Domestic violence has become a significant global issue, prompting various countries to develop interventions focused on empowerment. This study assesses psychological factors influencing the accountability of domestic violence perpetrators in France and Quebec, Canada. Researchers examined traumatic and dissociative symptoms, attachment styles, and suicide risk among 57 male participants—38 from France and 19 from Quebec. While the socio-demographic profiles of both groups were similar, they reported different types of violence: Quebec participants reported more sexual violence, whereas French participants reported more physical violence. The study found no major differences in attachment and suicide risk but noted higher traumatic and dissociative symptoms among Quebec perpetrators. These variations may stem from differences in recruitment sites, levels of self-reflection, and the timing of interviews post-violence. The authors suggest that secondary prevention efforts are essential for helping perpetrators recognize and articulate their issues. They argue that while training courses on accountability are beneficial, individual counseling could further enhance responsibility and reduce recidivism and intergenerational violence.