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 Concerns include the recognition and response to coercive control, its impact on the victim's mental health and suicidal ideation, and the effectiveness of multi-agency support for victims with complex needs, especially regarding relocatio…
AI-generated summary The review highlights the challenge in identifying coercive and controlling behaviour as domestic abuse, particularly when non-physical, by both the victim and professionals. Agencies were not aware of the significance of the impact of coe…
AI-generated summary The review highlights a clash of cultural expectations for the victim, leading to coercion and control by the perpetrator and ultimately an honour-based killing. It identifies missed opportunities for professional curiosity and a lack of a…
AI-generated summary The review found the homicide was unpredictable and unpreventable, with limited prior agency contact. However, it identified learning points regarding the need for agencies to improve support for carers and wider family, ensure up-to-date …
AI-generated summary The review highlights significant failures in the timely assessment and management of the perpetrator's mental health, a lack of understanding and assessment of the complex caring relationship with the victim, including carer stress and po…
AI-generated summary Agencies overlooked the victim's risk of familial domestic abuse, influenced by age and gender stereotypes. Gaps in inter-agency information sharing, MARAC processes, and risk assessments for the perpetrator contributed to missed opportuni…
AI-generated summary The report identifies systemic failures in inter-agency communication and information sharing, leading to missed opportunities to assess the carer's mental health and substance misuse issues, provide adequate carer support, and explore rea…
AI-generated summary The review identifies a lack of professional curiosity and failure by agencies to recognise escalating patterns of coercive control, stalking, and harassment, particularly during separation and child custody disputes. Incidents were often …
AI-generated summary The review highlights systemic failures in inter-agency communication and risk assessment, particularly regarding domestic abuse and mental health. Key concerns include missed opportunities to act on disclosures of coercive control, inadeq…
AI-generated summary The review highlights the extreme vulnerability of an au-pair to modern slavery and domestic servitude, exacerbated by a lack of regulation and specific safeguarding advice. It also identifies systemic issues in multi-agency responses to a…
AI-generated summary The review identified concerns regarding police handling of domestic abuse incidents, including bail decisions and victim contact in custody. It also highlighted issues with mental health service engagement with the perpetrator and a gener…
AI-generated summary The review identifies concerns regarding the victim's disengagement with statutory health services for the perpetrator's medical and mental health needs, leading to missed intervention opportunities. It highlights limitations in agency pow…
AI-generated summary The report identifies significant missed opportunities by police and other agencies to intervene in the perpetrator's history of substance misuse and domestic abuse, highlighting a lack of information sharing, inadequate risk assessments, …
AI-generated summary The review identified missed opportunities by health and social care agencies to recognise and respond to escalating domestic abuse, particularly concerning the perpetrator's deteriorating mental health and the victim's disclosures. There …
AI-generated summary The review identified weaknesses in multi-agency information sharing, MARAC processes, and risk assessment practices, leading to missed opportunities to identify escalating domestic abuse risks and provide effective support to the victim, …
AI-generated summary The report highlights missed opportunities by agencies to identify and respond to domestic abuse, including coercive control and potential forced marriage, experienced by the victim from her father and brother. It notes inconsistent risk a…
AI-generated summary The review highlights systemic issues in recognising and responding to coercive control, inconsistent multi-agency information sharing and risk management for victims, and a lack of trauma-informed practice, particularly regarding childhoo…
AI-generated summary The report identifies systemic missed opportunities by agencies to identify and address domestic abuse, self-harm, and substance misuse. There was a lack of a 'Think Family' approach, inadequate multi-agency coordination, and insufficient …
AI-generated summary The review highlights concerns regarding agencies' fragmented responses to familial domestic abuse, particularly where co-existing mental health and substance misuse issues were present. It identifies failures in holistic risk assessment, …
AI-generated summary The report highlights concerns regarding inconsistent victim engagement with support services, missed opportunities for information sharing about the perpetrator's history, delays in police follow-up, and a lack of a comprehensive 'whole f…
AI-generated summary The review highlights systemic failures in recognising and responding to the victim's vulnerability and the domestic abuse dynamics within the relationship. Agencies struggled with multi-agency coordination, precise mental capacity assessm…
AI-generated summary The review identifies systemic failures in multi-agency risk assessment, information sharing, and domestic abuse awareness, leading to missed opportunities to safeguard the victim and her children. Concerns include the perpetrator's manipu…
AI-generated summary The review highlights minimal agency involvement with the victim and missed opportunities to identify coercive control and economic abuse. It also notes a lack of community awareness regarding domestic abuse indicators, third-party reporti…
AI-generated summary Health agencies failed to routinely identify domestic abuse, particularly coercive control, and address the victim's complex needs (mental health, substance misuse) holistically. There was a lack of integrated working and underestimation o…
AI-generated summary The report identifies systemic missed opportunities across agencies, especially healthcare, to identify domestic abuse, assess risk, and share information. It highlights inadequate perpetrator risk management and a need for improved profes…
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.