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 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…
AI-generated summary The review highlights fragmented referral pathways for domestic abuse victims, the invisibility of fathers in service engagement, and a need for enhanced professional curiosity and training across agencies, particularly in healthcare and h…
AI-generated summary The review highlights agencies' limited understanding and identification of economic and child-to-parent abuse, leading to missed opportunities for intervention and referrals. Inconsistencies in probation management and an underestimation …
AI-generated summary The review identified issues with police categorisation and risk assessment in domestic abuse incidents, particularly when victim/perpetrator roles are unclear. It also noted challenges in inter-agency information sharing regarding mental …
AI-generated summary The review highlights failures by agencies to identify the perpetrator's coercive control and stalking behaviour towards the victim, particularly during protracted criminal and family court proceedings. Concerns include inadequate risk ass…
AI-generated summary The review identifies missed opportunities by health and social care agencies to identify and respond to the victim's coercive control and financial abuse, exacerbated by her Huntington's Disease and isolation. Key concerns include inadequ…
AI-generated summary The review identified systemic failures in multi-agency risk assessment and information sharing regarding domestic abuse, mental health, and offender management. Key concerns include missed opportunities for routine enquiry in health setti…
AI-generated summary The report highlights gaps in public and professional understanding of coercive control and stalking, limitations of risk-led approaches for victims not identifying as abused, and issues with repeat offender management and probation record…
AI-generated summary The review highlights concerns regarding bidirectional domestic abuse between elderly partners, exacerbated by health and caring responsibilities, and their consistent refusal of support. It identifies a lack of multi-agency coordination, …
AI-generated summary The report identifies inconsistent recording and risk assessment of domestic abuse incidents, missed opportunities for inter-agency referrals, and challenges in engaging vulnerable individuals with complex needs. It also notes a lack of cl…
AI-generated summary The review identified systemic failures in multi-agency responses to a high-risk domestic abuse case involving reciprocal violence and severe alcohol/mental health issues. Concerns included inconsistent risk assessment, poor information sh…
AI-generated summary The review highlights missed opportunities by the GP practice to identify and intervene in domestic abuse, particularly concerning older individuals and male victims. It identifies a need for increased professional awareness, training, and…
AI-generated summary The review identified missed opportunities by agencies to recognise and respond to domestic abuse involving an older male victim and an adult child perpetrator with mental health and substance misuse issues. Key concerns include inadequate…
AI-generated summary The DHR highlights fragmented agency responses to escalating domestic abuse, including insufficient risk assessment, poor information sharing between community services and prison, and barriers to victim disclosure. It also notes the perpe…
AI-generated summary The review identified a lack of coordinated, holistic multi-agency support for the victim's complex needs, including mental health, drug misuse, and domestic abuse. Deficiencies were noted in information sharing, risk assessment, safeguard…
AI-generated summary The review highlights missed opportunities by health practitioners to assess and refer a perpetrator with deteriorating mental health and substance misuse, and to consider safeguarding risks to others, including a child. It also identifies…
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.