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Sexual violence along migration routes: A qualitative systematic review and evidence synthesis

While all types of violence happen in the context of migration without state authorization, states have no directly tangible and clearly articulated incentives to protect migrants who travel in this way from violence. Migrants in transit, particularly those who travel informally without documents, are exceptionally vulnerable to exploitation from criminal gangs and smuggling networks, abuse by border forces, corrupt policing, and exposure to petty crime and violence during the journey.

The systems and structures that govern international migration without state authorisation create conditions of vulnerability for migrants, and sexual violence requires separate attention. Sexual violence in any context has unique causes and consequences and reporting follows distinct patterns, linked to different social meanings and gender dynamics. Thus, there is good reason for treating sexual violence differently from other more general forms of violence.

There is little or limited incentive for states to prevent sexual violence against migrants who might be travelling without authorization or be in the process of escaping adversity in their home state. These individuals who are not part of citizenry cannot easily call upon available mechanisms to report and seek support and retribution for crimes of sexual violence perpetrated against them. Yet, there is precedent to consider sexual violence an international ‘wrong’ and to advocate for the consolidation of action against it (for example in United Nations Security Council Resolution (UNSCR) 1825, which established sexual violence in conflict as warranting consolidated international action).

VISION researcher Alexandria Innes and Merili Pulleritis (City St George’s, University of London) conducted a systematic review and evidence synthesis to systematise and synthesize qualitative evidence of sexual violence experienced by migrants travelling without state authorization, during the course of their journeys.

Their article, Sexual violence along migration routes: A qualitative systematic review and evidence synthesis, finds that sexual violence is widespread in the context of migration without state authorisation, and structurally embedded feature of undocumented migration. Findings were grouped around the six themes of agency, economics, climate of violence, normalisation of violence, perpetrators, and gender.

Data showed that migrant women expressed agency by adopting preventative or protective measures against expected sexual violence, at times including engagement in unwanted sexual contact. Economic deprivation intersected with sexual violence during migration journeys, increasing risk of sexual violence. The most severe cases of sexual violence were not mitigated by money. In some cases sexual violence victimisation was considered to be the only available way to prevent deportation or death.

Sexual violence was severe and indiscriminate, and included forced witnessing, and forced sex act perpetration on other migrants. Sexual violence along migration routes is executed by various types of perpetrators, including organised and systematic perpetration by state agents such as border guards and police, and by smuggling and trafficking gangs. Sexual violence is also carried out by opportunists who are often migrants in transit, or people who reside along the route. Sexual violence is used against men, women, trans and non-binary migrants, and people of all ages, but there are important gendered differences in the experience of sexual violence before and during a migration journey.

Sexual violence along irregular migration routes is an urgent issue demanding a response. Sexual violence is structurally embedded in the governance of international migration, suggesting the need for significant systemic change. This problem requires dedicated attention and resources directed towards prevention and protection.

To download the article: Sexual violence along migration routes: A qualitative systematic review and evidence synthesis

To cite: Innes, A., & Pullerits, M. (2026). Sexual violence along migration routes: A qualitative systematic review and evidence synthesis. PLOS ONE, 21(8), e0355474. https://doi.org/10.1371/journal.pone.0355474

For further information: contact Andri at alexandria.innes@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:

Violence is a risk factor for adverse clinical outcomes in severe mental illness

A longitudinal study investigating the experiences of violence suffered by those with severe mental illness (SMI) was recently published in the British Journal of Psychiatry. VISION researchers Vishal Bhavsar, Angus Roberts, and Robert Stewart worked with lead author Ava Mason and others and found that people with SMI and who experienced violence are more likely to need future emergency and inpatient mental care.

The aim of their research was to understand whether violence recorded early in someone’s contact with mental health services could help predict these later outcomes. Anonymised electronic mental health records from approximately 6,000 adults who received care from South London and Maudsley NHS Foundation Trust between 2007 and 2022 were investigated.

By applying Natural Language Processing (NLP) to records of those diagnosed with schizophrenia or related disorders, or bipolar disorder or mania, the researchers were able to determine whether any current or previous physical, domestic or sexual violence had been recorded in the first three months after someone first came into contact with services.

Results showed that people living with SMI who had violence recorded in their mental health records early in their care were at increased risk of crisis service use, hospital admission and detention under the Mental Health Act in the years that followed. This highlights the importance of identifying and responding to experiences of violence as part of routine mental health care.

In conclusion, experiences of violence, to the extent to which patients report their experiences and these are recorded, are risk factors for worse outcomes in severe mental illness, only partly accounted for by clinical status around the time of presentation. More systematic ascertainment and recording of victimisation needs to be considered if interventions are to be appropriately targeted.

To download the article: An investigation of recorded physical, domestic and sexual victimisation as risk factors for adverse clinical outcomes in severe mental illness: longitudinal study

To cite: Mason AJC, Bhavsar V, Roberts A, et al. An investigation of recorded physical, domestic and sexual victimisation as risk factors for adverse clinical outcomes in severe mental illness: longitudinal study. The British Journal of Psychiatry. Published online 2026:1-8. doi:10.1192/bjp.2026.10648

Illustration from Adobe Photo Stock subscription

Intimate partner relationship abuse between men: An interdisciplinary seminar

Wednesday 17 June 2026, 13:00 – 16:45, in person only

This event is in the past.

This free, interdisciplinary seminar brings together leading voices from research, lived experience, performance, and specialist practice to examine intimate partner violence in relationships between men and consider implications for policy, research, professional practice, and wider system response.

Register here: Ticket Tailor

Despite increasing recognition that abuse within intimate male relationships is a significant public health, social justice, and service delivery issue, it remains under recognised across many systems and disciplines. Survivors frequently encounter barriers to recognition, disclosure, and support, while policy, professional training, and public discourse have historically paid limited attention to these experiences.

This event will explore the dynamics, impacts, and structural challenges surrounding abuse in this context, and consider how research, policy, practice, and public understanding can evolve to better respond.

The programme combines research presentations, creative performance, lived experience testimony, and expert commentary to offer a multi-dimensional exploration of the issue. The seminar will include catering and:

A brief research presentation on prevalence, dynamics, barriers to recognition, and current evidence gaps from Dr Steven Maxwell

A monologue from He Kept Me Safe, a research based verbatim play developed from survivor narratives exploring abuse within intimate male relationships by Dr Edgar Rodriguez-Doran

A keynote contribution from broadcaster, comedian and survivor advocate James Barr, reflecting on his lived experience through comedy and the role of storytelling

A talk from Tanaka Mhishi, writer and researcher in masculinity, trauma and sexual violence, exploring masculinity, trauma, violence, and engaging men in conversations about healing

Brief facilitated interdisciplinary discussion on implications for research, policy, education, commissioning, service design, and practice

This event aims to stimulate critical interdisciplinary dialogue and contribute to wider thinking on inclusive responses to domestic abuse and sexual violence.

Intended Audience / Invitees

The seminar is intended for a broad interdisciplinary audience including:

Researchers and academics across social science, health, psychology, gender studies, criminology, law, public health, and related disciplines

Policy makers and strategic leaders working in domestic abuse, sexual violence, health, justice, equalities, LGBTQ+ inclusion, and public policy

Health and social care professionals

Mental health practitioners and psychological therapists

Domestic abuse and sexual violence services

Policing, criminal justice, and legal professional

LGBTQ+ and community sector organisations

Sexual health and public health professionals

Education and professional training providers

Students and trainees with relevant academic or professional interests
Wider stakeholders with interest in trauma, masculinity, violence prevention, and inclusive service/system design

Programme

1.00 pm: Registration and Lunch

1.30 pm: Welcome and Opening Remarks

1.40 pm: Research Presentation: Understanding Intimate Partner Violence in Male Relationships: Prevalence, Dynamics and System Challenges

2.00 pm: Monologue: He Kept Me Safe

2.40 pm: Facilitated Discussion and Audience Reflection

3.00 pm: Break

3.15 pm: James Barr: Lived Experience, Comedy, and Public Discourse

3.45 pm: Audience Q&A

4.00 pm: Tanaka Mhishi: Masculinity, Trauma and Engaging Men in Conversations About Violence and Healing

4.30 pm: Panel Discussion / Closing Audience Q&A

4.45 pm: Close

Join us at this free seminar, 17 June, Northampton Suite, City St George’s UoL, Clerkenwell, London, 1300 – 1645. To book your place please register here: Ticket Tailor

Photograph provided via Adobe Stock subscription

Webinar: Risk of sexual violence along migration routes and the implications for current asylum policy in the UK and Europe

Sexual violence along migration routes: A systematic review and synthesis

Thursday 29 January 2026, 2 – 3 pm, online

Email VISION_Management_Team@citystgeorges.ac.uk to register for the Teams link

This event is in the past.

VISION Co-Investigator, Dr Alexandria (Andri) Innes and PhD student Merili Pullerits will outline how sexual violence is a pervasive and structurally embedded feature of undocumented migration journeys. It is often associated with economic status, and economic need or destitution and often expected along the routes. Some migrants who plan to travel without documents take action to prevent unwanted pregnancy before travelling, or seek protection by travelling in mixed sex groups or in couples of convenience.

This review found that some routes situate sexual violence in an intense climate of violence and brutality, and at times sexual violence victimisation is considered to be the only available way to prevent deportation or death. Many irregular migration journeys take place in hostile landscapes where guides such as smugglers and traffickers are the only means of transport, and refusing sexual contact would result in abandonment and death.

The worst forms of sexual violence are brutal and indiscriminate, involve forced witnessing, and forced sex act perpetration on other migrants. It is used against men, women, trans and non-binary migrants, but there are important gendered differences in the portray of sexual violence and the expectation of sexual violence before and during a migration journey.

Finally, Andri and Merili will highlight how sexual violence along migration routes are executed by various types of perpetrators, including organised and systematic perpetration by state agents such as border guards and police, and by smuggling and trafficking gangs. It is also carried out by opportunists who are often migrants travelling the irregular route, or are people who reside along the route and take advantage of the vulnerable populations transiting through.

There is very little, if any, form of accountability for perpetrators and very little protection from violence available to migrants. There is also no protection offered by receiving countries to prevent removal directly into contact with perpetrators along migration routes in locations that are often considered ‘safe third countries.’

To register and receive the Teams link, please contact VISION_Management_Team@citystgeorges.ac.uk