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 systemic failures in multi-agency coordination, professional curiosity, and understanding of complex vulnerabilities including substance misuse, exploitation, mental health, and homelessness. It highlighted the impact…
AI-generated summary The review identified systemic failures in identifying the victim as a male victim of domestic abuse and assessing risks to both parties in a relationship with mutual violence. Agencies missed opportunities for information sharing, risk as…
AI-generated summary The review identified missed opportunities by agencies for professional curiosity and comprehensive risk assessment, particularly regarding non-fatal strangulation and its delayed medical complications. Challenges in inter-agency communica…
AI-generated summary The review identifies systemic failures in recognising domestic violence and abuse, particularly in same-sex relationships and involving older men. Key concerns include inadequate risk assessment, poor inter-agency information sharing, and…
AI-generated summary The review identifies systemic failures in direct engagement with the victim, a lack of professional curiosity, and inadequate "Think Family" approaches by services. It highlights insufficient recognition and risk assessment of adult famil…
AI-generated summary The report highlights a lack of multi-agency coordination and failure to recognise coercive control and familial domestic abuse, particularly non-fatal strangulation, impacting the victim's mental health and suicide risk. Confirmatory bias…
AI-generated summary The report identifies concerns regarding inadequate recognition and assessment of domestic abuse, particularly coercive control and delusional jealousy, due to mental illness overshadowing. It also highlights poor record-keeping, insuffici…
AI-generated summary The report identifies concerns regarding the gun licensing process, including non-disclosure of medical and alcohol use information and the use of private online prescribing services. It also highlights barriers for victims of domestic abu…
AI-generated summary The DHR highlights the unforeseen nature of the homicide due to undiagnosed Lewy Body Dementia in the perpetrator. It identifies a need for improved agency awareness, routine enquiry, and accessible services for domestic abuse among the el…
AI-generated summary This review highlights the increased risk of suicide among domestic abuse perpetrators and identifies systemic issues in agency responses to domestic abuse allegations, including counter-allegations and inconsistent risk assessment. It als…
AI-generated summary The review identified systemic failures in recognising the victim's vulnerability and the perpetrator's escalating risk, including inadequate multi-agency information sharing, insufficient professional curiosity, and a lack of recognition …
AI-generated summary The review identifies concerns regarding the impact of coercive control on a vulnerable adult with dementia, inadequate care assessment and withdrawal, and insufficient consideration of the perpetrator's caring role. Issues with inter-agen…
AI-generated summary The review highlights a lack of agency contact and the victim's unawareness of coercive control, particularly suicidal threats, as domestic abuse. It identifies a gap in public and professional understanding of risks during relationship se…
AI-generated summary The review identifies concerns regarding agencies' risk assessment practices, particularly the police's recognition of escalating domestic abuse indicators and economic abuse. It highlights gaps in inter-agency information sharing, profess…
AI-generated summary The review identified systemic failures in inter-agency communication and cooperation, leading to missed opportunities in risk assessment and support for the victim, who faced multiple vulnerabilities including homelessness, mental health …
AI-generated summary The review identified systemic failures in multi-agency communication, information sharing, and risk assessment regarding domestic abuse, mental health, and anti-social behaviour. A lack of professional curiosity and consistent supervision…
AI-generated summary The review identifies that domestic abuse, potentially influenced by early life experiences of Honour Based Abuse, was a contributory factor in the victim's death by suicide. It highlights challenges in disclosure to agencies and the need …
AI-generated summary Key concerns include the lack of routine domestic abuse enquiry by healthcare, barriers for gay male victims in disclosing abuse, and the need for improved training and policy for health and counselling services on abuse recognition and it…
AI-generated summary The review identified concerns regarding inter-agency communication and information sharing, particularly between primary care and mental health services, which led to an incomplete assessment of domestic abuse risks despite the victim's r…
AI-generated summary The review identifies challenges in engaging with rough sleepers with complex needs, including alcohol dependency and domestic abuse. It highlights gaps in interagency cooperation, information sharing, adherence to policies, record-keeping…
AI-generated summary Key concerns include agencies and family not recognising coercive control and domestic abuse, and missed opportunities for routine enquiry given the victim's multiple vulnerabilities. The report highlights the heightened risk of homicide w…
AI-generated summary The review identified systemic failures in inter-agency information sharing, risk assessment, and proactive intervention regarding domestic abuse. Professionals missed opportunities to identify escalating risks and address the perpetrator'…
AI-generated summary The review found no identified warning signs or missed opportunities by professionals to prevent the homicide. However, it highlighted the importance of practitioner awareness regarding domestic abuse in older people and recommended consid…
AI-generated summary The review identified limited agency involvement and missed opportunities for intervention despite indicators of domestic abuse, alcohol misuse, and the victim's vulnerability. There was a lack of professional curiosity and timely informat…
AI-generated summary The review identified shortcomings in mental health service delivery, including poor information management and insufficient carer support. It also highlighted a lack of effective inter-agency coordination during crises and limitations in …
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.