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Perpetrators of domestic abuse against older adults: A rapid evidence assessment

    Despite increased research on issues related to aging and older age, abuse of older adults (defined as 60 or over in this study) is a neglected area of academic study. Most of the available evidence is currently found within the elder abuse field; although there is no agreed definition of elder abuse, most incorporate abuse by perpetrators outside of the family (such as carers, people in positions of trust and in some cases strangers) meaning evidence on spouse and family member perpetrators is subsumed within these studies. Most studies on domestic abuse have paid limited attention to older age, and in many cases restrict the focus to intimate partner violence among young adults.

    PhD student, Merili Pullerits at the Violence and Society Centre at City St George’s University of London, worked with colleagues Hannah Bow (Durham University) and Natalie Quinn-Walker (University of Wolverhampton), to examine the existing, published research on the demographic and health characteristics, and the offending behaviours and histories of perpetrators of domestic violence and abuse against adults aged 60 and over. 

    Using a systematic methodology, searches were conducted in five databases: MEDLINE Complete, APA PsychInfo, CINAHL Complete, SociINDEX with Full Text, Criminal Justice Abstracts with Full Text, and Web of Science (Core Collection), resulting in 75 papers being included in the review. Much of the available evidence comes from the elder abuse field, with few specific domestic abuse studies.

    Their rapid review found that non-intimate partners, that is (adult) children or other family members, are the most frequently reported perpetrator group. Most perpetrators tend to be male, and, where information is available, poor health, and drug and alcohol problems are often reported.

    The research team concluded that more evidence is required on perpetrators of domestic violence and abuse using a wider methodology.

    Recommendation

    Evidence on those that use domestic violence and abuse on older people should be situated within the conceptual lens of domestic abuse. Policy and practice should urgently review whether existing risk assessment tools and perpetrator programmes are suitable given most domestic abuse of older adults is perpetrated by younger sons, daughters or other family members.

    To download: Perpetrators of domestic abuse against older adults – a rapid evidence assessment

    To cite: Hannah Bows, Merili Pullerits, Natalie Quinn-Walker, Perpetrators of domestic abuse against older adults – a rapid evidence assessment, Aggression and Violent Behavior, Volume 82, 2025, 102056, ISSN 1359-1789, https://doi.org/10.1016/j.avb.2025.102056.

    For further information, please contact Hannah at hannah.bows@durham.ac.uk

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    Challenges for evidence syntheses on homicide in a global context

      Data and evidence on violence are a few of the many core elements necessary for prevention. They inform decision-making by policy makers, provide corroboration for claims-makers, and exist as a means of empowerment for advocates and activists. Homicide is a global burden that is unequal in risk and distribution. However, evidence required for prevention is currently fragmented across different systems of knowledge production, creating challenges in the form of missing data.

      Viewed through the sociology of quantification and knowledge production, VISION Co-Investigator Dr Elizabeth Cook, provides methodological and ethical reflections on conducting a global systematic review of sex/gender-disaggregated homicide data. In doing so, she highlights epistemological and ontological differences that risk becoming obscured in global, comparative work on violence. 

      The systematic review she draws on in her critique, Conflating the map with the territory: Challenges for evidence syntheses on homicide in a global context, consisted of a four-step search strategy: electronic database searches, hand searches of statistics, ministry, and police websites, citation tracking, and email survey of statistics offices.

      Studies were included if they reported prevalence data on homicide which was sex/gender-disaggregated (by victim/offender relationship, sexual aspects, and/or motivation) by both women and men. From 194 WHO-recognised countries, data were available for just under half (n = 84). However, there were pronounced differences between countries and regions regarding the availability of data.

      Evidence syntheses are just one way of trying to make sense of this vast body of evidence in a transnational context. Viewed through sociological work on quantification and epistemic communities, Lizzie has provided reflections on a global systematic review to establish the prevalence of sex/gender disaggregated homicide by country, region, and globally. 

      Recommendation

      To avoid conflating the ‘map with the territory’ as others argue, moving towards critical knowledge synthesis as a way to build in contestation and to decenter assumptions of objectivity in the global systematic review of sex/gender-disaggregated homicide data.

      To download: Conflating the map with the territory: Challenges for evidence syntheses on homicide in a global context

      To cite: Cook, E. A. (2025). Conflating the map with the territory: Challenges for evidence syntheses on homicide in a global context. International Sociology, 0(0). https://doi.org/10.1177/02685809251336694

      For further information, please contact Lizzie at elizabeth.cook@citystgeorges.ac.uk

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      Confronting violence against vulnerable groups: Insights from a Pint of Social Sciences

        On a balmy May evening, VISION researchers Dr Anastasia Fadeeva and Dr Ladan Hashemi had the pleasure of presenting at Pint of Social Science, an engaging public event held at a local pub. The event, organised by Caroline (Cassie) Sipos, Business Development Manager for the School of Policy and Global Affairs, City St George’s University of London, was part of the broader Pint of Science movement.

        This event, one of many on the same night, is an annual global festival bringing academic research into informal, accessible spaces such as pubs or cafes. The environment enables researchers and the public to connect over important social issues, drinks, and conversation.

        Anastasia showcased her research on violence against older people, an often-overlooked area of abuse and harm. She spoke about different forms of violence in older age, including physical, emotional, and economic, and discussed the social and structural barriers that allow this violence to remain hidden. Anastasia also shared the findings from the recent study that measured the prevalence of violence in older age and the associations between violence and mental health in later life. The talk concluded with calls for stronger protective measures and greater public awareness to safeguard the dignity and wellbeing of older populations.

        Ladan shared the Breaking the Silence campaign, which uses culturally sensitive animations to amplify the voices of women in Iran affected by violence. Grounded in a survey of 453 Iranian women, the campaign highlights the widespread and multifaceted nature of violence against women and girls, and the urgent need for greater awareness and legal reform. Through powerful storytelling, the animations address issues such as coercive control, economic abuse, and technology facilitated abuse, while promoting the role of active bystanders and signposting available support services. The campaign aims to break taboos, raise awareness, and foster dialogue about women’s rights and freedoms in Iran.

        The evening provided a lively and welcoming space for thoughtful conversations and personal reflections. The audience was engaged with both talks, asking insightful questions—often the kind that don’t come up in professional or academic settings. Pint of Social Sciences was a reminder of the value of public engagement and the importance of making research accessible beyond academia. Events like this help to build understanding and inspire collective action towards a more just and informed society.

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

        Photographs: Top – Dr Anastasia Fadeeva; Above – Dr Ladan Hashemi

        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 behaviors 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

          A personal view on the Netflix hit, Adolescence

            A Warning for Parents, a Teaching Moment, or Just a Drama?

            by City St George’s UoL doctoral researcher Sylwia Wypyska-Kieran

            I finally got around to watching the show. I braced myself for it. I work in this field, and when I sit down to watch TV, I want an escape. And more importantly, I have a son the same age as the main character. I was scared—I know how dramas can pull the right emotional strings to shake you to your core. And this show does exactly that.

            It grips the audience, tapping into their deepest emotions to climb the charts. It spreads fear about youth violence, fueling the anxieties of parents who are already overwhelmed by the mysteries of the online world. At the school gates, friends tell me how upsetting it was. Online, acquaintances share tips on how to ‘better control’ our children, while colleagues publish their expert opinions. Following the discourse surrounding the show is fascinating. But let’s start from the beginning.

            Katie was murdered. In a typical narrative about crime, the show’s focus is on the perpetrator – a 13-year-old boy. This compelling drama has done an amazing job of avoiding the othering of the boy who killed, a common and widely criticised practice in the media. Jamie looks young and innocent. His child-looking face shatters the stereotype of a perpetrator, which is so important for society’s understanding of the reality of everyday violence. We feel for him. We see a child whose life has crumbled. We feel for his parents, we feel their pain, self-blame and disbelief. Together with the detectives, we seek the answers. Why?

            I was expecting the answer to be the manosphere. The trailer and discourse surrounding the show heavily focused on that. The online world of incels and Andrew Tates. I was surprised and rather confused to see that the manosphere was not a direct effect on Jamie’s behaviour. Katie was bullying Jamie, calling him an incel and telling him that no one will ever go out with him.

            How did a drama about a boy who murdered a girl manage to make her seem responsible for his crime? Whilst I pondered whether I misunderstood the implication, I saw a comment online ‘What the boy did was definitely wrong but didn’t it start from the bullying by the girl!!!’.

            The detective’s son pulls his Dad aside and tells him about the secret language of teenagers. I work with some amazing people whose work is all about young people’s participation. Teenagers don’t live on The Planet of the Adolescents, to which we have no access. Yes, adolescence is a distinctive period in people’s lives and we do have to understand the psychosocial challenges young people face. But let’s not align adolescence with violence and let’s not separate ourselves from them. It is harmful to them, to us, and to society as a whole.

            ‘Adolescence made free for schools as Keir Starmer meets creators’, the BBC reports, alongside calls to introduce anti-misogyny lessons. But we can’t teach our way out of misogyny. It seems like a reactive decision made without consultation with experts or young people. The context, complexities and consequences of this decision could be immense.  

            The boys I have spoken to, as part of my research exploring responses to harmful sexual behaviours, have told me that they feel shut down in conversations about relationships and sex. It is consistent with other studies around the topic. They already feel they do not have a space where they can explore and learn about relationships or their identities as men. Will showing this series to them open up a conversation or prove them right? My bet is on the latter. We risk pushing them further into a corner—driving them toward the very spaces where they do feel heard. 

            References

            Youngs, I. (2025) ‘Adolescence hard to watch as a dad, Starmer tells creators ‘, BBC News, 31 March. Available at: https://www.bbc.co.uk/news/articles/cx28neprdppo (Accessed: 02 April 2025).

            Gooch, B., Cooke, M. (2025) ‘Schools to run anti-misogyny classes for boys in bid to tackle toxic masculinity’, The Independent, 25 March. Available at: https://www.independent.co.uk/news/uk/home-news/school-misogyny-classes-boys-toxic-masculinity-adolescence-b2718706.html (Accessed: 04 April 2025)

            King-Hill, S (2025) ‘Adolescence in schools: TV show’s portrayal of one boyhood may do more harm than good when used as a teaching tool’, The Conversation, 02 April. Available at: https://theconversation.com/adolescence-in-schools-tv-shows-portrayal-of-one-boyhood-may-do-more-harm-than-good-when-used-as-a-teaching-tool-253158 (Accessed: 02 April 2025).

            For further information, please contact Sylwia at sylwia.wypyska-kieran@citystgeorges.ac.uk

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            Researching the impact of Black and Asian women leadership within East of England domestic abuse services

              The East of England is a region with minimal presence of ‘by and for’ (BFR) domestic abuse (DA) specialist services despite being home to Black and Asian communities. A VISION-funded research project, ‘Nothing about us without us’: Investigating the impact of the leadership of ethnic minority women on domestic abuse service provision in East England’, is exploring the impact of the leadership of Black and Asian women within DA service provision in the region.

              As part of the work, researchers Dr Mirna Guha (Anglia Ruskin University) and Dr Katherine Allen (University of Suffolk), hosted a leadership event on 3 April 2025 for racially and culturally diverse women. Held at a venue provided by the City of London police, the event was part of a leadership programme implemented through the HUM (‘Us) : A Place-based Emerging-Leaders Model designed and piloted by Mirna and Katherine to diversify leadership in domestic abuse and sexual violence services. Research aims include ensuring culturally responsive and representative support for minoritised victims-survivors in East England.

              Prior to the April event, Mirna and Katherine researched the leadership needs of 19 overstretched frontline practitioners i.e. ‘emerging leaders’ from racialised communities working within White-majority and at times professionally isolating generalist services across Bedfordshire, Suffolk and Cambridgeshire. East England is home to scattered racialised and diasporic communities where women’s leadership in local politics and policymaking is low. Based on this, three events on trauma-informed, culturally responsive and diverse styles of leadership have been co-produced with national DASV experts. Participants were invited to also join a regionally pioneering Community of Practice (CoP).

              At the April event in London, 15 emerging leaders from racialised backgrounds gained insights into the strategies, opportunities and challenges of practising culturally and racially representative leadership through an inspiring keynote by Superintendent Jasvinder Kaur, Domestic Abuse Lead at Suffolk Constabulary and co-founder of the National Women of Colour in Policing network. Furthermore, nine Black and racialised women speakers associated with statutory institutions viz. Cambridge City Council and the National Police Chief’s Council.

              Voluntary organisations also spoke including Apna Haq in Rotherham, Asian Women’s Resource Centre in London, and Karim Foundation in Cambridge. Others also shared their experiences of navigating rural and predominantly White spaces, and their strategies for claiming space, giving voice to community members and creating opportunities for other culturally and racially diverse women leaders. One notable theme was the pathbreaking role each panellist had assumed during her career, opening (or at times creating) doors for herself and those who followed. Discussions across the day dwelled on temporality and the changing political landscapes as well as place-based challenges linked to rurality.

              Overall, the leadership model, including this event and others and the growing leadership CoP, with a current membership of 25 emerging women leaders, aims to address these contextual and temporal challenges by bolstering and diversifying racialised women’s leadership in public services to ensure equity for minoritised victims-survivors.

              By laying the groundwork for a regional advisory board through the CoP, the model challenges the epistemic erasure of racially and culturally minoritised women within the design of DASV, and broadly, public services which exacerbate the postcode lottery of services across England and Wales. Inspired by Pawson and Tilley’s (1997)[1] approach to realist evaluation (which seeks to understand what works for whom and in which circumstances) Mirna and Katherine aim to evaluate the impact of the leadership programme and CoP on how emerging leaders navigate specific challenges rooted in specific professional, relational and spatial contexts.


              [1] Pawson, R. and Tilley, N., 1997. Realistic evaluation.

              For further information, please contact Mirna at mirna.guha@aru.ac.uk

              Photograph courtesy of Dr Mirna Guha and Dr Katherine Allen.

              VISION/VASC Webinar Series: The intersection of a gendered economy and violence prevention

                Mary-Ann Stephenson

                We are pleased to announce our next webinar for the VISION and Violence & Society Centre (VASC) Webinar Series on Tuesday, 17 June, 11.00 – 11.50.

                Mary-Ann Stephenson is the Director of Women’s Budget Group (WBG), a feminist think tank that works in research, advocacy and training to realise a gender equal economy in the UK. As an influential link between academia, the community and voluntary sector, and through their activities of government building and exchanging evidence, data, knowledge, and capacity, WBG’s work often interlinks with violence-prevention research and policy.

                Examples include their 2019 report, Benefits or barriers? Making social security work for survivors of violence and abuse across the UK’s four nations, written with Surviving Economic Abuse and End Violence Against Women Coalition. Findings highlighted that the social security systems across the UK failed survivors of violence and abuse when they needed help most.

                In 2024, WBG published Funding for violence against women and girls services: Briefing for a new government. Recommendations included:

                • A commitment to long-term grant funding for specialist women’s services, including ringfenced funding for services led ‘by and for’ Black and minoritised women, Deaf and disabled women and LGBT+ survivors.
                • More specialist training for police dealing with VAWG cases.
                • Reform social security (including uprating benefits and scrapping the benefits cap and two-child limit) to ensure women’s economic independence and their ability to leave abusive relationships.

                In this webinar, Mary-Ann will highlight WBG’s programme of work demonstrating that a gender equal economy and the embedding of gender equality policymaking are necessary in the reduction of violence against women.

                Please join the VISION research consortium and the Violence and Society Centre at City St George’s University of London for what will be a fascinating exploration of economic inequality through a gendered lens.

                To register for the event and receive the Teams link, please contact: VISION_Management_Team@city.ac.uk

                The purpose of the VISION/VASC webinar series is to provide a platform for academia, government and the voluntary and community sector that work to reduce and prevent violence to present their work / research to a wider audience. This is a multidisciplinary platform and we welcome speakers from across a variety of fields such as health, crime, policing, ethnicity, migration, sociology, social work, primary care, front line services, etc. If interested in presenting at a future Series webinar, please contact: VISION_Management_Team@city.ac.uk

                This webinar series is sponsored by the UK Prevention and Research Partnership consortium, Violence, Health and Society (VISION; MR-V049879) and the Violence and Society Centre at City St George’s, University of London.

                VISION member awarded UKDS Impact Fellow to study violence and mental health impacts in older age

                  Dr Anastasia Fadeeva

                  VISION Research Fellow, Dr Anastasia Fadeeva, has been awarded a UK Data Service (UKDS) Fellowship.

                  Anastasia’s interest and education in medicine increased her awareness of the impact of social determinants on people’s health. This led to an MSc in Public Health at London Metropolitan University followed by a PhD at Northumbria University and a career in health services and public health research.

                  As a UKDS Fellow, Anastasia will look at the issues of violence in older age, the long-term impacts of violence on mental health, and the lack of reliable data.

                  For more information about Anastasia and her work, see her blog on the UKDS website or email her at anastasia.fadeeva@citystgeorges.ac.uk.

                  The UKDS is funded by the UKRI and houses the largest collection of economic, social and population data in the UK. Its Data Impact Fellowship scheme is for early career researchers in the academic or the voluntary, community, and social enterprise (VSCE) sector. The purpose of the programme is to support impact activities stemming from data-enhanced work. For further information on the UK Data Service please see: UK Data Service

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                  Physical health conditions and intimate partner violence: A gendered issue

                    Intimate partner violence (IPV) is a widespread global public health issue with serious and long-lasting consequences. While much research has focused on the mental health consequences of IPV, such as depression and PTSD, there is limited evidence on its association with physical health.

                    This study explored how different types and number of types of IPV are linked to specific physical health conditions, and whether these associations differ between men and women. VISION researchers Dr Ladan Hashemi, Dr Anastasia Fadeeva and Professor Sally McManus, with Nadia Khan, City St George’s UoL, examined this using data from the 2014 Adult Psychiatric Morbidity Survey.

                    Key findings include:

                    • Women were more likely to experience IPV and a higher number of IPV types than men.
                    • Women’s experience of lifetime and 12-month IPV were significantly associated with 12 and 11 different physical health conditions, respectively, while men’s experience of lifetime and 12-month IPV were significantly associated with 4 and 1 conditions, respectively.
                    • Different types of IPV types were associated with different types of physical health condition, particularly among women.
                    • A cumulative association between experiencing a greater number of IPV types and an increased risk of physical health conditions was evident for women but not for men.

                    The research concludes that IPV is a gendered issue, with stronger associations between IPV and physical health evident in this data for women than for men. This may be because women are more likely to experience more and multiple types of IPV, more frequently, and more often with injury. Healthcare systems must recognise IPV as a priority issue, ensuring support is tailored to those affected.

                    Recommendation

                    • Healthcare systems need to address IPV as a priority health issue for the female population. Gender-informed approaches in IPV intervention strategies and healthcare provision are required. This means emphasising the development of IPV-responsive healthcare systems and comprehensive IPV curricula in medical and health training.

                    To download the paper: Intimate partner violence and physical health in England: Gender stratified analyses of a probability sample survey – Ladan Hashemi, Anastasia Fadeeva, Nadia Khan, Sally McManus, 2025

                    To cite: Hashemi L, Fadeeva A, Khan N, McManus S. Intimate partner violence and physical health in England: Gender stratified analyses of a probability sample survey. Women’s Health. 2025;21. doi:10.1177/17455057251326419

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

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                    Synthetic datasets enable linkage and a longitudinal understanding of experiences of violence and health impacts and consequences

                      Violence is a complex social problem and a public health issue, with implications for the health and social care systems, police and justice systems, as well as significant productivity losses for those who experience it. Analysing data collected by these systems can aid understanding of the problem of violence and how to respond to it. In social research, analysing administrative records together with survey data has already enabled better measurements of violence and its costs, capturing experiences of both victim-survivors and perpetrators across multiple points in time and social and economic domains.

                      Ideally, data from the same individuals would enable linkage and a longitudinal understanding of experiences of violence and their (health) impacts and consequences. However, most studies in violence-related research analyse data in silo due to difficulties in accessing data and concerns for the safety of those exposed. This is particularly the case for data from third sector specialist support services for victims or perpetrators of violence which has, to VISION’s knowledge, not been linked or combined with other datasets. Because these services provide person-centred trauma-informed care and there is a risk that information on their service users may be used against them in courts or by immigration authorities, direct data linkage is not possible and alternatives are needed.

                      With this research, VISION researchers Dr Estela Capelas Barbosa, Dr Niels Blom, and Dr Annie Bunce provide a proof-of-concept synthetic dataset by combining data from the Crime Survey for England and Wales (CSEW) and administrative data from Rape Crisis England and Wales (RCEW), pertaining to victim-survivors of sexual violence in adulthood. Intuitively, the idea was to impute missing information from one dataset by borrowing the distribution from the other.

                      The researchers borrowed information from CSEW to impute missing data in the RCEW administrative dataset, creating a combined synthetic RCEW-CSEW dataset. Using look-alike modelling principles, they provide an innovative and cost-effective approach to exploring patterns and associations in violence-related research in a multi-sectorial setting.

                      Methodologically, they approached data integration as a missing data problem to create a synthetic combined dataset. Multiple imputation with chained equations were employed to collate/impute data from the two different sources. To test whether this procedure was effective, they compared regression analyses for the individual and combined synthetic datasets for a variety of variables.

                      Results show that the effect sizes for the combined dataset reflect those from the dataset used for imputation. The variance is higher, resulting in fewer statistically significant estimates. VISION’s approach reinforces the possibility of combining administrative with survey datasets using look-alike methods to overcome existing barriers to data linkage.

                      Recommendations

                      • Imputing missing information from one dataset by borrowing the distribution from the other should be applicable for costing exercises as it permits micro-costing. 
                      • Compared to traditional research, VISION’s proposed approach to data integration offers a cost-effective solution to breaking (data-related) silos in research.

                      To download the paper: Look-alike modelling in violence-related research: A missing data approach | PLOS One

                      To cite: Barbosa EC, Blom N, Bunce A (2025) Look-alike modelling in violence-related research: A missing data approach. PLoS ONE 20(1): e0301155. https://doi.org/10.1371/journal.pone.0301155

                      For further information, please contact Estela at e.capelasbarbosa@bristol.ac.uk

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