Archives

The impact and risk factors of adolescent domestic abuse: A rapid systematic review

As a phenomenon, abusive behavior between adolescents in intimate relationships remains relatively invisible, due in part to the persistent yet unfounded assumption that domestic abuse is something that occurs between adults. There is an emerging body of evidence indicating that both victimization and perpetration in intimate partner relationships can and do occur well before adulthood.

This review seeks to improve understandings of intimate partner abuse between adolescents, focusing in particular on younger adolescents below the age of 16 and the impacts and risk and protective factors.

VISION researchers Dr Ruth Weir, Dr Olumide Adisa and Dr Niels Blom, with their collaborators, conducted a rapid systematic review by searching three electronic databases (PsycInfo, Embase, and Social Sciences Citation Index). The team utilized pre-existing systematic reviews to identify relevant primary studies. Findings of the included studies were described and summarized using narrative synthesis.

Seventy-nine studies were identified for inclusion. Synthesis of the findings of these studies identified five categories of risk and protective factors, including bullying and parental intimate partner violence, social and cultural factors, school and neighborhood environment and health and wellbeing. However, the review also identified a gap of qualitative research and a lack of attention to how ADA intersects with cultural factors, gender differences, criminalization, and poor mental health. Many of the studies report on school-based settings, limiting understanding of the role of neighborhood factors in prevention, protection and recovery. Participatory research on help-seeking behaviors of adolescents is rare.

The review synthesized risk and protective factors associated with ADA, especially those occurring between younger adolescents. It highlighted the complex interplay and overlap between using and experiencing violence and abuse and the need for systematic research to inform the development of advocacy, interventions and prevention that is right for young people.

Highlights from the VISION ADA rapid review: Gaps, limitations & considerations for future research

  • Little recent academic interest on ADA in the UK
  • Focus in existing global literature on physical or sexual violence but less so on coercive control or emotional / psychological abuse
  • Lack of systematic examination of long-term consequences of ADA on wellbeing
  • Lack of intersectional analysis (ethnicity, sexual orientation, socioeconomic status, etc)
  • Little exploration of adolescents’ help-seeking behaviours and attitudes to different kinds of possible support
  • Research design limitations

To download the paper: Adolescent Domestic Abuse and Its Consequences: A Rapid Systematic Review | Journal of Family Violence

To cite: Weir, R., Adisa, O., Blom, N. et al. Adolescent Domestic Abuse and Its Consequences: A Rapid Systematic Review. J Fam Viol (2025). https://doi.org/10.1007/s10896-025-00813-4

For more information on this rapid review, please contact Ruth at ruth.weir@city.ac.uk

To view and / or download the list of systematic reviews included in this paper:

SRs included in Weir ADA journal articleDownload

Further ADA research across the VISION consortium:

Photo from Adobe Photo Stock subscription

Systems analysis of service coordination in domestic abuse, primary care and child mental health services

The impact of intimate partner violence (IPV) on parental and child mental health is well documented, as is the associated increased use of healthcare services by survivors of IPV. UK policy emphasises the importance of partnership working between health services and domestic abuse agencies, along with clear referral pathways for victims of violence and abuse and co-ordinated local responses. However, in general, current policy and guidance is focused on the response to adult victims with more limited advice as to how this should be operationalised for working with children.

With first author Dr Claire Powell (University College of London), VISION researchers Dr Olumide Adisa and Professor Gene Feder and others explored how services work together to support parents and children experiencing both parental IPV and parental or child mental health problems by drawing on the perspectives of professionals working in primary care, children and young people’s mental health services (CYPMHS), and domestic abuse services.

The team conducted a qualitative study, interviewing professionals in geographically contrasting local authority areas in England. They carried out framework analysis using a systems approach and mapping techniques to understand the service interrelationships and boundary judgements of professionals.

Results showed that

  • The relationships between domestic abuse services, CYPMHS, and primary care were complex, involving funders and commissioners, local authority strategic groups, and wider services such as schools and children’s centres.
  • Participants consistently identified a gap in the relationship between statutory CYPMHS and domestic abuse services.
  • There were mental health service gaps were for children living with ongoing or intermittent IPV and for children and parents with needs falling below or between service thresholds.
  • There was a gap in services for users of abusive behaviour to prevent future IPV.
  • Staff perspectives revealed differing views on treating the effects of trauma, and the co-ordination and sequencing of care.

Improving the response to children and adults experiencing mental health problems in the wake of IPV requires a systems perspective to understand the barriers to service co-ordination. The findings indicate a particular need to address the gap between CYPMHS and domestic abuse services.

To download the paper: Domestic abuse, primary care and child mental health services: A systems analysis of service coordination from professionals’ perspectives – ScienceDirect

To cite the paper:  Claire Powell, Olumide Adisa, Lauren Herlitz, Shivi Bains, Sigrún Eyrúnardóttir Clark, Jessica Deighton, Shabeer Syed, Ruth Gilbert, Gene Feder, Emma Howarth, Domestic abuse, primary care and child mental health services: A systems analysis of service coordination from professionals’ perspectives, Children and Youth Services Review, Volume 169, 2025, 108076, ISSN 0190-7409, https://doi.org/10.1016/j.childyouth.2024.108076

Illustration from Adobe Photo Stock subscription

Migrants’ experiences of violence while in insecure migration status

Violence is a major public health issue. Moreover, there is evidence that violence is significantly related to social inequality. Existing studies have found links between violence and gender, ethnicity, place of residence and socioeconomic status.

Although economic globalization impacts trade, goods, and services, the movement of people has been increasingly restricted since the 1990s. The number of people globally who live with insecure migration status is difficult to estimate, but includes people worldwide undertaking irregular journeys and crossing international borders without authorization, people living without the correct immigration documentation, and people in temporary or dependent statuses in destination countries.

The global movement of people in the context of strict immigration laws and policies places significant numbers of people in insecure migration status worldwide. Insecure status leaves people without recourse to legal, governmental or social protection from violence and abuse.

This review synthesized qualitative studies that reported how migrants associated physical and physically enforced sexual violence they experienced with their insecure migration status. VISION researchers, Andri Innes, Annie Bunce, Hannah Manzur, and Natalia V. Lewis, generated robust qualitative evidence showing that women experienced sexual violence while in transit or without status in a host state, and that they associated that violence with their insecure migration status. This was the case across the various geographic routes and destination countries.

They found evidence that women associated intimate partner violence with lacking (legal) access to support because of their insecure migration status. Women connected their unwillingness to leave violent circumstances, and therefore their prolonged or repeated exposure to violence, with a fear of immigration removal produced by their insecure migration status.

To protect people in insecure migration status from experiencing violence that they associated with their migration status, it’s necessary to ensure that the reporting of violence does not lead to immigration enforcement consequences for the victim.

To download the paper: Experiences of violence while in insecure migration status: a qualitative evidence synthesis | Globalization and Health | Full Text

To cite: Innes, A., Bunce, A., Manzur, H. et al. Experiences of violence while in insecure migration status: a qualitative evidence synthesis. Global Health 20, 83 (2024). https://doi.org/10.1186/s12992-024-01085-1

For further information, please contact Andri at alexandria.innes@city.ac.uk

Photograph from Adobe Photo Stock subscription

Reflections on producing evidence syntheses on violence and abuse

The VISION systematic review team, Dr Natalia Lewis, Dr Elizabeth Cook, Dr Jessica Corsi, Dr Sophie Carlisle and Dr Annie Bunce, presented at the London Evidence Syntheses and Research Use Seminars on 17 July 2024. The event was an initiative jointly hosted by the EPPI Centre (at UCL) and the Centre for Evaluation at London School of Hygiene and Tropical Medicine (LSHTM).

The team presented under the collective theme Producing evidence syntheses on violence and abuse: reflections on the disciplinary variations and practicalities, with the aim of prompting conversation about how systematic review methodologies can be adapted across disciplines. Dr Natalia Lewis (Systematic Review Lead, University of Bristol) introduced the session, describing the emergence of systematic reviews at the top of the ‘hierarchy of evidence’ that is often referenced in evidence-based medicine. Accompanying systematic reviews are a range of reporting standards, tools and guidance stipulating recommended practices for conducting reviews. However, as the team discussed in their presentations, such standardised frameworks and approaches do not provide space for reflection on the process and implications of adapting these methodologies to evidence on violence and abuse.

The seminar included the following presentations:

  • Dr Elizabeth Cook (City, University of London): Evidence syntheses in a global context: A systematic review of sex/gender disaggregated homicide.
  • Dr Jessica Corsi (City, University of London): Evidence synthesis on legal records: challenges and adaptations.
  • Dr Sophie Carlisle (Health Innovation East Midlands): Evidence synthesis in the context of UK domestic and sexual violence services: Involving professional stakeholders.

The presentations are available to view and download below.

Dr Natalia Lewis, Producing evidence syntheses on violence and abuse: reflections on the disciplinary variations and practicalities

Lewis – IntroductionDownload

Dr Sophie Carlisle, Evidence synthesis in the context of UK domestic and sexual violence services: involving professional stakeholders

Carlisle – Involving stakeholdersDownload

Dr Elizabeth Cook, Evidence synthesis in a global context: A systematic review of sex/gender disaggregated homicide

Cook – Homicide in a global contextDownload

Dr Jessica Corsi, Evidence synthesis on legal records: Challenges and adaptations

Corsi – Evidence synthesis on legal recordsDownload

The seminar was held in hybrid format. The talks were recorded and are available through the following link: https://eppi.ioe.ac.uk/cms/Coursesseminars/Previousseminarsandevents/tabid/3317/Default.aspx