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
Telford and Wrekin review
CSP: Telford and WrekinPublished: June 2026Year of death: 2023Extracted: 16 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
This review highlights the increased risk of suicide among domestic abuse perpetrators and identifies systemic issues in agency responses to domestic abuse allegations, including counter-allegations and inconsistent risk assessment. It also notes gaps in routine domestic abuse enquiry in primary care and systematic bereavement support.
Home Office classifications
27 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - died by suicide
Victim - alcohol misuse
Victim - substance misuse
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - self harm
Perpetrator - alcohol misuse
Perpetrator - mental ill health
Perpetrator - anxiety
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 - digital stalking
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
Aggravating factors - economic abuse
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 - policy recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
16 recommendations pulled from the report · 9 matched to organisations in the index
The Home Office to consider liaising with the Department of Health and Social Care and NICE to ensure that there is consistency across all clinical guidance for routine enquiry into domestic abuse for relevant health conditions which are evidence-based indicators of potential domestic abuse, such as those for depression and anxiety specifically.
Addressed to
Telford and Wrekin Public Health Team | ICB
Telford and Wrekin Public Health Team with the ICB, through the Primary Care Networks (PCNs) and GP Safeguarding Leads, to provide assurance to the Domestic Abuse Local Partnership Board that the domestic abuse pathway for primary care, which includes the PCN social prescribers, is effective in identifying and responding to domestic abuse in primary care.
Addressed to
Telford and Wrekin Suicide Prevention Action Group
Telford and Wrekin Suicide Prevention Action Group, coordinated by the Public Health Team, to ensure that domestic abuse perpetrators, as well as domestic abuse victims, feature within their suicide prevention strategy.
Home Office to liaise with the chief coroner in respect of guidance to coroners to ensure that all coroners are part of Real Time Suspected Surveillance System
West Mercia Police and Telford Mind to work together to strengthen links and develop a referral route which will ensure that bereaved families are systematically offered signposting to specialist support services following police attendance at a sudden death.
The Home Office to consider adding to their suite of leaflets for families and friends, leaflets specifically concerning domestic abuse related suicides.
Safer Telford and Wrekin to ensure that a suicide prevention specialist sits on all future Domestic Abuse Related Death Reviews involving suicide in their area
Clearly Identify the reason for a patient seeking medical attention and highlight this to the consulting clinician in case of lack of contact with the patient
Provide evidence-based assurance that reports of harassment are robustly investigated, including those received by email, and victims updated of progress in line with the Victim’s Code