Homicide Reviews Research Articles

An analysis of domestic homicide review recommendations for adult safeguarding in England

PurposeThe purpose of this paper is to analyse recommendations made in domestic homicide reviews (DHRs) in England relating to adult safeguarding – largely focussing on those aged 66+ − to identify key areas for learning and how equality, diversity and inclusion issues (EDI) are considered in DHRs.Design/methodology/approachA mixed methods approach was used to analyse 24 DHRs spanning 2015–2018. A qualitative template was created to extract information, followed by a critical thematic analysis. A quantitative matrix was then developed, enabling a descriptive quantitative analysis, identifying the most prevalent types of recommendations. An additional descriptive quantitative analysis of the 24 DHRs was undertaken for context.FindingsIntimate partner homicide comprised half the homicides (12); adult family homicide comprised 11; and one homicide was an amicicide. DHRs recommended improvements in: information management/multi-agency working (83%); targeted domestic abuse training (67%); developing/abiding by policies (67%); enhancing professional practice (54%); improved domestic abuse risk and carers assessments (50%). EDI was seldom considered.Originality/valueNew analysis is provided on the different types and contexts of domestic homicides involving older adults, the need for strengthened guidance regarding DA and adult safeguarding, tailored DA training and challenging “blind spots” relating to ageist assumptions, the invisibility of familial abuse, a lack of service oversight where care is self-funded and limited consideration of EDI.

Why some homicide investigations go cold: a study exploring the experiences of the investigative review process by UK detectives

PurposeThe purpose of this study is to explore the review mechanisms’ efficacy from the perspective of cold case reviewers. Live homicide review mechanisms at the 7- and 28-day stage of an inquiry seek to prevent the case becoming cold (or unsolved) by ensuring lines of inquiry have been suitably identified and progressed. There is also a requirement to ensure the investigation was not swayed by faulty decision-making or cognitive biases. However, the use of the review processes in preventing unsolved cases is unclear, and not subject to much academic discussion.Design/methodology/approachThis exploratory study explores the review functions through the lens of cold case detectives, currently reviewing unsolved cases to identify progression opportunities. The study uses data from a seven-month, non-participatory observation period with a two-force collaborative cold case unit and 13 semi-structured interviews with cold case review officers. The observations and interviews were simultaneously analysed adhering to an inductive approach to Thematic Analysis.FindingsThe results show procedural guides (e.g. the Major Crime Investigation Manual) are important quality assurance mechanisms for review officers, helping ensure the appropriate and necessary lines of inquiry have been pursued. However, they were keen to emphasise the importance of intuition in progressing cases but felt continuously hindered by a lack of resources and large numbers of applicable cases. To the best of the authors’ knowledge this study is the first exploration of cold case detective’s experiences of the live review processes and how they may pose challenges in case progression for cognitive errors and biases. While the study has identified some challenges facing review officers in nine police forces across the UK, wider examination of policies, practices and mechanisms should be explored to develop the current procedural guidance (e.g. NPCC, 2021).Originality/valueTo the best of the authors’ knowledge this exploratory study is the first exploration of cold case detective’s experiences of the live review processes and how they may pose challenges in case progression for cognitive errors and biases. While the study has identified some challenges facing review officers in nine police forces across the UK, wider examination of policies, practices and mechanisms should be explored to develop the current procedural guidance (e.g. NPCC, 2021).

Learning legacies: better understanding the dynamics of domestic abuse suicidality through domestic homicide reviews

Learning legacies: better understanding the dynamics of domestic abuse suicidality through domestic homicide reviews

Perpetrator Involvement in Domestic Homicide Reviews in England and Wales

In England and Wales, Domestic Homicide Reviews (DHRs) examine domestic abuse (DA)-related deaths. Despite perpetrators being a potentially important albeit difficult source of information, no study has investigated perpetrator involvement in DHRs or that of others like their family. Data is reported from a documentary analysis of 60 DHR reports and a reflective thematic analysis of 29 stakeholder interviews. This paper explores if, why, when, and how perpetrators—directly or by proxy—are involved in DHRs and the potential benefits but also perceived or actual risks and challenges. Practice and policy implications, and areas for future research, are identified.

How to Prevent Domestic Homicides: A Qualitative Study of Recommendations from a Canadian Domestic Homicide Review Committee

How to Prevent Domestic Homicides: A Qualitative Study of Recommendations from a Canadian Domestic Homicide Review Committee

Reconceptualising Sexual Infidelity Provocation: New Anglo-Scottish Reform Proposals

The Scottish Law Commission has recently confirmed in its Eleventh Programme of Reform, published in May 2023, the continuation of its medium-term project to examine the law of homicide. This includes a review of sexual infidelity killings and provocation as a partial defence to murder, or otherwise. It embraces a critique of whether and, if so, how any necessary proposals for modernising the law in this sensitive and important area should be made. A Discussion Paper has previously been published for examination. Against this backdrop, we analyse whether sexual infidelity ought to be retained in extant Scots law, as one of only two relationally relevant qualifying triggers. In November 2023, the Law Commission in England and Wales announced its forthcoming review of domestic homicide given contemporary understandings of the impact of domestic abuse. We provide novel insights into Anglo-Scottish law to seek to recalibrate the understanding of coercive/controlling behaviour in the contextualisation of sexual infidelity killings. Our review highlights the ways in which allegations of (actual or perceived) sexual infidelity may be symptomatic of coercive control through consideration of recent case law, and via the lens of Monckton-Smith's eight stages to femicide. A risk assessment is utilised to demonstrate the extent to which victims of coercive controlling behaviour have their capacity for action delimited, and how this should inform deliberations in cases where the coercively controlled individual kills in response. A novel and original new template is promulgated for provocation reform predicated de novo on qualifying triggers of domestic abuse and gross breach of trust and with a part-justificatory – part excusatory standardisation. It is suggested that a new nomenclature and typology is required as extant Scottish law on provocation is out of step with contemporary social mores, and the law in England and Wales does not adequately address contextual factors, such as, ethnicity, culture, religion, sexuality, disability, and migrant status, which impact on a domestic abuse victim's capacity for action. It is further propounded that a social entrapment lens, drawing on initiatives crystallised from New Zealand and Australian academician perspectives, ought to be enacted as part of urgently needed effective remedial legislation.

Naming practices in domestic homicide reviews in England and Wales

In England and Wales, domestic homicide reviews (DHRs) seek to build a picture of the circumstances preceding a domestic abuse-related death, identify any learning and make recommendations for change. Drawing on data from document analysis of 60 DHR reports, this article explores how a victim’s real name is routinely taken out of use when a DHR report is published and, to disguise their identity, is usually replaced with a pseudonym or some other nomenclature like initials/letters. I report on the name forms used in place of a victim’s real name and the limited explication of both how (pseudo)names were chosen and the role of the family. By exploring how names are used, I argue for a recognition of the assumptions and complexity at the heart of DHRs concerning the place of the victim, family and state, and identify implications for practice, policy and research.

Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and Wales

Aims and method We used data from Domestic Homicide Reviews (DHRs) to describe the patterns of mental health service use by perpetrators of domestic homicide in England and Wales. In 186 DHR reports we compared the characteristics of perpetrators who accessed mental health services with those of perpetrators who did not. Separate analyses were conducted for perpetrators of intimate partner homicide (IPH) and family homicide. Results Over two-thirds (64.5%, n = 120) of the perpetrators had accessed mental healthcare before the homicide. Perpetrators of IPH who had used mental health services compared with those who had not were more likely to have a history of substance misuse, contact with the criminal justice system and a history of self-harm or suicide attempts. Clinical implications Our findings support the need for health services, particularly mental health, addictions and primary care, to take an assertive role in the prevention of domestic violence and abuse by identifying patients who are potential perpetrators of domestic violence and abuse.

‘Fit for Purpose in Today's Society?’: Reflecting on Provocation Pleas in Modern Scotland

Provocation has been the subject of long-term, international scrutiny and is currently under consideration by the Scottish Law Commission as part of their review of homicide and defences to murder. This article reflects on how provocation is used in practice in Scottish courts and considers two aspects of potential reform in particular: where the basis of the plea is infidelity and where the plea is used in the context of someone killing an abuser. It is recognised that reform of the plea now appears inevitable (and required) but this article cautions against complete abolition or expansion of the plea. The discussion is informed by critical feminist analysis of both reported and unreported cases and seeks to better illuminate how the plea is currently operating in practice.

Proceedings from the Second Medical Summit on Firearm Injury Prevention, 2022: Creating a Sustainable Healthcare Coalition to Advance a Multidisciplinary Public Health Approach.

Proceedings from the Second Medical Summit on Firearm Injury Prevention, 2022: Creating a Sustainable Healthcare Coalition to Advance a Multidisciplinary Public Health Approach.

The Challenges and Opportunities of Reviewing Domestic Abuse-Related Deaths by Suicide in England and Wales

PurposeIn England and Wales, Domestic Homicide Reviews (DHRs) are conducted into domestic abuse-related killings. In 2016, deaths by suicide were brought into the scope of this review system and, to distinguish them from reviews into domestic homicides, we describe these as ‘Suicide Domestic Abuse-Related Death Reviews’ (S-DARDR). To date, S-DARDRs have been little considered and, in response, this empirical paper seeks to unpack this process.MethodIn a larger study, 40 DHR participants were interviewed, and a reflexive thematic analysis was undertaken. 18 participants discussed S-DARDRs. These interviews were re-read, with relevant extracts identified and re-analysed thematically. Through a shared critical reflection, we drew on our practice experience to interrogate the themes generated from the interviews and offer insight into the underlying challenges.ResultsFrom the interviews, we generated four themes relating to commissioning and delivery; the involvement of stakeholders; intersections with other statutory processes; and purpose. Based on our shared critical reflection, we identified the underlying challenges as an under conceptualisation of S-DARDRs, alongside their de-mooring from the criminal justice system. Taken together, these challenges have implications for the conduct of S-DARDRs. We identify recommendations for policy and practice to address these challenges.ConclusionThe development of S-DARDRs has been little considered and challenges arise around when and how they should be undertaken. A shared understanding of key concepts and expectations around delivery is necessary if S-DARDRs are to enable robust learning and be a driver for systems change while also being accessible and understood by all stakeholders.

Adult family violence coming out of the shadows

PurposeThis study aims to draw together what is known regarding the characteristics and context of adult family violence, and to consider what practitioners and organisations in the UK might learn from the literature.Design/methodology/approachThis study reviews literature on adult family violence and parricide and includes illustrative cases from a study of domestic homicide review reports involving older adults.FindingsAdult family violence most often involves mothers killed by their adult sons. Mental health issues, alcohol/substance misuse and criminality are common themes for perpetrators. Caregiving responsibilities is a theme for both victims and perpetrators. Previous research identified two main categories of adult family homicide: perpetrators with major psychotic illness, and victims-perpetrators in complex relational contexts.Practical implicationsThis study considers how practitioners respond to situations of adult family violence and learning for policymakers, agencies and practitioners.Originality/valueThis paper summarises what is known, argues that more research is needed and suggests practical ways forward for policymakers, relevant agencies and practitioners.

Parallels in Practice: Applying Principles of Research Integrity and Ethics in Domestic Violence Fatality Review (DVFR)

PurposeWithin the context of the big data society, new systems of data collection on domestic violence and abuse (DVA) have emerged. One such system is Domestic Violence Fatality Review (DVFR) which captures the various dimensions of gender, violence, and abuse required to form an evidence base for prevention. However, to date, there has been limited dialogue between practitioners and researchers about the ‘doing’ of DVFRs.MethodAs DVFR systems vary by jurisdiction, we conducted a case study of Domestic Homicide Reviews (DHRs) in England and Wales. Applying the Research Integrity Framework (RIF) developed by the four Women’s Aid Federations in the United Kingdom (UK), this article examines both the practice of DHR and how it is utilised as data in research.ResultsInformed by our situated perspectives as researchers and/or practitioners working in the field, our analysis demonstrates how undertaking DHR as a practitioner parallels collecting, accessing, and analysing data from DHRs as a researcher. Guiding principles are identified to help practitioners and researchers navigate the parallel challenges they confront and, critically, inform dialogue between practice and research.ConclusionsImplications for both professional practice and research are presented. To increase transparency and confidence, we argue that more attention should be afforded to the methodological and ethical issues inherent in both the practice of DHRs, and their utilisation as a source of data in research. While DHRs have differences to DVFRs in other jurisdictions, these findings also have implications for these other systems which will also be discussed.

Carers and domestic abuse – the elephant in the room?

PurposeThe purpose of this paper is to highlight the issue of carers as victims and perpetrators of domestic abuse. The issue of carers as victims, and sometimes perpetrators, of domestic abuse is being overlooked by statutory organisations because they often do not fit the traditional patterns of abusive relationships, and the complexities of the caring role can make typical safety options unsuitable. However, caring responsibilities are a feature of an increasing number of domestic homicide reviews, and current statutory safeguarding options exclude most carers from support and risk not identifying perpetrators.Design/methodology/approachThis short paper highlights some of the shortfalls around identifying the needs of carer victims/survivors of domestic abuse and carer-perpetrators of domestic abuse and explores ways in which identification and support could be improved.FindingsCarers as victims/survivors of domestic abuse, and as abusers, is an issue that requires more attention from researchers and Adult Social Care, NHS, Carer Support Organisations and Domestic Abuse specialists need to work together to explore these issues and offer workable options.Originality/valueLittle data or research exists around carers as victims or perpetrators of domestic abuse.

Te Pou: An Indigenous Framework to Evaluate the Inclusion of Family Voice in Family Violence Homicide Reviews

PurposeWithin this paper we evaluate the inclusion of the family voice in the domestic homicide review process. We use an Indigenous rubric (Te Pou) developed to ensure a culturally appropriate framework for conducting fatality reviews. We further draw on the creative potential of Indigenous knowledge systems, applying them alongside Western understandings of the engagement of family in homicide reviews, to seed new knowledge. This review has been undertaken early in the process of implementing family interviews to learn from current practices, seeking to improve them and, thereby, be better hosts for those invited to be part of a review.MethodsThe process of including family input into the in-depth reviews of family violence homicide reviews, conducted between October 2019 and November 2021, was reviewed against the guidelines specified within Te Pou.ResultsWhile there were strengths within the current process, the review established that further work is required to fully embed cultural understandings and processes within homicide reviews. Indeed, the current process and legislative framework in which it is based, works against relational obligations of reciprocity and a duty to care.ConclusionsUsing indigenous frameworks and research methods, it is possible to determine how homicide review processes have the potential to embed trauma rather than providing an opportunity for critical reflection and healing. Repositioning homicide reviews will require a reconceptualization of the legislative framework and support system requirements for review panels.

An analysis of minoritisation in domestic homicide reviews in England and Wales

This article considers how minoritisation features in Domestic Homicide Reviews (DHRs) in England and Wales and identifies critical learning in relation to addressing minoritisation. Five themes were identified: i) the invisibility of race, culture and ethnicity; ii) perceptions and experiences of services; iii) use of stereotypes and the culturalisation of domestic violence and abuse (DVA); iv) lack of interpreters; and v) DHR recommendations. Our analysis illustrates that statutory sector services should strengthen their responses to Black and minoritised victims by ensuring proper recording of cultural background is used to inform practice; engage professionally trained interpreters with an awareness of DVA; resist framing DVA as endemic to minoritised cultures; and enhance trust and confidence in public services within minoritised communities. The best examples of DHRs challenged service narratives and usually sought expertise from a specialist Black/minoritised DVA service or community organisation (frequently minoritised women's rights organisations).

Beyond intimate partner relationships: utilising domestic homicide reviews to prevent adult family domestic homicide

Increasing evidence documents domestic violence and abuse (DVA) and domestic homicide of adults killed by a relative in non-intimate partner relationships. Most literature focuses on intimate partner violence and homicide, yet non-intimate partner homicides form a substantial but neglected minority of domestic homicides. This article addresses this gap by presenting an analysis from 66 domestic homicide reviews (DHRs) in England and Wales where the victim and perpetrator were related, such as parent and adult child. Intimate partner homicides are excluded. These 66 DHRs were a sub-sample drawn from a larger study examining 317 DHRs in England and Wales. The article contributes towards greater understanding of the prevalence, context and characteristics of adult family homicide (AFH). Analysis revealed five interlinked precursors to AFH: mental health and substance/alcohol misuse, criminal history, childhood trauma, economic factors and care dynamics. Findings indicate that, given their contact with both victims and perpetrators, criminal justice agencies, adult social care and health agencies, particularly mental health services, are ideally placed to identify important risk and contextual factors. Understanding of DVA needs to extend to include adult family violence. Risk assessments need to be cognisant of the complex dynamics of AFH and must consider social-structural and relational-contextual factors.

Inside the black box: domestic homicide reviews as a source of data

Domestic Homicide Reviews (DHRs) are a statutory review process to better understand domestic homicide in England and Wales. As a policy intervention, DHRs are intended to build a picture of the circumstances before such deaths and identify gaps in practice, policy and system response. The rationale is that this learning can improve response to domestic violence and abuse and reduce the likelihood of future homicides. However, little is known about how the DHR process operates, including how knowledge is produced or its subsequent use, including any outcomes. In effect, for the most part, DHRs are a ‘black box’. Yet, researchers are increasingly using DHR reports as a source of data. By locating ourselves within these processes, this article explores the implications of limited engagement with DHRs as a process of knowledge generation to date. It focuses on the implications for researchers, in particular the epistemological and methodological issues that arise, before considering what this might mean for policy and practice. It identifies recommendations to address key gaps in the understanding and use of DHRs for research purposes.

Reviewing in a pandemic? A commentary on COVID-19 and domestic homicide review

PurposeThis paper is a commentary on COVID-19’s impact on Domestic Homicide Reviews (DHRs), the system in England and Wales that enables learning from domestic abuse-related deaths.Design/methodology/approachDrawing on a practitioner–researcher perspective, this paper reflects on how COVID-19 affected the delivery and experience of DHRs, the place of victims at the heart of this process and what the pandemic’s impact might mean moving forward.FindingsThis paper explicates some of the challenges of undertaking DHRs in a pandemic. Critically, however, it argues that these challenges illuminate broader questions about the practice of DHR.Originality/valueThis paper’s originality comes from the author’s practitioner–researcher perspective and its use of COVID-19 as a lens to consider DHRs.

Outcome of Did Not Attend Outpatient Appointment

AimsFailure to attend outpatient clinic appointments by service users without prior notification is a major contributor to waste resources. Failure to attend earlier in treatment predicts attrition later in treatment (Goode, 1997; Aubrey et al, 2003) leading to further waste of resources. The department of health figures for England show that failure to attend outpatient clinic is more in mental health clinics (19.1%) compared with overall figures for other specialties 11.7% (Department of Health, 2003). Lack of appropriate follow-up when a service user does not attend as appointment has been identified as a contributory factor in Serious Incident investigations, Domestic Homicide Reviews and Safeguarding Adults Reviews. Our aim of this study is to see if we are adherent to trust policy or not.MethodsA questionnaire tool was designed by using trust guidelines regarding DNA appointment a.Was The DNA Recorded in patient's records? YES/NOb.Was the information (DNA) shared with GP? YES/NOc.Was The DNA discussed in MDT meeting? YES/NOd.For new referrals was the referrer involved in review and decision of next step? YES/NOe.Were alternative venues considered for carrying out the assessment to support the person to engage, e.g. GP Surgery? YES/NOData were collected by team and analysed by Dr Saleh using electronic records.Results88 outpatient appointments were flagged as DNA appointments between 1 April 2021 to 31st May 2021 1.In 87.5% cases DNA was recorded in patient's records?2.In 45.45% cases the information (DNA) was shared with GP3.In 45.45% cases DNA was discussed in MDT meeting4.In 0% case the referrer was involved in review and decision of next step5.In 11.36% cases alternative venues was considered for carrying out the assessment to support the person to engage, e.g. GP Surgery.6.25 patients DNA appointment twiceConclusionWe are not adherent to trust policy.