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 concerns regarding the ability of the victim's family to engage with GPs about the perpetrator's rapidly deteriorating mental health, leading to potentially incomplete information for GPs. There were also issues with …
AI-generated summary The review identified a lack of professional curiosity regarding the victim's identity and relationship with the perpetrator, alongside insufficient risk assessment concerning the perpetrator's mental health and potential harm to others. G…
AI-generated summary The review identified systemic failures in the management of severe and enduring mental health conditions for both the victim and the perpetrator, including non-adherence to clinical guidelines, missed opportunities for specialist engageme…
AI-generated summary The review identified missed opportunities for police intervention and primary care professionals to identify and respond to domestic abuse indicators. It also highlighted gaps in multi-agency information sharing for non-high-risk cases an…
AI-generated summary The review identifies a lack of coordinated multi-agency response to domestic violence, poor information sharing, and missed opportunities by health and social care services to identify and respond to the victim's escalating needs and disc…
AI-generated summary The review identified systemic failures in identifying and responding to male victims of domestic abuse, including gender bias in professional curiosity and risk assessment. It highlighted inadequate multi-agency information sharing and co…
AI-generated summary The review identifies missed opportunities by agencies to recognise and respond to adolescent-to-parent violence and abuse (APVA) and the perpetrator's deteriorating mental health. Barriers to the family disclosing the full extent of abuse…
AI-generated summary The review highlights gaps in inter-force information sharing regarding serial domestic abuse perpetrators, challenges in completing comprehensive risk assessments, and the need for improved processes to identify and manage risk, particula…
AI-generated summary The review identifies escalating, unreported domestic abuse and coercive control, exacerbated by the victim's involvement in prostitution. Key concerns include barriers to reporting abuse within the Romanian community due, in part, to fear…
AI-generated summary The review identified inadequate multi-agency risk assessment conference (MARAC) processes, poor information sharing, and missed opportunities by agencies to identify domestic abuse indicators and offer support. It also highlighted issues …
AI-generated summary The review highlights the under-recognition of male victims of domestic abuse by professionals and the public, alongside inconsistent multi-agency information sharing and risk assessment. It also notes challenges in perpetrator engagement …
AI-generated summary The review identified inconsistent multi-agency coordination, particularly between MARAC and adult safeguarding, and challenges in engaging the victim due to complex needs and the perpetrator's controlling behaviour. Issues included limite…
AI-generated summary The review highlights significant gaps in information sharing between mental health services and primary care, leading to missed opportunities to identify and respond to long-standing domestic abuse and coercive control. It also identifies…
AI-generated summary The review identifies systemic failures in inter-agency collaboration, risk assessment, and the application of domestic abuse frameworks. Despite both the victim and the perpetrator having complex needs and agency support, the risk of homi…
AI-generated summary The review found limited agency involvement and no clear indications of risk or violence prior to the homicides, making the event largely unpredictable. However, it identified a need to review policies for managing 'did not attend' appoint…
AI-generated summary The review identified differing understandings of domestic abuse, leading to missed opportunities for safeguarding interventions despite clear signs of the victim's vulnerability, self-neglect, and exploitation by the perpetrator. There we…
AI-generated summary The review highlights the deterioration of a sibling relationship following parental deaths and an inheritance dispute, leading to a fatal assault. It notes challenges in predicting violence escalation and the limited applicability of dome…
AI-generated summary The review identified concerns regarding the perpetrator's lack of engagement with support services, gaps in continuity of support during transitions, and missed opportunities in risk management and information sharing. It also highlighted…
AI-generated summary The review identifies significant barriers for non-UK born residents, particularly the Polish community, in accessing domestic abuse support due to language and cultural issues, lack of specialist services, and inadequate staff training. I…
AI-generated summary The review identified concerns regarding the incomplete transfer of the victim's medical history between GP practices and a lack of professional curiosity in exploring relationship status during healthcare consultations. It also highlighte…
AI-generated summary The review identified systemic failures in multi-agency risk assessment, information sharing, and professional curiosity, particularly regarding the perpetrator's history of violence and the dynamic nature of risk. It highlighted inadequat…
AI-generated summary The review identified a lack of coordinated multi-agency response to escalating domestic abuse, inconsistent risk assessments, and inadequate adult safeguarding training. Challenges in information sharing and the perpetrator's known histor…
AI-generated summary The DHR identified missed opportunities for early intervention and support for the victim, particularly regarding domestic violence and substance misuse. Agencies struggled with information sharing, collaborative working, and consistently …
AI-generated summary The review identified missed opportunities by agencies, particularly police and GP practices, to identify and respond to escalating domestic abuse, including coercive control, economic abuse, and image-based sexual abuse. It also highlight…
AI-generated summary The review identifies systemic issues including gender bias in domestic violence responses, leading to the victim not being recognised as a victim and the perpetrator as a perpetrator. It also highlights missed opportunities for child prot…
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.