DARDR Debbie (2025)

This Domestic Abuse Related Death Review (DARDR) was published in November 2025 and examines the tragic death of Debbie (pseudonym), who died by suicide in August 2021 following a history of domestic abuse.

Commissioned by Salford Community Safety Partnership, the review explores agency responses, Debbie’s contact with services, and opportunities for safeguarding.

Key learning themes include:

• The need for greater professional curiosity and trauma-informed practice
• Improved routine and selective enquiry in health settings, and better understanding of post-separation abuse risks
• The strong links between domestic abuse, mental health, and suicidality
• The importance of timely multi-agency communication
• The role of employers in supporting staff affected by abuse.

These lessons aim to strengthen local and national practice, ensuring victims receive earlier, more effective support and that systemic improvements reduce future harm.

DARDR in the case of Debbie final report (PDF, 820kb)

Feedback letter from the Home Office in the case of Debbie (PDF, 153kb)