A Narrative Analysis Of The NHS England Independent Investigation Reports Of Intimate Partner Homicides (IPH) By Mental Health Service Users

A global estimate shows that one in seven homicides is perpetrated by an intimate partner, with women being six times more likely to be a victim. Various theories have been proposed to explain the phenomenon but all seem to provide only a partial account without adequate empirical testing. In mental health care, homicides by service users represent a ‘crisis’ in health care or even society. Public inquiries are often used as a response to ‘to learn a lesson’. However this approach has raised questions about its effectiveness in preventing future incidents and its impact on staff. There has not been any study on inquiries related to IPH by mental health service users. Literature review: The qualitative literature review sought to understand IPH from the perpetrators’ perspectives. This review synthesised the findings of 17 qualitative reports. It shows different experiences of male and female IPH perpetrators in terms of sense of control, gender roles and intervention by authorities. Contextual influences were found to play a role for both of them. A model that explains the interaction of these four factors was proposed. Empirical study: The empirical study examined investigation reports, published between 2013-2016 by NHS England, in relation to 19 intimate partner homicides by mental health service users. The narrative analysis identified a dominant storyline and different plots in the reports. The study discussed how the reports made sense of the incidents by the different plots, the change of the cast’s actantial roles and their position in predictability and preventability. Critical Appraisal: The critical appraisal details the researcher’s reflections on the research process, the subject of study and professional development.