Analysis 2.4. Comparison 2 Intervention diet versus control diet in inactive Crohn's disease, Outcome 4 Need for surgery......... Analysis 2.5. Comparison 2 Intervention diet versus control diet in inactive Crohn's disease, Outcome 5 Disease progression...... Analysis 2.6. Comparison 2 Intervention diet versus control diet in inactive Crohn's disease, Outcome 6 Escalation of therapy..... Analysis 2.7. Comparison 2 Intervention diet versus control diet in inactive Crohn's disease, Outcome 7 Withdrawals due to adverse events.

Stalking involves repeated unwanted communication, harassment, and intrusive behaviour. This brief report draws on a service evaluation undertaken immediately prior to and during the 2020 COVID-19 crisis. The pandemic creates a paradox when considering safety in the home, but it is important to recognise the dangers this presents to many victims of stalking. The information presented in this report is based on existing literature and early evidence from semi-structured interviews and discussions with 15 victims and six practitioners. Whilst lockdown measures might appear to be a time when victims are less accessible to their stalkers, early evidence from this study suggests that their vulnerability is increased. Technology has helped to facilitate stalking behaviours by providing stalkers with new approaches to control, humiliate, threaten and isolate their victims. Some lockdown restrictions have provided increased opportunities for stalkers to monitor their victims and the professional uncertainty and recognition around stalking has continued, coupled with delays in the criminal justice system. The COVID-19 crisis has reversed gains made by stalking victims and has imprisoned some victims in their homes making their whereabouts easier to monitor. Stalking behaviour has not ceased as a result of the COVID-19 restrictions and the risk of harm to victims remains significant. Effective practice, policy and legal responses are required for both the victims and perpetrators of stalking during the pandemic and afterwards.

The hidden nature of domestic violence and abuse (DVA) is well established. Globally, its prevalence is difficult to ascertain, but international legal frameworks and existing studies recognise that DVA is experienced directly by children and young people in the home or within their own intimate partner relationships. In 2013, UK policy transformed teenagers into primary service users of DVA refuges. This study examines teenagers' educational experiences over the period of their refuge stay and whether refuges responded effectively to their educational needs. Twenty refuges in England assisted with the study. Individual interviews with 25 staff members explored their perceptions of teenagers' experiences. Repeat interviews with 20 teenagers were undertaken over the period of their refuge stay. The voices of teenagers are prioritised in this paper; four teenagers contributed to study design and three assisted with data analysis. A thematic approach was taken to analyse the data. Teenagers described various educational difficulties associated with adolescence and refuge life. Major themes included the disruption of education and a lack of resources to support educational achievement. Education can contribute to the resilience of teenagers who have experienced DVA. Refuges and schools should work collaboratively to build a co‐ordinated response. Key Practitioner Messages Refuge staff working with teenagers need to identify and prioritise their educational needs. Refuges and schools need to collaborate to improve access to educational support and resources for teenagers in refuges. Where schooling is interrupted, teenagers should be provided with appropriate alternative resources. The co‐ordinated educational support provided to looked‐after children should be considered as a model for teenagers in refuges.

Increasing evidence documents domestic violence and abuse (DVA) and domestic homicide of adults killed by a relative in non-intimate partner relationships. Most literature focuses on intimate partner violence and homicide, yet non-intimate partner homicides form a substantial but neglected minority of domestic homicides. This article addresses this gap by presenting an analysis from 66 domestic homicide reviews (DHRs) in England and Wales where the victim and perpetrator were related, such as parent and adult child. Intimate partner homicides are excluded. These 66 DHRs were a sub-sample drawn from a larger study examining 317 DHRs in England and Wales.The article contributes towards greater understanding of the prevalence, context and characteristics of adult family homicide (AFH). Analysis revealed five interlinked precursors to AFH: mental health and substance/alcohol misuse, criminal history, childhood trauma, economic factors and care dynamics. Findings indicate that, given their contact with both victims and perpetrators, criminal justice agencies, adult social care and health agencies, particularly mental health services, are ideally placed to identify important risk and contextual factors. Understanding of DVA needs to extend to include adult family violence. Risk assessments need to be cognisant of the complex dynamics of AFH and must consider social-structural and relational-contextual factors.<br />Key messages<br /><ol><li>Understanding of domestic violence and abuse needs to include adult family violence.</li><br /><li>Risks and dynamics of adult family homicide are complex and must consider social-structural and relational-contextual factors.</li><br /><li>Criminal justice agencies, social care, substance misuse and mental health services provide opportunities for prevention.</li></ol>

Domestic Violence Fatality Reviews/Domestic Homicide Reviews (DVFRs/DHRs) are multi-agency reviews aimed at reducing domestic homicides. This study systematically reviews research that examines DVFR/DHR recommendations, impact of these recommendations and proposals for improving DVFR/DHR processes. A narrative synthesis was adopted due to the diversity of the 11 studies reviewed. Themes identified from recommendations included: training and awareness; service provision and coordination; and recommendations for children. Regarding DVFR/DHR processes, standardization, diverse teams, and additional resources were highlighted. There was little evidence of whether DVFR/DHR recommendations were implemented. Findings can strengthen DVFR/DHR operationalization and impacts.