Recommendation 1
Agencies to develop a specific policy, review and/or raise awareness of existing policies around how staff should work with people who cause harm in relationships.
Verified wording from the published review · Original review (PDF) ↗
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
East and Mid Devon review
CSP: East and Mid Devon
Published: August 2026
Year of death: 2022
Extracted: 8 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
The review identified escalating domestic abuse and suicide risk for the victim, alongside concerns regarding police domestic abuse risk assessment processes, a lack of accountability for perpetrators, and challenges in multi-agency responses to co-occurring mental health and alcohol misuse.
Home Office classifications
40 tags
Source-supplied classifications used by the Home Office to catalogue this review.
- Victim - died by suicide
- Victim - alcohol misuse
- Victim - mental ill health
- Victim - depression
- Victim - suicidal thoughts
- Victim - had been a victim of an abuser before
- Victim - referred to marac at any time
- Victim - case heard at marac before homicide
- Perpetrator - alcohol misuse
- Perpetrator - mental ill health
- Perpetrator - post traumatic stress disorder (ptsd)
- Perpetrator - suicidal thoughts
- Perpetrator - serious or life limiting illness
- 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 others as a domestic abuse perpetrator
- Perpetrator - known to friends as a domestic abuse perpetrator
- Perpetrator - known to workplace (employer) as a domestic abuse perpetrator
- Perpetrator - attended drug and alcohol services
- Perpetrator - supervised by mental health services
- Aggravating factors - separation
- Aggravating factors - coercive or controlling behaviour
- Aggravating factors - psychological or emotional abuse
- Aggravating factors - physical abuse
- DHR process - family supported by expert specialist advocate
- DHR process - police recommendations
- DHR process - health services recommendations
- DHR process - idva or other domestic abuse support service recommendations
- DHR process - probation services recommendations
- DHR process - housing 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
Recommendation 2
FearFree to raise awareness of the Behaviour Change programme.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 3
To share learning in reference to the Suicide Timeline with the Suicide Prevention Group and request consideration of its inclusion in the suicide prevention plan and domestic abuse suicide workstream.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 4
Devon and Cornwall Police to consider the current process to review, action and share information from domestic abuse risk assessments to ensure consistency across the Force and maximise safeguarding opportunities with other agencies.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 5
To increase awareness of the learning from this review through production of a learning briefing and to seek assurances that lessons from this review have been disseminated to staff within agencies and incorporated into current domestic abuse training.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 6
With specific reference to paragraph 16.52, Devon and Cornwall police to ensure that the nature of an offence is shared with Liaison and Diversion, for example domestic abuse, and that Liaison and Diversion request details of the nature of an offence, when a person is detained in custody.
Verified wording from the published review · Original review (PDF) ↗
Recommendation F1
To ensure the service’s procedures around closing cases, including end of support risk assessments and safety plans, are all being followed. This will be achieved through audit and reminding operational staff of organisational policy.
Verified wording from the published review · Original review (PDF) ↗
Recommendation MA1
For Medical Group A to engage with the new Interpersonal Trauma Response Service that has been rolled out in April 2023 to receive training.
Verified wording from the published review · Original review (PDF) ↗