a domestic abuse perpetrator
  • Perpetrator - immigration involvement
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - family supported by expert specialist advocate
  • 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 - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

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

Recommendation 1

Addressed to Home Office

Home Office to provide a framework for CSP’s to transparently demonstrate the timely delivery of recommendations and findings emerging from DHRs.

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

Recommendation 2

Addressed to NHS Cambridgeshire and Peterborough CCG | NW Anglia NHS Foundation Trust

Professional curiosity of Domestic Abuse to be part of every consultation between a patient and their clinician when considering a potential safeguarding concern and recorded appropriately.

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

Recommendation 3

Addressed to Safer Peterborough Partnership

The Safer Peterborough Partnership to undertake research to understand why Lithuanian females are more likely to suffer a domestic abuse related death than any other person living in the area.

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

Recommendation 4

Addressed to Safer Peterborough Partnership

The Safer Peterborough Partnership coordinates a campaign to increase public awareness of domestic abuse in Lithuanian translation.

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

Recommendation 5

Addressed to Cambridgeshire Police

Implementation of a focal point for information gathering following members of the public providing information to Cambridgeshire Police with regards to any form of vulnerability.

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

Recommendation 6

Addressed to Cambridgeshire Police

Cambridgeshire Police to have a communication strategy to ensure all officers are considering the reasons a person may have died by suicide when attending the scene and thereafter.

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

Recommendation 7

Addressed to Cambridgeshire Police

Cambridgeshire Police to undertake training for all staff regarding the use of appropriate and responsive language in all situations, focussing on a willingness to support and safeguard victims throughout the criminal justice process. This is to ensure officers speaking with members of the public and victims of crime, in particular, domestic abuse, phrase advice in a positive manner.

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

Recommendation 8

Addressed to Cambridgeshire Police

Cambridgeshire Police to review the current Homicide, sudden and unexplained death procedure (BCH09/009) to consider the requisite for the rank of Detective Inspector to attend all suicides.

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

Recommendation 9

Addressed to Safer Peterborough Partnership

Safer Peterborough Partnership to review their funding streams and posts to ascertain whether a dedicated Community safety officer for DHRs is required to assist the DASV.

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

Recommendation 10

Addressed to DASV

DASV to work with the suicide prevention leads to identify patterns of suicide that have also had domestic abuse in their history.

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