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 per...

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Main Authors: Poppy MacInnes, Marilia A. Calcia, Michela Martinuzzi, Cora Griffin, Siân Oram, Louise M. Howard
Format: Article
Language:English
Published: Cambridge University Press 2024-12-01
Series:BJPsych Bulletin
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Online Access:https://www.cambridge.org/core/product/identifier/S2056469423000918/type/journal_article
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author Poppy MacInnes
Marilia A. Calcia
Michela Martinuzzi
Cora Griffin
Siân Oram
Louise M. Howard
author_facet Poppy MacInnes
Marilia A. Calcia
Michela Martinuzzi
Cora Griffin
Siân Oram
Louise M. Howard
author_sort Poppy MacInnes
collection DOAJ
description 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.
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spelling doaj-art-b0c09750a6e54efeab8ae8d6283663012025-01-16T21:51:13ZengCambridge University PressBJPsych Bulletin2056-46942056-47082024-12-014834134910.1192/bjb.2023.91Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and WalesPoppy MacInnes0https://orcid.org/0000-0003-3641-120XMarilia A. Calcia1Michela Martinuzzi2Cora Griffin3Siân Oram4https://orcid.org/0000-0001-8704-0379Louise M. Howard5https://orcid.org/0000-0001-9942-744XKing's College London, London, UKKing's College London, London, UK South London and Maudsley NHS Foundation Trust, London, UKKing's College London, London, UKKing's College London, London, UKKing's College London, London, UKKing's College London, London, UKAims 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. https://www.cambridge.org/core/product/identifier/S2056469423000918/type/journal_articleDomestic violence and abusedomestic homicidedomestic homicide reviewsfamily homicideintimate partner homicide
spellingShingle Poppy MacInnes
Marilia A. Calcia
Michela Martinuzzi
Cora Griffin
Siân Oram
Louise M. Howard
Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and Wales
BJPsych Bulletin
Domestic violence and abuse
domestic homicide
domestic homicide reviews
family homicide
intimate partner homicide
title Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and Wales
title_full Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and Wales
title_fullStr Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and Wales
title_full_unstemmed Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and Wales
title_short Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and Wales
title_sort patterns of mental health service use among perpetrators of domestic homicide descriptive study of domestic homicide reviews in england and wales
topic Domestic violence and abuse
domestic homicide
domestic homicide reviews
family homicide
intimate partner homicide
url https://www.cambridge.org/core/product/identifier/S2056469423000918/type/journal_article
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