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Using Natural Language Processing in Domestic Homicide Reviews

Since 2011, there has been a statutory requirement in England and Wales to conduct a Domestic Homicide Review (DHR) into any domestic abuse-related death: a multi-agency review into the death of a person aged 16 or over that appears to have resulted from violence, abuse or neglect from an intimate partner, family member or household member.

However, analyses of large numbers of DHRs are rare. One of the core challenges is the time and effort required to analyse narrative text within reports. Doing so manually is both time-consuming and resource-intensive and is a primary reason why researchers typically focus on only a portion of the available data. Natural Language Processing (NLP)—a sub-branch of artificial intelligence that enables computers to interpret and process natural language—provides a viable and scalable alternative by offsetting much of the heavy data processing to a computer.

In this study protocol, developed by VISION Research Fellow Dr Darren Cook and VISION Co-Investigator Dr Elizabeth Cook (both at City St George’s University of London) with Sumanta Roy and Rani Selvarajah of Imkaan, and VISION Co-Investigator Professor Ravi Thiara (University of Warwick), they outline a study to assess the feasibility of applying NLP to DHRs.

The VISION and Imkaan team outline a collaborative approach which balances the speed and scale of automation with the embedded knowledge and expertise of practitioners. This approach helps to ensure that outputs of NLP are sensitive and transparent about the biases common within datasets on violence and abuse.

Based on initial consultations, the team have identified a series of priority research questions for investigation. In addition, they outline details of an ongoing collaboration with one partner, Imkaan. The protocol describes the data access, and retrieval and analysis stages before summarising how feasibility will be evaluated. The protocol concludes by arguing that working with practitioners who hold deep contextual knowledge about the social realities of violence and abuse, including language, risks, and experiences, means that tools can be developed that are accountable to communities and appropriately applied to real-world problems.

To download the protocol: A collaborative approach to applying Natural Language Processing (NLP) to Domestic Homicide Reviews (DHRs): A study protocol

To cite: Cook D, Cook EA, Roy S, Thiara R, Selvarajah R (2026) A collaborative approach to applying Natural Language Processing (NLP) to Domestic Homicide Reviews (DHRs): A study protocol. PLoS One 21(5): e0348948. https://doi.org/10.1371/journal.pone.0348948

For further information: Please contact Lizzie at elizabeth.cook@citystgeorges.ac.uk

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Multiple adverse childhood experiences and mental and physical health outcomes in adulthood: New systematic review protocol assessing causality

Research suggests that adverse childhood experiences can have a lasting influence on children’s development that result in poorer health outcomes in adulthood. Like other exposure-outcome relationships, however, there is uncertainty about the extent to which the relationship between adverse childhood experiences and health is causal or attributable to other factors.

The aim of this systematic review is to better understand the nature and extent of the evidence available to infer a causal relationship between adverse childhood experiences and health outcomes in adulthood.

A comprehensive search for articles will be conducted in four databases (Medline, CINAHL, PsycInfo and Web of Science) and Google Scholar. The team, led by Dr Lisa Jones of Liverpool John Moores University, and includes VISION researchers Professor Mark Bellis and Professor Sally McManus, will review studies published since 2014:

  • of adults aged 16 years or over with exposure to adverse childhood experiences before age 16 years from general population samples;
  • that report measures across multiple categories of childhood adversity, including both direct and indirect types; and
  • report outcomes related to disease morbidity and mortality.

To download the protocol: Interpreting evidence on the association between multiple adverse childhood experiences and mental and physical health outcomes in adulthood: protocol for a systematic review assessing causality

To cite: Jones L, Bellis MA, Butler N, et al. Interpreting evidence on the association between multiple adverse childhood experiences and mental and physical health outcomes in adulthood: protocol for a systematic review assessing causality. BMJ Open 2025;15:e091865.  doi: 10.1136/bmjopen-2024-091865

For further information, please contact Lisa at l.jones1@ljmu.ac.uk

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