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Temporal trends in teenage relationship abuse among Welsh adolescents

Teenage relationship abuse (TRA) includes physical, emotional and sexual abuse in young people’s intimate relationships and is a growing public health concern. TRA has significant associations with other risk markers including (cyber)bullying, sexting and substance use, as well as negative short and long-term health and social consequences. It affects young people under 16 but remains largely invisible in national data. This study examines temporal trends (a pattern in data that shows how something changes over time) in TRA prevalence among Welsh adolescents and the age gradient in TRA by school year group.

The research team, led by VISION Senior Research Fellow Ruth Weir (City St George’s UoL), and her consortium colleagues, Niels Blom (University of Manchester) and Polina Obolenskaya (City St George’s) and Katy Barrow-Grint (City St George’s) and Edna Ogada and Honor Young (Cardiff University), provide the first temporal trends in TRA among under 16-year-olds.

Data from four survey years (2017, 2019, 2023, 2025) of the Welsh School Health Research Network (SHRN) Student Health and Wellbeing Survey (SHWS) were analysed, comprising 345,796 pupils aged 11–16 from all maintained secondary schools in Wales. TRA victimisation and perpetration were measured using six items.

The team’s analysis confirms that TRA victimisation and perpetration remain prevalent among 11- to 16 year-olds. TRA among adolescents in Wales increased between 2017 and 2023 before declining in 2025, with a mixed pattern. The exception is emotional victimisation which both rose faster and remained at increased levels. Across the four survey years, one in five pupils reported TRA victimisation and one in eight reported perpetration. All six TRA outcomes increased between 2017 and 2023 before declining in 2025.

By 2025, any victimisation and physical perpetration had returned to 2017 levels; emotional victimisation remained elevated; and other outcomes fell below 2017 levels. A key finding across all four survey years is the bidirectional nature of TRA in under 16s. Sole perpetration is rare, most perpetrators are also victims, which challenges a more simplistic victim/perpetrator binary. Study findings have direct implications for prevention – interventions that separate young people into victim and perpetrator groups may therefore be inappropriate for this age group.

Recommendation

Universal intervention and support are needed before entering secondary school and whilst in attendence. Any intervention should recognise the bidirectional nature of abuse among this age group.

To download the article: Temporal Trends in Teenage Relationship Abuse Among Welsh Adolescents: Analysis of the Student Health and Wellbeing Survey, 2017-2025

To cite: Weir, Ruth and Blom, Niels and Obolenskaya, Polina and Ogada, Edna and Barrow-Grint, Katy and Young, Honor, Temporal Trends in Teenage Relationship Abuse Among Welsh Adolescents: Analysis of the Student Health and Wellbeing Survey, 2017-2025 (June 23, 2026). Available at SSRN: https://ssrn.com/abstract=6982259

For further information, contact: Ruth at ruth.weir@citystgeorges.ac.uk

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5th VISION annual conference: Presentations and illustrations now available

The fifth VISION annual conference was held on 7 July at The Light Auditorium in Friends House. The theme was Violence prevention in dialogue: Research and Policy.

After five years of research looking at violence prevention and the resulting health inequalities and focusing on improved measurement, policy, and practice, and delivering through a strong cross-sector partnership, we showcased our research in partnership with stakeholders Refuge, High Trees, Migrants’ Rights Network, Gloucestershire police constabulary, and Revolving Doors. In addition, we invited those working in violence prevention to critically assess our contributions and identify where further research and prioritised focus are required.

Jo Todd of Respect and Professor Gene Feder, VISION Director, reflected on 25 years of working in violence prevention as frontline practitioners and researchers. Drawing on their extensive experience, they highlighted both the progress made and the challenges that remain. While collaboration between government, academia, and the third sector has improved, longstanding silos—particularly across the health and criminal justice sectors—persist. Overcoming these barriers requires sustained commitment to relationship-building and cross-sector working.

They noted that significant progress has been made in violence prevention policy, including the publication of the government’s Violence Against Women and Girls (VAWG) strategy last year. However, there remains considerable interest in how the incoming Prime Minister will take forward the Labour government’s commitment to halve violence against women and girls within a decade, and what this will mean for future policy, practice, and investment.

Professor Liz Kelly from London Metropolitan University was our 2nd keynote speaker and shared her thoughts on the language and naming of violence in the 21st century. Liz highlighted that language changes not just what we say but what we know and recognise. The words we use in the field as researchers, analysts, policymakers, officials, and practitioners matter and should be clear and grounded in victim / survivor agency and freedom.

VISION research was highlighted in three symposiums:

Insight: Key findings on definitions and measurement within violence prevention
- Dr Vishal Bhavsar (Kings College London) and Professor Miranda Horvath (University of Suffolk) presented on intimate partner violence perpetration.
- Dr Madeleine Janickyj (University College London) and Emma Pickering (Refuge) presented on technology facilitated abuse.
Inclusion: Violence prevention research with marginalised populations
- Dr Alexandria Innes (City St George’s UoL), Aya Khedairi (Migrants’ Rights Network) and Professor Gargi Bhattacharyya (University College London) presented on insecure migration status. Andri and Aya discussed their project, Understanding Violence: the risks for migrants with rising far-right fascism and the resulting output, Workbook: Migrant Community Insights on Building Safety. Gargi highlighted how the far right is misusing genuine work and research and that media discussion of VAWG frequently descends into racism and incitement.
- Dr Annie Bunce (City St George’s UoL) and Lauren Bennett and Anthony Donohoe from Revolving Doors presented their work on developing principles for co-analysis with Lived Experience.
Involve: A look at two ongoing, impactful pieces of VISION research with partners
- Dr Elizabeth Cook (City St George’s UoL) and Harry Jenkins (High Trees) presented their collaborative research developing Built on Trust, a report with youth from Lambeth in London on the role of youth spaces and trusted adults in reducing young people’s exposure to violence.
- Dr Ruth Weir (City St George’s UoL) and Sophie Jarrett (Gloucestershire Police) presented on their system-wide partnership with central and local government, police, education trusts, and the third sector to understand and prevent teenage relationship abuse (TRA). This work has resulted in the establishment of a national group on TRA and a local group wtihin Gloucestershire.

VISION co-Deputy Directors, Professor Sally McManus (City St George’s UoL) and Dr Estela Capelas Barbosa (University of Bristol) closed the conference by reflecting on the achievements of the VISION consortium and outlining priorities for the future of violence prevention research, policy, and practice. Sally highlighted the wide range of datasets, tools, resources, and publications developed by VISION over the past five years. Looking ahead, Estela emphasised the need for further research on violence affecting LGBTQI+ communities and minoritised women and children. She also stressed the importance of breaking down the persistent silos between the health and criminal justice sectors, noting that the impacts of violence extend across both systems. Effective prevention and support therefore require joined-up services, coordinated policies, and cross-sector collaboration.

Visual artists, Abigail and Chloe Baldwin, from Buttercrumble, beautifully captured the day in a series of illustrations which can be downloaded below along with the keynote and symposium presentations.

To download the presentations:

Insight Symposium: Insight Symposium_Perpetrators of IPV; Insight Symposium_Tech Abuse
Inclusion Symposium: Inclusion Symposium_Insecure migration status; Inclusion Symposium_Co-design of analysis principles
Involve Symposium: Involve Symposium_Partnering with young people; Involve Symposium_Teenage Relationship Abuse
Professor Liz Kelly, 2nd Keynote: Keynote 2_The language and naming of violence
Professor Sally McManus, VISION Achievements: VISION achievements

To download the illustrations:

VISION Policy Briefing: The role of health services in identifying and responding to teenage relationship abuse

Introduction

Teenage relationship abuse (TRA) is a growing public health concern that the current statutory framework is ill-equipped to address. Under-16s fall outside the legal definition of domestic abuse entirely, creating significant gaps in identification, referral and intervention at precisely the age when abuse most commonly begins. A Youth Endowment Fund survey of 11,000 teenagers aged 13 to 17 found that 39% of those who had been in a relationship had experienced emotional or physical abuse, yet no coherent professional or legal framework exists to respond.

This VISION Policy Briefing draws on findings from three place-based practitioner roundtables exploring TRA and conducted in Gloucestershire, Oxfordshire and Northumbria in 2025. As the first in a series of sector-specific policy briefs it sets out what the health sector is currently unable to do, where the opportunities lie, and what commissioners, NHS trusts and public health leads need to do differently.

Key recommendations

NHS commissioners to include TRA identification and referral in domestic abuse commissioning frameworks, explicitly covering under-16s
Integration of TRA content into existing safeguarding and domestic abuse training frameworks for all health professionals working with young people, including GPs, school nurses, emergency services staff, sexual health clinicians and mental health practitioners – with outcome measurement built in
Clear referral pathways from health settings into specialist TRA support to be established in every area, regardless of the young person’s age
Health and Wellbeing Boards to include TRA as a public health priority in Joint Strategic Needs Assessments
School health teams to be resourced and trained to deliver TRA/DA content as part of PSHE, building on the school nurse model in Oxford and aligned with the Mental Health Support Team roll out
Child and Adolescent Mental Health Services (CAMHS) to develop protocols for identifying TRA among young people presenting with mental health difficulties
Extend operating hours for young people’s services

To download the VISION Policy Briefing: The role of health services in identifying and responding to teenage relationship abuse

To cite: Weir, Ruth; Barrow-Grint, Katy (2026). VISION Policy Brief: Teenage Relationship Abuse and Health. City, University of London. Report. https://doi.org/10.25383/city.32292564.v1

For further information: Ruth at ruth.weir@citystgeorges.ac.uk

The establishment of the National Working Group on Teenage Relationship Abuse

Teenage relationship abuse remains one of the least understood forms of domestic abuse, particularly among those under 16 years of age, who fall outside the statutory definition within the 2021 Domestic Abuse Act.

To close the gap between research, policy, and frontline practice and ensure that young people are no longer overlooked, VISION researcher and co-Deputy Director of the Violence and Society Centre at City St George’s, Dr Ruth Weir, co-established the National Working Group on Teenage Relationship Abuse with Gloucestershire Deputy Chief Constable Katy Barrow-Grint in 2024. The group consists of researchers, practitioners, policymakers, third sector organisations, and young people with lived experience of teenage abuse from across the health and justice sectors for a holistic understanding of the problem.

Membership has grown over the two years and now includes the Home Office, Department for Education, the Cabinet Office, the Domestic Abuse Commissioner’s Office, College of Policing, local government (Islington Council), universities (City St George’s, Essex, Lancashire), NHS bodies, multiple police forces such as Thames Valley and the London Metropolitan Police, school trusts, and charities like SafeLives, Respect, Youth Realities, Changing Relations, and Victim Support just to name a few.

The group brings their expertise to shape ongoing national conversations on how teenage relationship abuse is defined, recognised, and responded to, particularly for those under 16.

Please contact Ruth at ruth.weir@citystgeorges.ac.uk for further information.

Independent evaluation of Women’s Aid’s ‘Expect Respect’ programme reveals timely learning about effective schools-based health relationship intervention

By Dr Annie Bunce

VISION researchers Dr Annie Bunce (City St Georges University of London) and Dr Estela Capelas Barbosa (University of Bristol), alongside Dr Anna Dowrick (University of Oxford) and Dr Meredith Hawking (Queen Mary University of London), recently wrapped up an independent evaluation of Women’s Aid’s school-based educational programme, ‘Expect Respect’. The programme is aimed at children and young people (ages 4 to 18) and school staff and focuses on unhealthy relationships and the gender stereotypes that underpin them. Sessions are tailored to different age groups, with content for older students also addressing domestic abuse. It is designed to be delivered year-on-year nationally. You can find out more about the programme here: Expect Respect – Women’s Aid

The evaluation was conducted between February 2024 and May 2025, utilising mixed methods to assess the impact of the programme. Staff and student survey data from participating schools was analysed quantitatively, to assess the impact of the programme on individual and school-level behavioural outcomes and differences in student outcomes by age, gender, ethnicity or disability. Creative methods including arts-based activities and vignettes were utilised in student focus groups to facilitate engagement and expression. Interview data from staff and focus group data from students was analysed qualitatively to explore the impact of the programme on school culture, and understanding of and attitudes towards gender stereotypes, healthy relationships and domestic abuse (the latter with older students only).

Findings from quantitative analysis showed that Expect Respect generally works in terms of teaching children and young people about gender roles, healthy relationships and domestic abuse, as well as how and where to seek help. For example, we found the programme had a positive impact on understanding of gender roles among children aged 4 to 14, and on understanding of domestic abuse among older students (ages 11-18). Following the Expect Respect session, those aged 11-18 were less likely to view controlling behaviour as acceptable, and over twice as likely to say they knew who they could talk to if they were concerned about a relationship. School staff overwhelmingly reported they had a better understanding of domestic abuse and felt more confident about responding to abuse-related disclosures after the staff training than they had done beforehand, and were very satisfied with the training. Qualitative findings from staff interviews supported these survey results, with staff describing the content of the training as eye-opening and the delivery by Women’s Aid staff excellent.

Qualitative analysis revealed overall consensus with the quantitative findings in terms of the effectiveness of the Expect Respect training, as well as revealing some nuanced findings. For example, while survey results indicated a change in attitudes for most outcomes immediately following the session, qualitative findings suggested that achieving longer-term change would require consolidation of learning via regular sessions. We also found that secondary school students already had a reasonably decent understanding of the differences between healthy and unhealthy relationship behaviours prior to receiving the Expect Respect session, and felt it would have greater impact if there was a shift in emphasis from awareness raising towards practical advice about how to address unhealthy relationships and where to seek help. There was agreement among both staff and students that the programme would likely have more impact if it was more interactive, particularly the session tailored for older students.

Qualitative findings also suggested that boys found it more difficult to engage with the programme than girls, and both staff and students felt the programme was lacking in information about online relationships. Focus group data highlighted that gender stereotypes remain pervasive in young people’s thinking about heterosexual romantic relationships and are used to justify controlling behaviour. Despite this, staff were optimistic about the potential of the programme to positively impact on both students themselves, and school culture more widely, by planting a seed that they were hopeful would lead to longer term impact. Staff interviews also touched on the challenges of trying to model progressive gender stereotypes and healthy relationships to students through the programme when these were not necessarily reflected among adults in school culture. Nevertheless, staff unanimously felt that the Expect Respect sessions had helped them to identify unhealthy behaviour in relationships between students and also encouraged some students to come forward and speak to them about things they were worried about.

Recommendations

Our recommendation focus on the programme content, format and embedding learning, including:

Co-produce session content with young people
Make sessions more interactive
Utilise the power of personal stories and lived experience
Explore examples of unhealthy behaviour in friendships, families and romantic relationships
Focus on sparking conversations and making sessions memorable
Equip young people with skills to challenge unhealthy relationship behaviour, and linking with local support services
Continue with year-on-year delivery and provide resources/advice for schools on how to embed Expect Respect messages across the year and build on learning

The full evaluation report can be accessed here: Microsoft Word – ExpectRespect_finalreport_27Jan26

For further information, please contact Annie at annie.bunce@citystgeorges.ac.uk

Cover photo supplied from the evaluation.

Reducing young people’s exposure to violence in Lambeth

High Trees Community Development Trust and the Lambeth Peer Action Collective (LPAC) were recently awarded further funding from VISION to co-develop an evaluation framework to measure the impact and value for money of open access youth work and provision on reducing young people’s exposure to violence in Lambeth.

The project draws on an existing collaboration and partnership between VISION, High Trees and LPAC that explored the role trusted adults and safe spaces play in protecting young people from violence. The findings from the original partnership support emerging national data about the role that youth organisations, positive activities and trusted adults play in supporting vulnerable young people. However, existing approaches to evaluation surface challenges about how youth work is measured, monitored and evaluated. Through previous LPAC research with young people, youth practitioners and organisations, the team observed a disconnect between how practice is recognised and valued by young people and how funders, commissioners and policymakers expect impact and value for money to be measured.

This contributes to gaps in the quality, consistency and reliability in evidence, particularly as smaller youth organisations have limited capacity and resources to contribute to large-scale evaluations using established methods. For those offering open access youth work and services, where provisions can be accessed by young people regardless of background or need, demonstrating impact and value for money proves even more difficult as these interventions are longer-term, open-ended and/or unstructured across different settings.

Therefore, building on the previous LPAC research and an initial Cost-Consequence Analysis (CCA) produced by VISION, the aim of the current project is to co-produce an evaluation framework, including components for economic evaluation, that supports youth organisations in Lambeth to measure and demonstrate the impact (and potential value for money) of youth service provision.

For further information on the original research, please see the blog, The story so far: Co-production in Lambeth

For further information, please contact Lizzie at elizabeth.cook@citystgeorges.ac.uk

Practitioner in Residence: Improving services for those experiencing teenage relationship abuse

Aisling Barker, Violence Against Women and Girls Workforce Development manager at Islington Council, and qualified social worker, is the latest practitioner to join the City St George’s University of London (CSGUL) Practitioner in Residence programme. She became aware of the programme through her work on teenage relationship abuse with co-Deputy Director of the Violence and Society Centre (VASC) at CSGUL and VISION consortium Senior Research Fellow Dr Ruth Weir.

Aisling and her team in Islington have been supporting professionals in their practice with adolescents for five years. They identified concerning trends in violence and abuse in relationships where the victim was as young as 13 years of age but the person causing harm was also as young as 14 or 15 years old. An alarming lack of support available for these young people was apparent – particularly those who were causing harm to their partners at that young age.

Aisling presented the work of her team at the first conference on Adolescent Domestic Abuse hosted by VISION in April 2024. Driven by curiosity the team began to analyse cases to understand where there were system strengths and gaps. They found knowledge and practice gaps in services responding to young people where there was harm in their relationships. They also found that young people often had good relationships with practitioners such as youth workers, gang workers and youth justice case workers. Identifying an opportunity for practice improvement, Aisling and her team developed a training and support package for services working with young people affected by criminality and offending behaviour. Aisling also presented the findings from their case analysis and a case study at the second National Working Group on Teenage Relationship Abuse roundtable in November 2024 also hosted by VISION.

With the support of Ruth and the VASC and VISION teams, Aisling’s focus as a Practitioner in Residence will be documenting and examining the impact of this training and support package as an innovative approach to the prevention and early intervention on violence against women and girls.

For further information, please contact Ruth at ruth.weir@citystgeorges.ac.uk

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Exploring Better Responses to Teenage Relationship Abuse

Blog by Dr Ruth Weir, VISION Senior Research Fellow in Criminology

Between April and July, Gloucestershire Constabulary’s Deputy Chief Constable Katy Barrow-Grint and I led a series of three place-based roundtables in Gloucestershire, Northumbria and Oxford, as part of our ongoing research into teenage relationship abuse (TRA).

The events were supported by VISION colleagues Annie Bunce, Polina Obolenskaya and Julia Sahin, alongside Kat Hadjimatheou, Honorary Senior Fellow at the Violence and Society Centre and Senior Lecturer at University of Essex. Each roundtable brought together a wide range of local practitioners—from policing, social care, education, health, and specialist services—as well as people with lived experience of adolescent domestic abuse or teenage relationship abuse. The aim was to explore what is working locally, where the challenges lie, and what would be needed for the local area to become a national exemplar in responding to TRA.

The level of engagement was striking. Attendance was high across all three sessions, with more than 80 participants in Northumbria alone. Far from being one-off conversations, the roundtables have sparked ongoing collaboration with local working groups already being set up to continue improving multi-agency responses to teenage relationship abuse.

The roundtables also provided a platform for Katy, VISION’s first Practitioner in Residence and now an Honorary Research Fellow, to share early findings from her national survey of police forces’ current responses to teenage relationship abuse. These insights are helping to build a clearer picture of practice across the country and will inform the next stage of research and policy development.

For further information, please contact Ruth at ruth.weir@citystgeorges.ac.uk

Dr Ruth Weir and Gloucestershire Constabulary’s Deputy Chief Constable Katy Barrow-Grint

Impact of verbal abuse as a child just as harmful as physical abuse

Globally, one in six children are estimated to suffer physical abuse within domestic and family relationships. As well as immediate health risks associated with the physical trauma of abuse, physical abuse can have lifelong impacts on mental and physical health and well-being. Thus, even as adults, individuals who have been physically abused as children show higher levels of anxiety and depression as well as more problematic alcohol and drug use.

As a source of toxic stress, verbal abuse, like physical abuse, may affect the neurobiological development of children, leading to immediate and long-term impacts on health and well-being. Like physical abuse, verbal abuse has also been linked with poor mental and physical health outcomes during childhood and across the life course. Increasingly, empirical evidence supports verbal abuse causing damage to child development.

For the study, Comparative relationships between physical and verbal abuse of children, life course mental well-being and trends in exposure: a multi-study secondary analysis of cross-sectional surveys in England and Wales, VISION researcher Professor Mark Bellis and his team, combined data from multiple studies measuring child abuse across England and Wales. They tested the associations with poorer mental well-being across the life course with experiencing physical abuse or verbal abuse as a child individually as well as the impact associated with combined exposure to both abuse types.

Their research showed that exposure to childhood physical or verbal abuse has similar associations with lower mental wellbeing during adulthood. In fact, results identified around a 50% increase in likelihood of low mental wellbeing related to exposure to either form of abuse. With regard to verbal abuse, children who experienced ridicule, threats or humiliation from a parent / guardian have a 64% higher chance of poor mental health as an adult. The researchers also discovered that whilst physical abuse reduces over time, verbal abuse increases.

Verbal abuse may not immediately manifest in ways that catch the attention of bystanders, clinicians, or others in supporting services with a responsibility for safeguarding children. However, as suggested here, some impacts may be no less harmful or protracted. The potential impact of verbal abuse should be better considered in policy, and parenting and child protection interventions. The potential role of childhood verbal abuse in escalating levels of poor mental health among younger age groups needs greater consideration.

Recommendation

Interventions to reduce child abuse, including physical chastisement, should consider both physical and verbal abuse and their individual and combined consequences to life course health.

To download: Comparative relationships between physical and verbal abuse of children, life course mental well-being and trends in exposure: a multi-study secondary analysis of cross-sectional surveys in England and Wales

To cite: Bellis MA, Hughes K, Ford K, et al. Comparative relationships between physical and verbal abuse of children, life course mental well-being and trends in exposure: a multi-study secondary analysis of cross-sectional surveys in England and Wales. BMJ Open 2025;15:e098412. http://doi:10.1136/bmjopen-2024-098412

For further information, please contact Mark at m.a.bellis@ljmu.ac.uk

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Schools play important role in prevention and early identification of adolescent toxic relationships

VISION researchers, Dr Polina Obolenskaya, Dr Annie Bunce and Dr Ruth Weir, recently published a blog for the London School of Economics (LSE). Breaking the cycle of harm in adolescent relationships looks at the Netflix series, Adolescence, and the portrayal of the reality of teenage violence, and the complex causes behind it.

The researchers draw on their research into adolescent toxic relationships to highlight the sources of such behaviour, and argue that schools can play an important role in prevention and early identification of harmful relationships between peers.

To read or download the blog: Breaking the cycle of harm in adolescent relationships

For further information, please contact Polina at polina.obolenskaya@citystgeorges.ac.uk

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