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 a history of controlling, manipulative, and violent domestic abuse by the perpetrator, exacerbated by his alcohol misuse. The victim faced significant barriers to disclosure, including cultural and religious factors, …
AI-generated summary The review identified significant concerns regarding multi-agency information sharing, the integration of domestic abuse considerations into suicide prevention and mental health services, and the need for greater cultural awareness in supp…
AI-generated summary The report identifies missed opportunities by professionals to recognise and assess domestic abuse, particularly in older people, leading to an inappropriate decision not to conduct a safeguarding enquiry. Failures in mental capacity asses…
AI-generated summary The review identifies systemic issues including victim-blaming, a lack of professional curiosity, and inadequate recognition of the perpetrator's controlling behaviour. It highlights missed opportunities to use legal remedies and address t…
AI-generated summary The review identified concerns regarding the perpetrator's unaddressed alcohol and mental health issues, inconsistent engagement with support services, and missed opportunities by agencies to conduct comprehensive risk assessments, particu…
AI-generated summary The review identifies concerns regarding delayed multi-agency risk assessment, missed opportunities for perpetrator arrest, and a lack of understanding among professionals about coercive control and its impact on the victim's decisions. It…
AI-generated summary The review highlights challenges in supporting older carers in rural areas, particularly those resistant to traditional services, when caring for individuals with dementia and challenging behaviours. It identifies a need for improved, inte…
AI-generated summary Key concerns include significant gaps in inter-agency information sharing, particularly between police, GP, and mental health services, which impeded effective risk assessment and management of the perpetrator's mental health and substance…
AI-generated summary Agencies failed to recognise and understand coercive control and economic abuse, particularly the heightened risk during separation. This led to missed opportunities to safeguard the victim, with professional focus often on the perpetrator…
AI-generated summary The review identified missed opportunities for agencies to apply professional curiosity and intervene early, an over-reliance on victim engagement rather than perpetrator accountability, and inconsistencies in information sharing and recor…
AI-generated summary The report identifies concerns regarding agencies' understanding of domestic abuse and stalking risks, particularly post-separation, leading to inadequate risk assessments and safety advice for the victim. It highlights issues with the 'Si…
AI-generated summary The review identified long-term problematic alcohol use, familial domestic abuse by the victim towards his parents, social isolation, and challenges in early identification of domestic abuse and alcohol issues in health settings.
AI-generated summary The review identifies missed opportunities by agencies to recognise and respond to the victim's stalking and coercive control, exacerbated by a lack of understanding of digital stalking and inadequate risk assessment. It highlights issues …
AI-generated summary The review highlights a lack of holistic understanding of the victim's complex vulnerabilities (mental health, cancer, child residency fears) and the impact of coercive control on her engagement with services. Missed opportunities to explo…
AI-generated summary Key concerns include the identification and robust handling of stalking, inter-agency communication and information sharing across authorities and between domestic abuse and mental health services. Delays in accessing mental health support…
AI-generated summary The review identified concerns regarding inconsistent intelligence checks by police, gaps in primary care's management of combat stress and assessment of risk to others, and the perpetrator's selective disclosure of his mental health histo…
AI-generated summary The report identifies concerns regarding practitioners' understanding of domestic abuse, particularly coercive control, within complex family dynamics. It highlights insufficient recognition of the victim's needs as a carer and a lack of r…
AI-generated summary Key concerns include a lack of agency awareness of domestic abuse in older couples, the heightened risk at separation, and the incorrect assumption that risk diminishes with age or relationship length. The report also highlights the need f…
AI-generated summary The report identifies systemic failures in identifying and responding to escalating domestic abuse, particularly concerning the victim's mental health, substance misuse, and pregnancies. Agencies often responded in isolation, missing oppor…
AI-generated summary The report identifies concerns regarding the identification of vulnerability and provision of support for the perpetrator's mental health and substance use, alongside the victim's 'invisible' carer role. It also highlights the need to enha…
AI-generated summary The review identifies inconsistent agency identification and response to domestic abuse, exacerbated by inappropriate use of family as interpreters and poor information sharing. Issues with risk assessment, MARAC thresholds, and a lack of …
AI-generated summary The review identified missed opportunities by agencies to identify, assess, and respond to domestic abuse, including coercive control and increased risk at separation. There were also gaps in information sharing, risk assessment, and linki…
AI-generated summary The review highlights a lack of agency knowledge regarding the perpetrator's hidden controlling behaviour and the victim's vulnerability. It identifies missed opportunities for domestic abuse enquiry in healthcare settings and a need to re…
AI-generated summary Agencies failed to adequately identify and respond to domestic violence, economic abuse, and abuse of process, leading to missed opportunities for risk assessment and support. Procedural disputes and limited inter-agency communication furt…
AI-generated summary The review identified insufficient proactive support and mental health assessment for the perpetrator as a carer, despite escalating distress and threats. There were missed opportunities for multi-agency coordination, comprehensive risk as…
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.