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Improving police recorded crime data with natural language processing

Understanding and preventing Domestic Violence and Abuse (DVA) is compounded by long-standing data quality issues in police records. Accurate police-recorded crime data is vital for responding to DVA, yet it often contains missing values and inaccuracies.

Across all crime types, the quality of police data in England and Wales has been a concern. While there have been improvements in overall crime data recording since 2014, individual police forces still encounter difficulties adequately recording instances of DVA in police-recorded crime datasets. 

Correcting poorly recorded or missing data at this scale is non-trivial and beyond the capabilities of manual intervention alone. Fortunately, the increasing availability of computational solutions and machine learning algorithms such as text mining and natural language processing (NLP) can augment, and to a degree, offset much of this processing. NLP is supported by a growing body of interdisciplinary research, which shows that valuable information can be automatically extracted from unstructured data such as crime reports and case summaries through technology.

However, automated prediction systems are not without risk, particularly when applied in sensitive domains such as policing. Data inherently reflects societal biases that poorly designed AI solutions can amplify, and in the context of DVA, these biases may stem from underreporting of marginalized demographic groups or inconsistencies in police recording practices.

In their recent study, Improving police recorded crime data for domestic violence and abuse through natural language processing, VISION researchers Dr Darren Cook and Dr Ruth Weir (City St George’s University of London) and Dr Leslie Humphries (University of Lancashire), evaluated the capability of supervised machine learning models to automatically extract victim–offender relationship information from free-text crime notes in DVA cases.

Both models demonstrated that such tools could serve as cost-effective and efficient alternatives to manual coding, accurately classifying relationship type in around four out of five cases. The incorporation of a selective classification function improved precision for the most challenging cases by abstaining from low-confidence predictions, though at the cost of reduced coverage. This research represents a meaningful step toward addressing concerns about the completeness and reliability of police-recorded crime data.

Recommendation

Given that police-recorded crime lost its status as an accredited official statistic in 2014 due in part to weaknesses in data collection and processing, the application of data science methods to reliably impute missing values offers a promising route to restoring confidence in these records. Police constabularies are encouraged to use the available technology and implement text mining and NLP solutions to extract valuable information from unstructured data such as crime reports and case summaries.

For further information: Please contact Darren at darren.cook@citystgeorges.ac.uk

To cite: Cook D, Weir R, Humphries, L. Improving police recorded crime data for domestic violence and abuse through natural language processing. Front. Sociol., 24 November 2025, Sec. Medical Sociology Volume 10 – 2025 https://doi.org/10.3389/fsoc.2025.1686632

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New Animated Campaign Raises Awareness of ‘Honour’-Based Abuse

By Ladan Hashemi, Senior Lecturer in Sociology of Health and Health Policy at City St George’s University of London  

A new animation created by the Women’s Research Hub in collaboration with VISION aims to shed light on ‘Honour’-Based Abuse (HBA), a pervasive form of violence targeting women and girls. Informed by research and survey data on violence against women in Iran, this is the fifth animation in the Hub’s series on gender-based violence (GBV). The survey underpinning this work was designed by Fatima Babakhani, CEO of the safe house Mehre Shams Afarid in Iran.

HBA is widespread both in Iran and globally. Studies indicate that thousands of women and girls in Iran experience coercion, forced marriage, and other forms of abuse in the name of “honour.” Globally, HBA affects communities across the Middle East, South Asia, North Africa, and diaspora populations worldwide, often remaining hidden due to social stigma and cultural justifications. While reliable statistics are difficult to obtain because of underreporting, research shows that the consequences are severe: psychological trauma, physical violence, and, in extreme cases, death. The Centre for Human Rights in Iran reported that in 2024 at least 179 women in Iran were killed — roughly a woman every two days — a significant proportion of them as a result of so-called ‘honour’ killings. 

The animation presents real-life narratives, capturing the lived experiences of women subjected to HBA. Through carefully constructed scenes, it depicts situations such as family-imposed restrictions on women’s clothing and mobility, threats, humiliation, forced and child marriage, and the devastating consequences of upholding “honour” through coercion, including physical violence and ‘honour’-based killings. 

Some of the impactful transcripts featured in the animation include: 

Forced marriage: “They said there had been too many rumours about her, so her family forced her to marry.”

‘Honour’– Based Killing: “His brothers came, one by one, saying: ‘You’ve protected your honour. You’ve spared us all the shame.”

The animation brings these testimonies to life with a sensitive and empathetic approach, allowing viewers to understand the psychological and social dynamics of HBA, as well as its human impact. It emphasises that ‘honour’ is never a justification for violence: “No one is another person’s ‘honour’. ‘Honour’ is lost when we turn to violence — not when a woman chooses to live her life on her own terms.” 

The campaign also provides clear guidance for bystanders and communities on how to respond: 

  1. Avoid judging others’ private lives — everyone has the right to make choices about their body, relationships, and lifestyle. 
  2. Support victims of HBA without blame, and do not leave them isolated. 
  3. Be mindful of language: words like “honour,” “shame,” and “purity” can reinforce harmful norms. 
  4. Do not share private information or images that could endanger someone. 
  5. Speak up if you believe someone is at risk and contact trusted organisations. 

The animation was produced in collaboration with animators in Iran, experts supporting women affected by HBA in Iran, Fatima Babakhani, and the UK-based NGO IKWRO, which supports victims of HBA in the UK. 

The research team included colleagues Dr Ladan Hashemi and Professor Sally McManus from City St George’s University of London; Associate Professor Nadia Aghtaie at the University of Bristol; Dr Atlas Torbati from Goldsmiths University; Professor Birgitta Hosea from the Animation Research Centre at the University for the Creative Arts; and Dorreh Khatibi-Hill from Leeds Beckett University. The project was funded by the UKPRP VISION Consortium and the ESRC Impact Acceleration Award at the University of Bristol.

The animation will be officially launched on the Women’s Research Hub Instagram page during the 16 Days of Activism Against GBV, providing an important opportunity to reach a global audience and raise awareness of HBA. Ladan and colleagues will also be discussing the campaign at a free lunchtime webinar on Monday, 8 December. For further information and to register for the Teams link, please see Webinar: Using animation to campaign against VAWG.

Previous animations in the series have been viewed hundreds of thousands of times, narrated in multiple languages as well as subtitled, and it has been used in classrooms and at other events. We encourage its widespread use to improve awareness, and one animation in the series provides bystanders with potential strategies for safe intervention. 

By combining rigorous research, authentic survivor narratives, and creative storytelling, this animation series offers a powerful tool for raising awareness and driving action against GBV. It is a vital reminder that combating GBV requires both evidence-informed strategies and a commitment to amplifying the voices of those most affected. 

Link to Women’s Research Hub YouTube Channel 

Link to Women’s Research Hub Instagram Account  

For further information, please contact Ladan at ladan.hashemi@citystgeorges.ac.uk

Impact of consecutive COVID-19 lockdowns on GP referrals of women experiencing domestic abuse in England and Wales

To curb COVID-19, three periods of severe physical distancing measures (‘lockdowns’) were imposed by the Government throughout 2020 and 2021 in England and Wales: between 23 March and 1 June 2020 (68 days), 5 November 2020 and 2 December 2020 (27 days) and between 6 January and 8 March 2021 (61 days). These lockdowns resulted in societal changes, including full or part-time school and workplace closures, and reduced community mixing.

The pandemic also necessitated a change in clinical consultations in primary care, with a shift from predominantly face-to-face to mostly remote consultations (telephone, digital and video), complicating the provision of care and support, including safeguarding. The lockdowns made it harder for people to disclose domestic violence and abuse (DVA) to health professionals, as online consultations can form barriers to support.

Long and enforced lockdowns can make it harder to disclose DVA and can have a detrimental impact on DVA victim-survivors and their families. Previous studies suggest that the COVID-19 pandemic and its lockdowns have led to an increase in DVA incidence. Refuge, the organisation running the 24-hour national DVA helpline in England, reported that calls surged by 60% during 2020 compared with the previous year. There is, however, scarce evidence on the impact of consecutive lockdowns over a period of almost 2 years on referrals from primary care to DVA support services in England.

The research team, led by Dr Jasmina Panovska-Griffiths and others including VISION researchers Professor Gene Feder and Dr Estela Capelas Barbosa, evaluated the impact of the three successive national lockdowns on the referrals from general practice (GP) to the Identification and Referral to Improve Safety DVA services. Their study, Interrupted time series and non-linear regression analyses to evaluate the impact of the three consecutive COVID-19 national lockdowns on the general practice referrals of women experiencing domestic violence and abuse in England and Wales, is the first to evaluate the continual impact of the COVID-19 pandemic and the three consecutive national lockdowns in 2020 and 2021 on DVA referrals. The researchers also explored the relationship between stringency of lockdowns and number of DVA referrals.

Anonymised data on daily referrals, interrupted-time series and non-linear regression quantified the impact of the three national lockdowns over 2020 and 2021 comparing analogous periods in the 2 years before and after, reporting incidence rate ratios, 95% Confidence Intervals and p values. Time spent at home and workplace visits over the lockdown periods were quantified as proxies for the stringency of the different lockdowns.

The first national lockdown in early 2020 led to a reduced number of referrals to DVA services. Over the second and the third lockdown, there was a possible increase in the number of referrals. The first national lockdown was more stringent (58% decline in workplace visits; 22% increase in time spent at home) than the second (34% decline in workplace visits; 14% increase in time spent at home) or the third (18% decline in workplace visits; 18% increase in time spent at home).

Increased freedom of movement alongside easier access to GP services during the two latter, less stringent, lockdowns compared with the first, stringent, lockdown could have contributed to the different trends in referrals. The research team determined that ensuring access to primary care and adequate and continuing provision of specialist support for people experiencing DVA is important during national emergencies. Further research, coproduced with DVA survivors and DVA agencies, is necessary to establish and evaluate the most appropriate support during both potential future national lockdowns and other systemic closures (eg, school holidays).

Recommendation

More stringent systemic closures will lead to a reduced number of referrals to a specialist DVA programme, while more relaxed system closures may result in increased referrals. This highlights the importance of ensuring adequate access to support, such as primary care, where people can safely disclose DVA and be referred to service providers during system closures, regardless of the stringency.

For further information: Please contact Jasmina at jasmina.panovska-griffiths@queens.ox.ac.uk

To cite: Panovska-Griffiths J, Szilassy E, Downes L, Dixon S, Dowrick A, Griffiths C, Feder G, Capelas Barbosa E. Interrupted time series and non-linear regression analyses to evaluate the impact of the three consecutive COVID-19 national lockdowns on the general practice referrals of women experiencing domestic violence and abuse in England and Wales. BMJ Public Health. 2025;3:e002408. https://doi.org/10.1136/bmjph-2024-002408

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VISION researchers present at the European Conference on Domestic Violence

Fourteen researchers from across the UKPRP VISION research consortium attended the September 2025 European Conference on Domestic Violence (ECDV) in Barcelona, Spain. The team presented key findings from their VISION research and several also convened a symposium. It was a successful turnout from the team and a fantastic networking opportunity.

The ECDV conference aims to support and reflect the aims of the Council of Europe’s Convention on Preventing and Combating Violence against Women and Domestic Violence. It was developed to enhance the visibility and connection of individuals working to address domestic violence in Europe, while also benefitting from the contribution of colleagues from outside Europe.

  • Anastasia Fadeeva convened the symposium Health perspectives on addressing domestic violence and abuse
  • Ladan Hashemi, Anastasia Fadeeva and Sally McManus presented Gender Asymmetry in Physical Health Associations with Intimate Partner Violence (IPV)
  • Anastasia Fadeeva and Niels Blom presented Injuries and Seeking Healthcare following Violence: Inequalities by Victim-Perpetrator Relationship
  • Vanessa Gash presented Hounded Out? Measuring the Effect of Workplace Violence on Women and Men’s Employment Transitions
  • Natalia Lewis and Lizzie Cook participated in the workshop, Community of practice for evidence syntheses on gender-based violence: learning together to enable methodological developments and improve evidence for policy and practice.
  • Lizzie Cook presented Analysing sex/gender-related motives and indicators in England and Wales
  • Sally McManus presented Commercial Determinants of Health: Opportunities for domestic violence prevention from a public health framework analysis which was written with VISION colleagues Olumide Adisa and Mark Bellis.
  • Ruth Weir convened the symposium Violence and abuse in young people’s intimate relationships
  • Polina Obolenskaya and Annie Bunce presented Too soon, too late: experience of and professional responses to abuse in teenage relationships
  • Ruth Weir presented ADA and its consequences: a rapid systematic review
  • Annie Bunce convened the symposium, Exploring multiple vulnerabilities using specialist services’ administrative data: Challenges, opportunities and lessons for the future
  • Maddy Janickyj and Leonie Tanczer presented Understanding Technology-Facilitated Abuse: Exploring real-life experiences through Support Services’ data
  • Annie Bunce presented The role of vulnerability in the inequity of health outcomes for DVA survivors
  • Hannah Manzur presented Disclosure to Formal Agencies and Specialised Support Services among Victims of Intimate Partner Domestic Abuse: Comparing Inequality Patterns, Victim Profiles, and Harms by Disclosure, written with VISION colleagues Annie and Ravi
  • Ladan Hashemi and Hannah Manzur presented Ethnic Disparities in outcomes from contact with DVA support services
  • Gene Feder convened the symposium Adding to the evidence base that community-based perpetrator programmes work to reduce abuse: Positive findings from REPROVIDE, a UK randomised controlled trial

Photographs:

  1. Top, left to right: Annie Bunce (VISION, City St George’s University of London), Ruth Weir (VISION, City St George’s University of London), Nicola Farrelly (University of Lancashire), Polina Obolenskaya (VISION, City St George’s University of London), Christine Barter (University of Lancashire), Aisling Barker (Islington City Council and City St George’s University of London), and Katrina Hadjimatheou (University of Essex)
  2. Middle, left to right: Hannah Manzur (VISION, City St George’s University of London), Ladan Hashemi (VISION, City St George’s University of London), Maddy Janickyj (VISION, University College London), and Annie Bunce (VISION, City St George’s University of London)
  3. Second from bottom: Vanessa Gash (VISION, City St George’s University of London)
  4. Bottom, left to right: Angel Deng (Kings College London), and Ladan Hashemi, Anastasia Fadeeva and Sally McManus (VISION, City St George’s University of London)

Assisted dying bill: Safeguards against domestic abuse and coercion must be strengthened

One in four women and one in seven men in England and Wales have experienced domestic abuse. Coercive and controlling behaviours are core to domestic abuse. They result in loss of autonomy and independence and are intended to isolate and reduce self-worth. Such behaviours are common but hard for health professionals to detect.

If passed, the Terminally Ill Adults (End of Life) Bill will allow people who are terminally ill and expected to die within six months to request assistance to end their lives. VISION researchers Gene Feder, Elizabeth (Lizzie) Cook and Sally McManus have written an opinion published in The BMJ that calls for safeguards in the bill need to be strengthened to prevent coercion in the context of domestic abuse.

Assisted dying requires a careful consideration of the risks posed by domestic abuse and coercion. The current bill does not fully tackle specific safeguarding concerns for patients experiencing domestic abuse which can include economic, emotional, physical, and other forms of abuse from a partner or other family member. To safeguard against domestic abuse and associated coercion, Gene, Lizzie and Sally propose a set of principles that should be part of the UK bill.

  1. For doctors responding to any request for assisted dying, training must be extensive, specialist, in person, and backed up by referral pathways.  Independent domestic abuse advocates, with expertise in recognising coercive control, could contribute to assessment of assisted dying requests. 
  2. Commitments to confidentiality and data security must not obscure assisted dying decisions and the contexts in which they occur. The bill must ensure transparency.
  3. The bill must establish accountability. Transparent data about each stage of the approval process would also enable monitoring and regular scrutiny of the processes and outcomes of assisted dying legislation.
  4. Lawmakers must resist expansion. Dementia and mental health conditions are now being considered for eligibility. These are conditions prevalent in survivors of domestic abuse. The UK bill should include clauses that limit any expansion of scope to other conditions and situations.

To read the opinion piece: Safeguards against domestic abuse and coercion in the assisted dying bill must be strengthened

To cite: BMJ 2025;390:r1914

For further information, please contact Gene at gene.feder@bristol.ac.uk

Knowledge Transfer Partnership award for City St George’s UoL and the National Centre for Domestic Violence

Dr Darren Cook

Blog by Dr Darren Cook, VISION Research Fellow in Natural Language Processing

Introduction

I’m pleased to share that a cross-university collaboration between City St George’s School of Social Policy and Global Affairs (SPGA) and School of Science and Technology (SST) has been successful in a recent Knowledge Transfer Partnership (KTP) competition.

Working alongside our industry partner, the National Centre for Domestic Violence (NCDV), our project will develop data science capabilities that enhance automation, scalability, and efficiency at NCDV. This will enable improved support, faster response times, and better outcomes for victims of domestic abuse. The project is due to begin in early 2026 and will run for approximately two years.

Importantly, this is the first KTP involving SPGA. As such, it marks a significant milestone for the school, creating new pathways for impactful collaboration with industry and laying the groundwork for future projects that can translate academic expertise into measurable social change.

What is a KTP?

A Knowledge Transfer Partnership (KTP) is a collaborative programme between UK businesses and universities, supported and part funded by Innovate UK [1].

Each KTP addresses a specific business challenge, enabling the transfer of knowledge and expertise from academia into industry through a KTP Associate. The Associate is employed by the business but supported by an academic supervisor, delivering a structured package of work designed to drive innovation and growth.

KTPs are proven to have a significant impact, generating more than £2 billion for the UK economy between 2010 and 2020 [2]. They also support the professional development of Associates, who gain unique experience at the intersection of academia and industry.

What is the focus of this KTP?

Having been successful in our funding application, I will serve as the Academic Supervisor, working alongside Dr Chris Childs (Academic Lead) and the appointed KTP Associate. Together, we will design and implement advanced data science tools to automate key data processes within NCDV.

By streamlining and scaling these processes, the project will:

  • Enable NCDV to support more victims in need.
  • Reduce response times, ensuring urgent legal protections can be accessed more quickly.
  • Provide a replicable model of innovation that could benefit other organisations in the domestic abuse sector.

This partnership also has substantial potential impact for REF, by generating demonstrable evidence of social and economic benefit from research-led activity.

Who are the NCDV?

The National Centre for Domestic Violence (NCDV) [3] is a Community Interest Company (CIC) that helps victims of domestic abuse obtain urgent legal protection through the courts.

Domestic abuse is a widespread and pressing issue:

  • An estimated 2.1 million people in England and Wales experienced domestic abuse per year (1.4 million women and 751,000 men) [4].
  • Police in England and Wales receive over 100 calls relating to domestic abuse every hour [5].

Against this backdrop, the work of NCDV is vital. This KTP will strengthen their capacity to respond to high demand and ensure more victims can access the protection they need.

References

[1] Innovate UK – Knowledge Transfer Partnerships
[2] Innovate UK, KTP Impact Report
[3] National Centre for Domestic Violence
[4] Office for National Statistics, “Domestic abuse prevalence and trends, England and Wales: year ending March 2023.”
[5] Refuge, “Domestic abuse statistics.”

For further information, please contact Darren at darren.cook@citystgeorges.ac.uk

VISION hybrid seminar: An overview of systematic reviews on violence 

This event is in the past.

Join us for a hybrid seminar at City St George’s on 10 September exploring two VISION systematic reviews: one on experiences of violence among people in insecure migration status and the other on the effectiveness of UK domestic and sexual violence and abuse support services and interventions.

The interdisciplinary UK Prevention Research Partnership (UKPRP) Violence, Health and Society (VISION) consortium brings together evidence on violence prevention from across health, social, crime and other sectors. A key method for producing comprehensive evidence syntheses is the systematic review.

In this seminar, we bring together two very different systematic reviews of evidence on violence:

  • The first presentation, by Alexandria Innes and Hannah Manzur, is global and examines the nature and prevalence of violence among people in different types of insecure migration status.
  • The second presentation, by Annie Bunce and Sophie Carlisle, focuses on the UK and summarises what we do and don’t know about the effectiveness of domestic and sexual violence support services and interventions. 

For further information, please also see the VISION Policy Briefings stemming from the research:

  1. Insecure migration status increases risk of multiple forms of violence
  2. Measuring the effectiveness of UK support services and interventions for domestic and sexual violence and abuse

Register in person or online here: Ticket Tailor – VISION Hybrid Seminar – 10 Sept 2025

  • In person: Rhind Building, St John Street, London, EC1R 0JD followed by an afternoon tea in the Violence & Society Centre. 
  • Online: A Microsoft Teams link will be emailed the morning of the seminar

For further information, please contact VISION_Management_Team@citystgeorges.ac.uk

Insecure migration status increases risk of multiple forms of violence

Insecure migration status is defined as any person who does not have a long term secure immigration status and might fear removal from the country if they fail to comply with their visa restrictions, even if the failure to comply is unknown to them, if forced due to fear for their physical safety, or is coerced.

Research produced by Drs Alexandria Innes and Hannah Manzur of the VISION consortium and PhD student Jana Kriechbaum, Violence and Society Centre at City St George’s University of London, found that people in insecure migration status face or fear violence where violence prevention efforts and violence protection are either not extended to them, or are not made accessible to them.

Findings from their VISION Policy Briefing

The prevalence of violence against people in insecure migration status is a cause for concern. Prevalence of violence is not meaningfully different for people based on type of insecure status, such as those with undocumented status, asylum seekers and refugees, or employer-dependent visas.

Women on spousal visas connect experiences of domestic violence to insecurities associated with their immigration status. The power imbalance embedded in relationships that involve one citizen and one foreigner is exacerbated by attaching the relationship to dependent visa restrictions. Women on spousal visas associated their inability or unwillingness to leave a violent homelife with a fear of immigration removal, therefore prolonging their exposure to violence.

Recommendations

  1. Decouple immigration enforcement from violence prosecution and victim support
  2. Expand protections for survivors of domestic violence
  3. Strengthen protections for victims of work-related exploitation and improve employer regulations
  4. Address state violence in detention and border contexts
  5. Align immigration policies with public health frameworks

To download the VISION Policy Briefing: Insecure Migration

To cite: Innes, Alexandria; Manzur, Hannah; Kriechbaum, Jana (2025). VISION Policy Briefing: Insecure Migration. City, University of London. Report. https://doi.org/10.25383/city.29860142.v1

For further information, please contact Andri at Alexandria.Innes@citystgeorges.ac.uk

Measuring the effectiveness of UK support services and interventions for domestic and sexual violence and abuse

Developing effective responses to domestic and sexual violence and abuse (DVSA) is critical. In the UK there are many support interventions and services, primarily provided by the third sector. Previous systematic reviews of the global evidence have found benefits of such interventions on a range of outcomes.

Despite this, there is limited understanding of which exact outcomes and outcome measures are currently being used both within and across DSVA support services and interventions in the UK specifically. Further, existing systematic reviews only focus on a single type of intervention or service, prohibiting comparisons across service types. Many also have only included evidence published in academic journals, potentially limiting and biasing findings.

For their VISION Policy Briefing, Drs Annie Bunce and Sophie Carlisle, carried out two evidence syntheses:

  1. A scoping review to identify, group and explore outcome measures that have been used to assess the effectiveness of UK-based DSVA support interventions or services.
  2. A systematic review to assess the effectiveness of these interventions or services in terms of the most commonly reported outcomes identified in the scoping review.

Findings include:

  1. Outcome measures assessing the effectiveness of support interventions and services are varied and inconsistent.
  2. Where consistent measures have been used, meta-analyses demonstrate potential benefits of UK-based advocacy and outreach services, psychological support interventions, and perpetrator programmes.
  3. Studies and evaluations assessing the effectiveness of support interventions and services are often methodologically flawed.
  4. Conflicting demands and lack of sufficient funding make robust testing and evaluation difficult in the third sector, reflecting a circular challenge.
  5. There was a lack of evidence for certain types of services and interventions (e.g. specialist sexual violence services/Independent Sexual Violence Advisers [ISVAs] and by-and-for services).

Recommendations

Further high-quality research into the effectiveness of DVSA interventions of perpetrator programmes are required, including randomised controlled studies where appropriate and ethical, to improve certainty regarding the effect estimates generated from evidence syntheses. Published protocols, adherence to reporting guidelines such as CONSORT, STROBE and SQUIRE 2.0, and considering and accounting for confounding factors where randomisation is not feasible, will strengthen the research.

Developing a core outcome set via co-production with survivors and service users, practitioners and service providers, commissioners, policy makers and researchers will increase consistency in reported outcomes and create the cohesion.

To download the VISION Policy Briefing: Measuring the effectiveness of support services and interventions for domestic and sexual violence and abuse in the UK

To cite: Bunce, Annie; Carlisle, Sophie (2025). VISION Policy Briefing: Measuring the effectiveness of support services and interventions for domestic and sexual violence and abuse in the UK. City, University of London. Report. https://doi.org/10.25383/city.29852984.v1

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

Carers’ increased risk of domestic violence and poor health outcomes

The poor health of unpaid carers is well-established, and evidence also shows they experience high levels of domestic violence. However, the links between domestic violence and carers’ poor health remains overlooked. The study, Health morbidities in carers with experience of domestic violence and abuse, led by Drs Juliana Onwumere and Emilie Wildman of King’s College London along with research team member Professor Sally McManus, VISION co-Deputy Director, and others, examined this relationship using the Adult Psychiatric Morbidity Survey (APMS), a representative sample of the adult population of England.

The results show that carers are more likely to be female, older, economically inactive, and in debt than non-carers, and that carers tend to have worse mental and physical health. One in three carers reported having had experience of domestic violence. With adjustment for confounders, carers were more likely than non-carers to be victims of physical, emotional and sexual forms of violence and abuse. People with experience of both caring responsibilities and domestic violence had particularly poor mental and physical health outcomes (compared to carers and non-carers without experience of domestic violence, as well as non-carers experiencing domestic violence).  

NICE guidelines state that carers should be offered training to help them to provide care safely, including support around managing challenging behaviour from the person being cared for. However, professionals can struggle to identify and respond to carers’ experiences of domestic violence. Facilitating routine enquiry in carers is essential, particularly given that carers often delay seeking support for their own needs carers and may not readily and independently disclose their experiences of violence to professionals.

Recommendations

Efforts to incorporate inquiry into experiences of domestic violence into carers’ needs assessments, which unpaid carers are entitled to, may help facilitate identification and referral to appropriate support services.

Carers high risk of domestic violence goes largely unrecognised in UK policy and practice. This is a sensitive and hidden topic; these findings suggest that addressing carers’ poor health requires also identifying – and addressing – their experiences of domestic violence.

To download: Health morbidities in carers with experience of domestic violence and abuse

To cite: Wildman, E.K., Dickson, H., MacManus, D. McManus, S., Kuipers, E., Onwumere, J. Health morbidities in carers with experience of domestic violence and abuse. Soc Psychiatry Psychiatr Epidemiol (2025). Https://doi.org/10.1007/s00127-025-02959-4

For further information, please contact Juliana at juliana.1.onwumere@kcl.ac.uk

For further information about APMS, contact Sally at sally.mcmanus@citystgeorges.ac.uk

Photograph from Age Without Limits