Find recommendations from statutory reviews of domestic homicides, published in the Home Office DHR Library. Victim and perpetrator names are never displayed on this page.
Newest publication first
AI-generated summary The review identified challenges in inter-agency information sharing and follow-up, inconsistent victim engagement, and missed opportunities to assess risk, particularly concerning the links between domestic abuse, complex health needs, so…
AI-generated summary The review identified systemic failures by multiple agencies to recognise the victim's long-term entrapment in a coercively controlling relationship, leading to fragmented responses, inadequate risk assessments, and ineffective perpetrator…
AI-generated summary The review identified systemic failures in multi-agency information sharing and risk assessment regarding the perpetrator's domestic abuse history and the victim's complex mental health. Agencies missed opportunities to identify and respon…
AI-generated summary The review highlights systemic failures in the risk assessment and management of the perpetrator by probation and police, alongside inadequate information sharing between agencies. This contributed to a lack of awareness and intervention r…
AI-generated summary The review highlights challenges in multi-agency engagement and information sharing, particularly due to the victim's repeated refusal of support despite disclosures of domestic abuse. It identifies missed opportunities to address coercion…
AI-generated summary The review highlights missed opportunities by police and health professionals to identify and respond to domestic abuse, particularly concerning the male victim's experiences and the impact of alcohol misuse. It also notes a lack of inter-…
AI-generated summary The review identified an overreliance on parental decision-making without adequate mental capacity assessments, leading to ineffective monitoring of the victim's health and a lack of escalation when interventions were declined. Communicati…
AI-generated summary The review highlights failures by legal professionals and the Family Court to identify and address the perpetrator's controlling behaviour and economic abuse during protracted divorce and financial remedy proceedings, which significantly i…
AI-generated summary The review highlights systemic challenges in multi-agency responses to a victim with complex needs, including severe alcoholism and cognitive impairment, who experienced high-risk, wide-ranging domestic abuse and coercive control. It ident…
AI-generated summary This Domestic Homicide Review identified that the victim was subjected to prolonged coercive and controlling behaviour by her partner, which her family believed contributed to her death. The review also highlighted missed opportunities by …
AI-generated summary 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 ris…
AI-generated summary The review identified disjointed interagency communication, inconsistent identification and response to domestic abuse, and a lack of professional curiosity regarding the victim's multiple and intersecting vulnerabilities, including mental…
AI-generated summary The review highlights inadequate mental health assessments and care for the perpetrator, poor inter-agency communication and information sharing, and a lack of clear responsibility for case management, compounded by resource constraints in…
AI-generated summary Agencies missed opportunities to pursue evidence-based prosecutions and apply protective orders. There was a failure to understand the victim's non-engagement, particularly regarding the perpetrator's coercive control, highlighting a need …
AI-generated summary The review identified multi-agency missed opportunities in consistently identifying, assessing, and responding to the victim's long-term domestic abuse, mental health issues, and substance misuse. Challenges in inter-agency information sha…
AI-generated summary The review highlights systemic failures in multi-agency communication, risk assessment, and investigation of domestic abuse, including economic abuse and suicide risk, leading to isolated and ineffective interventions for the victim.
AI-generated summary The review identified concerns regarding agencies' assessment of the perpetrator's mental health and alcohol misuse, insufficient professional curiosity about domestic abuse with the victim, and inadequate information sharing, particularly…
AI-generated summary The review highlights significant concerns regarding inter-agency information sharing, missed opportunities for multi-agency risk assessment (MARAC), and inadequate responses to the victim's vulnerability and the perpetrator's substance ab…
AI-generated summary Mental health services did not adequately address the victim's vulnerability or the perpetrator's historical violence, relying heavily on his self-reporting. GP practices also missed opportunities to explore domestic abuse and safeguarding…
AI-generated summary The review identified inconsistent multi-agency responses to domestic abuse, missed opportunities for risk assessment and intervention, and a lack of routine screening for domestic abuse in health settings. It also highlighted the impact o…
AI-generated summary The review highlights missed opportunities for professional curiosity and information sharing across agencies, inconsistent risk assessments, and the under-recognition of male victims of domestic abuse. It also notes a lack of public aware…
AI-generated summary The review highlights challenges in multi-agency safeguarding for alcohol-dependent individuals experiencing domestic abuse with co-occurring mental health issues, including inconsistent information sharing, adherence to procedures, and th…
AI-generated summary Agencies underestimated the perpetrator's escalating risk, including his coercive control and specific threats towards the victim and her child with autism. A lack of multi-agency information sharing and coordinated risk assessment led to …
AI-generated summary The review highlights concerns regarding inadequate risk assessment for harm to others, particularly the failure to interview the victim separately and fully explore the perpetrator's controlling behaviours. It also identifies gaps in unde…
AI-generated summary The review identified concerns regarding inadequate multi-agency support for parents managing a child's complex needs, insufficient professional curiosity about domestic abuse and substance use, and challenges in engaging families with ser…
The index holds 692 reviews from the Home Office library. 9 are not yet listed here while recommendation extraction and verification completes. 5,050 of 10,174 verified recommendations are matched to organisations tracked in the index.
These are statutory reviews under section 9 of the Domestic Violence, Crime and Victims Act 2004.