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Upcoming webinar – Left behind: People without support after experiencing violence

Thursday 4 June 2026, 13:00 – 14:30, online

Join VISION for a free webinar exploring groups who can be overlooked by health services, policing, and specialist support systems after experiencing violence.

Register here: TicketTailor – 4 June VISION webinar

Many people affected by violence do not receive the help they need, for a variety of reasons. At VISION, we’ve analysed data sources such as the Crime Survey for England and Wales to better understand these gaps. In some cases, individuals do not seek medical care from hospitals or GPs for violence-related injuries, while others choose not to report incidents to the police. There are also those indirectly affected—such as people whose loved ones have experienced serious assault—who frequently go unsupported. In addition, a significant but less visible group includes victims of intimate partner violence and serious sexual assault in England and Wales who do not disclose their experiences, particularly to specialist services.

This research offers fresh insights into the risk factors, lived experiences, inequalities, and consequences of violence among those who neither seek nor receive support—the left behind.

After the short presentations, there will be a ’roundtable’ discussion with all present to look deeper into each presentation and talk about the barriers and opportunities. We want to better identify these missing populations and underst and their behaviours for not seeking help and conversely for those that are looking for support but the services aren’t necessarily there.

We welcome anyone working in government, police, healthcare, academia, specialist services, education and the community and voluntary sector interested in and / or working in violence prevention and support for those affected.

Programme

Discussant: Professor Ravi Thiara, VISION co-Investigator, University of Warwick

Healthcare inequalities following violence: analysis of the Crime Survey for England and Wales 2010-2024, Dr Anastasia Fadeeva, VISION Research Fellow, City St George’s University of London

Although healthcare is key to supporting victims of physical violence, some do not receive it despite injuries. The present research used the Crime Survey for England and Wales (combined waves 2010-2024) to identify which victims of physical violence were less likely to receive healthcare. Despite the presence of injuries, in almost a half of the incidents, victims receive no healthcare. We examined individual and violence-related factors that were associated with not receiving healthcare following violence victimisation.

Indirect victims of violence: Mental health and the close relatives of serious assault victims in England, Professor Sally McManus, VISION co-Deputy Director, City St George’s University of London and Dr Elizabeth Cook, VISION co-Investigator, City St George’s University of London

Violence does not just harm direct victims; its effects ripple out through families. Drawing on a representative survey of adults in England, this study found that one in twenty adults were closely related to a victim of serious assault, and that these relatives carry a disproportionate burden of poor mental health. Even after accounting for their own histories of violence, adversity, and disadvantage, close family members face significantly higher levels of depression, anxiety, and feeling unsafe: evidence that policy must recognise, and victim services be resourced to respond to, the needs of families too.

Reporting of violence victimisation to the police in England and Wales, Dr Polina Obolenskaya, VISION Research Fellow, City St George’s University of London and Dr Annie Bunce, VISION Research Fellow, City St George’s University of London

Who reports violence to the police, and under what circumstances, remains a critical but under‑examined question in England and Wales. Although national victimisation surveys consistently show that more than half of violent incidents never come to the attention of police, existing research is fragmented, often focused on single forms of violence (e.g., intimate partner or sexual violence), based on small studies or non-UK contexts. By mapping multiple routes through which violence does or does not come to the attention of the criminal justice system, this research advances an understanding of the “justice gap” and offers evidence with implications for policy, prevention, and victim‑survivor support.

Disclosure of Intimate Partner Abuse and Sexual Violence to Formal Agencies and Specialist Services: Comparing Inequality Patterns, Victim Profiles, and Harms by Disclosure, Dr Hannah Manzur, VISION Research Fellow, City St George’s University of London and Dr Annie Bunce

Our study examines the hidden population of victims of intimate partner violence (IPV) and serious sexual assault (SSA) in England and Wales who report non-disclosure of their victimisation, particularly to specialised services. Whilst evidence-building largely relies on victim-survivors’ disclosure through help-seeking pathways and interventions, the experiences and inequality patterns for victim-survivors outside of these pathways are significantly missing from evidence and support provision. In particular, specialised services support some of the most marginalised and invisible victims of violence, yet barriers to disclosure and resource limitations pose significant challenges for both data collection and support access for these groups. The nationally representative Crime Survey for England and Wales offers a unique opportunity to analyse data on IPV and SSA victim-survivors who have not contacted specialised services or disclosed to any other formal agency (inc. The police and health services). Using pooled data (2004-2019) on past-year IPV and lifetime SSA, we compare inequality patterns (by gender, ethnicity, and migrant-status) and victim profiles (including risk-factors, victimisation characteristics, and harms) of victim-survivors based on disclosure (CSEW only, formal agency, or specialised services). Here, we reveal new insights into the risk-factors, experiences, inequalities, and impacts of violence against otherwise hidden violence victims, particularly those excluded from specialised services support.

Join us at this free webinar on 4 June, 13:00 – 14:30. To book your place please register here: TicketTailor – 4 June VISION webinar

Photograph provided via Adobe Stock subscription

Upcoming webinar – Responding to violence in later life: Evidence, priorities, and opportunities

Thursday 14 May 2026, 13:00 – 14:30, online

The VISION research consortium invites you to a free webinar looking at violence and abuse experienced by those in their later years. What is the current evidence of exposure and health outcomes? What should the violence prevention research and policy priorities be for an aging population? And what are the opportunities to improve our knowledge about this issue?

The event will include:

Patterns of violence and discrimination exposure across the life course and their associations with health in later life, Dr Anastasia Fadeeva, VISION Research Fellow, City St George’s, University of London

Dr Fadeeva will share results from her study which used data from wave 11 of the English Longitudinal Study of Ageing, which included information about Life History events, such as multiple types of violence and discrimination over the life course. Distinct patterns of violence and discrimination experiences were identified using the Latent Class analysis, followed by analysis of the associations between the profiles of violence experiences and health outcomes.

Listening to Older Survivors: Informing Support and Interventions for Domestic Abuse in Later Life, Dr Vasiliki Orgeta, Associate Professor, University College London

Dr Orgeta will present quantitative and qualitative research on psychological trauma and abuse in older women. She will explore their experiences and the perspectives of professionals supporting them, highlighting barriers such as stigma, isolation, and lack of recognition. The findings are informing a psychological advocacy intervention for older women, funded by the NIHR and led by UCL, designed to provide tailored, long-term support that promotes safety, autonomy, and wellbeing.

Later life adversities and their relationship with health outcomes: evidence from Wales, Dr Kat Ford, Research Fellow, Bangor University and Professor Karen Hughes, Bangor University

Supporting older survivors of Sexual Violence- barriers and good practice, Amanda Warburton, Independent Researcher

Amanda will present findings from her MA in Domestic Violence and Sexual Abuse dissertation study which gathered the views of professionals who have supported older survivors of acute sexual Violence. The presentation will cover barriers to seeking support and highlight good practice to enable older survivors on their journey to recovery.

This webinar will be of interest to stakeholders involved in violence prevention research, policy and practice who work with older people and / or are interested in lifecourse violence and abuse prevention.

Join us at this free webinar on 14 May, 13:00 – 14:30. To book your place and receive the Teams link, please email VISION_Management_Team@citystgeorges.ac.uk

Photograph provided by Age Without Limits image library

Anastasia Fadeeva shares thoughts on Data Impact Fellowship placement studying healthy ageing

Dr Anastasia Fadeeva

VISION researcher and Data Impact Fellow, Dr Anastasia Fadeeva, has written a personal blog, Reflections from being a Data Impact Fellow: a placement in Japan, about her time in the country visiting universities and discussing healthy ageing.

In the blog, Anastasia reflects on her short-term placement at Chiba University and Kyoto University, meeting fellow researchers interested in population health and a focus on studying the ageing population and promoting healthy ageing.

As a Data Impact Fellow, Anastasia is researching the issues of violence in older age, the long-term impacts of violence on mental health, and the lack of reliable data. The placement to Japan is one component of the fellowship.

For further information, please see VISION member awarded Data Impact Fellow to study violence and mental health in older age to find out more about her fellowship or contact Anastasia at anastasia.fadeeva@citystgeorges.ac.uk

Top photo supplied through Adobe Stock subscription and bottom photo supplied by Dr Anastasia Fadeeva.

Workplace violence and fear of workplace violence: An assessment of prevalence in the UK by industrial sector

Workplace violence is a significant problem with underexamined productivity effects. In a global survey, just under 1 in 5 workers reported exposure to psychological violence and harassment at work, and 1 in 10 reported exposure to physical violence during their working-lives. In the United Kingdom (UK), the Health and Safety Executive (the regulator for workplace health and safety) found 1% of all adults of working age, in the 12 months prior, experienced a physical assault or threat of assault at work.

Workplace violence covers a broad range of adverse social interactions and behaviours committed by or towards employees. It includes encounters between colleagues and between workers and service users. It can also include incidents of domestic abuse experienced at work, with abusers known to pursue victims in the workplace.

Direct and indirect exposure to violent acts or threats of violence at work can be anticipated to lead to anxiety and fear of further victimization. Workplace violence, especially when persistent, may cause psychological disorders including common mental disorders (CMD) of generalized anxiety and depression.

VISION researchers Dr Vanessa Gash (City St George’s University of London) and Dr Niels Blom (University of Manchester) used the United Kingdom Household Panel Study, a nationally representative survey with mental health indicators to examine the prevalence of violence and fear of violence by sector and the effect of violence on common mental disorders (CMD) risk. They also supplemented the analyses with the views of those with lived experience.

Their study, Workplace violence and fear of violence: an assessment of prevalence across industrial sectors and its mental health effects, examined variance in the prevalence of workplace violence and fear of violence in the UK by industrial sector and determined the mental health effects thereof using longitudinal data.

Results showed that a high prevalence of workplace violence and fear of workplace violence was found in multiple different UK industrial sectors – >1 in 10 workers were exposed to violence in the last 12 months in 30% of sectors and >1 in 20 workers were exposed in 70% of sectors. Workers employed in public administration and facilities had the highest risks of workplace violence. The second highest sector was health, residential care, and social work. Workplace violence increased CMD risk as did fear of violence at work. Also, the effect of violence and fear of violence on CMD remained when the researchers investigated CMD one year later.

Recommendation

The researchers recommend better recognition of the extent to which workplace violence is experienced across multiple sectors and call for better systems wide interventions to mitigate the associated harms.

To download: Workplace violence and fear of violence: an assessment of prevalence across industrial sectors and its mental health effects

To cite: Gash, V, Blom, N. ‘Workplace violence and fear of violence: an assessment of prevalence across industrial sectors and its mental health effects’. Scandinavian Journal of Work, Environment & Health. https://doi.org/10.5271/sjweh.4230

For further information, please contact Vanessa at vanessa.gash.1@citystgeorges.ac.uk

Illustrations from Geisa D’Avo and copyright owned by UKPRP VISION research consortium

Uncovering ‘hidden’ violence against older people

By Dr Anastasia Fadeeva, VISION Research Fellow

Violence against older people is often overlooked. As a society, we often associate violence with young people, gangs, unsafe streets, and ‘knife crime’. However, violence also takes place behind front doors, perpetuated by families and partners, and victims include older people.

Some older people may be particularly vulnerable due to poorer physical health, disability, dependence on others, and financial challenges after retirement. Policy rarely addresses the safety of this population, with even health and social care professionals sometimes assuming that violence does not affect older people. For example, doctors may dismiss injuries or depression as inevitable problems related to old age and miss opportunities to identify victims (1). In addition, older people may be less likely to report violence and abuse because they themselves may not recognise it, do not want to accuse family members, or out of fear (2).

Given victims of violence often remain invisible to health and social services, police, or charities, the most reliable statistics on violence often come from national surveys such as the Crime Survey for England and Wales (CSEW) conducted by the Office for National Statistics. However, for a long time the CSEW self-completion – the part of the interview with the most detail on violence and abuse – excluded those aged 60 or more, and only recently extended to include those over 74. Some national surveys specifically focus on older people, but these ask very little about violence and abuse. Additionally, despite people in care homes or other institutional settings experiencing a higher risk of violence, it can be challenging to collect information from them. Therefore, many surveys only interview people in private households, which excludes many higher-risk groups.

We need a better grasp of the extent and nature of violence and abuse in older populations. First, reliable figures can improve the allocation of resources and services targeted at the protection of older people. Second, better statistics can identify the risk factors for experiencing violence in later life and the most vulnerable groups.

In the VISION consortium, we used the Adult Psychiatric Morbidity Survey (APMS 2014) to examine violence in people aged 60 and over in England (3). While we found that older people of minoritised ethnic backgrounds are at higher risk of violence (prevalence of 6.0% versus 1.7% in white people in 12 months prior to the survey), more research needs to be done to distinguish the experiences of different ethnic groups. Our research also showed that loneliness and social isolation were strongly related to violence in later life. Older people may experience social isolation due to limiting health issues or economic situations, and perpetrators can exploit this (4). Moreover, isolation of victims is a tool commonly used by perpetrators, especially in cases of domestic abuse (5). Knowing about these and other risk factors can help us better spot and protect potential victims.

Additionally, more needs to be learnt about the consequences of life course exposure to violence for health and well-being in later life. This is still a relatively unexplored area due to limited data and a lack of reporting from older victims and survivors. It is sometimes more difficult to establish the link between violence and health problems because the health impacts are not always immediate but can accumulate or emerge in later life (6). Also, as people develop more illnesses as they age, it is more challenging to distinguish health issues attributable to violence. Therefore we are also using the English Longitudinal Study of Ageing (ELSA) to examine temporal relationships between lifetime violence exposure and health in older age.

Dr Sophie Carlisle, Evaluation Researcher at Health Innovation East Midlands, and former VISION researcher, also reflects on violence against older people and includes an analysis of our study’s strengths and weaknesses in her 10 December 2024 blog on the Mental Elf website, Violence against older people – linked to poor mental health #16DaysOfActivism2024. Sophie highlighted how the study reported that violence against older people is often perpetrated by an intimate partner and is strongly associated with poor mental health.

In an inclusive society, every member should be able to lead a life where they feel safe and respected. We are delighted that the CSEW has removed the upper age limit to data collection on domestic abuse, which is one step towards making older victims and survivors heard. Continuous work on uncovering the ‘hidden’ statistics and examining the effects of intersectional characteristics on violence is crucial in making our society more inclusive, equal, and safe for everyone. For example, one VISION study (7) has demonstrated that the risks of repeated victimisation in domestic relationships had opposite trends for men and women as they aged. We are committed to support the Hourglass Manifesto to end the abuse of older people (8), and are willing to provide decision makers with evidence to enable a safer ageing society.

For further information, please see: Violence against older people and associations with mental health: A national probability sample survey of the general population in England – ScienceDirect

Or please contact Anastasia at anastasia.fadeeva @city.ac.uk

Footnotes

1. SafeLives U. Safe later lives: Older people and domestic abuse, spotlights report. 2016.
2. Age UK. No Age Limit: the blind spot of older victims and survivors in the Domestic Abuse Bill. 2020.
3. Fadeeva A, Hashemi L, Cooper C, Stewart R, McManus S. Violence against older people and mental health: a probability sample survey of the general population. forthcoming.
4. Tung EL, Hawkley LC, Cagney KA, Peek ME. Social isolation, loneliness, and violence exposure in urban adults. Health Affairs. 2019;38(10):1670-8.
5. Stark E. Coercive control. Violence against women: Current theory and practice in domestic abuse, sexual violence and exploitation. 2013:17-33.
6. Knight L, Hester M. Domestic violence and mental health in older adults. International review of psychiatry. 2016;28(5):464-74.
7. Weir R. Differentiating risk: The association between relationship type and risk of repeat victimization of domestic abuse. Policing: A Journal of Policy and Practice. 2024;18:paae024.
8. Hourglass. Manifesto A Safer Ageing Society by 2050. 2024.

Photo from licensed Adobe Stock library

Mental health in the workplace: how employers should respond to domestic violence

This event is in the past.

VISION member Sally McManus will be talking at a Westminster Insight event on Supporting Women’s Health in the Workplace on 20 March 2024.

Sally will use a life-course approach to understanding women’s mental health and wellbeing at work, including the impact of the psychosocial working environment, bullying and harassment at work, and what support and signposting employers can offer in relation to domestic violence.

For further information, please contact Sally at sally.mcmanus@city.ac.uk

Photo by Etty Fidele on Unsplash

Dr Annie Bunce receives award at Lancet Public Health Science conference

Dr Annie Bunce, VISION Research Fellow, was awarded Best Oral Presentation at the Lancet Public Health Science conference in London this November. She presented on the Prevalence, nature and associations of workplace bullying and harassment with mental health conditions in England: a cross-sectional probability sample survey.

Annie’s research, conducted with VISION colleagues Ladan Hashemi, Sally McManus, and others, presents the first nationally representative findings on the prevalence of workplace bullying and harassment in England for over a decade. Annie analysed data from the 2 014 Adult Psychiatric Morbidity Survey (APMS) to demonstrate: the prevalence of workplace bullying and harassment (WBH) in the working population in England; the nature of WBH experienced, who it was perpetrated by and the types of behaviour it involved; and associations between the experience of WBH and indicators of adverse mental health.

The study is unique in that the APMS makes robust assessments of mental health – operationalising diagnostic criteria – which provides an accurate assessment of clinical need. Implications for employers, policymakers, health services and researchers are outlined.

For the article, please see: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02066-4/fulltext

Please contact Annie at annie.bunce@city.ac.uk for further information.

Photo by Icons8 Team on Unsplash

Intimate partner violence: Asking the right questions?

VISION Interim Director Gene Feder collaborated with Valeria Skafida from the University of Edinburgh and Christine Barter from the University of Central Lancashire to undertake a critical analysis of UK longitudinal and repeated cross-sectional population surveys which asked about experiences of intimate partner violence and abuse (IPVA).

Seven relevant UK representative population-based surveys which asked about IPVA among adults and/or young people (16–17 years old) were identified. They critically engaged with the questionnaires to analyse the strengths and limitations of existing UK data on IPVA.

Several limitations in UK surveys were identified. Many questions still showed a bias, partly historical, towards collecting more data about physical abuse. Few surveys asked about financial abuse, abuse post-separation or through child contact, or through technologies, though improvements were under way.

Surveys still sought to count incidents of abuse, instead of enquiring about the impact of abusive behaviours on victims. Ethnicity and other demographic variables were not always adequately captured (or accessible to data users), making it difficult to explore aspects of inequality. Potentially useful comparisons within the UK were difficult to undertake given the increasingly divergent questionnaires used in different UK nations.

They discussed how future iterations of existing surveys or new surveys can improve with regards to how questions about IPVA are asked. Given that surveys across geographical contexts often suffer similar weaknesses, their findings are relevant for IPVA survey methodology beyond the UK context.

For further information please see: Asking the Right Questions? A Critical Overview of Longitudinal Survey Data on Intimate Partner Violence and Abuse Among Adults and Young People in the UK | SpringerLink