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DECISION-MAKING

Clinical decisions in psychiatry should not be based on risk assessment

(Consultation-Liaison Psychiatrist and Senior Lecturer) , (Psychiatrist and Conjoint Senior Lecturer) , (Clinical Director) & (Psychiatrist)
Pages 398-403 | Published online: 23 Sep 2010

REFERENCES

  • Carroll A. Risk assessment and management in practice: the Forensicare Risk Assessment and Management Exercise. Australasian Psychiatry 2008; 16: 412–417.
  • Hendin H, Al Jurdi RK, Houck PR, Hughes S, Turner JB. Role of intense affects in predicting short-term risk for suicidal behavior: a prospective study. Journal of Nervous and Mental Disease 2010; 198: 220–225.
  • Ijaz A, Papaconstantinou A, O’Neill H, Kennedy HG. The Suicide Risk Assessment and Management, Manual (S-RAMM) Validation Study 1. Irish Journal of Psychological Medicine 2009; 26: 54–58.
  • Cooper J, Kapur N, Mackway-Jones K. A comparison between clinicians’ assessment and the Manchester Self-Harm Rule: a cohort study. Emergency Medicine Journal 2007; 24: 720–721.
  • Hockberger RS, Rothstein RJ. Assessment of suicide potential by nonpsychiatrists using the SAD PERSONS score. Journal of Emergency Medicine 1988; 6: 99–107.
  • Barry-Walsh J, Daffern M, Duncan S, Ogloff J. The prediction of imminent aggression in patients with mental illness and/or intellectual disability using the Dynamic Appraisal of Situational Aggression instrument. Australasian Psychiatry 2009; 17: 493–496.
  • Bjorkly S, Hartvig P, Heggen FA, Brauer H, Moger TA. Development of a brief screen for violence risk (V-RISK-10) in acute and general psychiatry: An introduction with emphasis on findings from a naturalistic test of interrater reliability. European Psychiatry 2009; 24: 388–394.
  • Abderhalden C, Needham I, Dassen T, Halfens R, Haug HJ, Fischer JE. Structured risk assessment and violence in acute psychiatric wards: randomised controlled trial. British Journal of Psychiatry 2008; 193: 44–50.
  • NSW Health. Framework for Suicide Risk Assessment and Management for NSW Health Staff, 2005. Available from URL: http://www.health.nsw.gov.au/pubs/2005/suicide_risk.html (accessed 3 March 2010).
  • Allnutt S, O’Driscoll C. Clinical risk assessment and management training program. Australasian Psychiatry 2009; 17: 168–169.
  • The Royal College of Psychiatrists Special Working Party on Clinical Assessment and Management of Risk. Assessment and Clinical Management of Risk of Harm to Other People. Council Report CR 53. London: Royal College of Psychiatrists, 1996.
  • Anfang SA, Appelbaum PS. Civil commitment – the American experience. Israeli Journal of Psychiatry and Related Sciences 2006; 43: 209–218.
  • Szmukler G. Risk assessment: ‘numbers’ and ‘values’. Psychiatric Bulletin 2003; 27: 205–207.
  • Mossman D. Critique of pure risk assessment or, Kant Meets Tarasoff. University of Cincinnati Law Review 2006; 75; 523–609.
  • Szmukler G. Violence risk prediction in practice. British Journal of Psychiatry 2001; 178: 84–85.
  • Mossman D. The imperfection of protection through detection and intervention. Lessons from three decades of research on the psychiatric assessment of violence risk. Journal of Legal Medicine 2009; 30: 109–140.
  • Bernstein L. Against the Gods: the Remarkable Story of Risk. New York: John Wiley and Sons, 1996.
  • Snowden RJ, Gray NS, Taylor J, Fitzgerald S. Assessing risk of future violence among forensic psychiatric inpatients with the Classification of Violence Risk (COVR). Psychiatric Services 2009; 60: 1522–1526.
  • Large M. Accuracy and risk assessment. Australasian Psychiatry 2010; 18: 267.
  • Large MM, Ryan CJ, Nielssen OB. Helpful and unhelpful risk assessment practices. Psychiatric Services 2010; 61: 530.
  • Large M. No evidence for improvement in accuracy of suicide risk assessment. Journal of Nervous and Mental Disease 2010; 198: 604.
  • Hare R. The Psychopathy Checklist—Revised. Toronto: Multi-Health Systems, 2003.
  • Douglas KS, Ogloff JN, Nicholls TL, Grant I. Assessing risk for violence among psychiatric patients: the HCR-20 violence risk assessment scheme and the Psychopathy Checklist: Screening Version. Journal of Consulting and Clinical Psychology 1999; 67: 917–930.
  • Meehl PE. Causes and effects of my disturbing little book. Journal of Personal Assessment 1986; 50: 370–755.
  • Buchanan A. Risk of violence by psychiatric patients: beyond the “actuarial versus clinical” assessment debate. Psychiatric Services 2008; 59: 184–190.
  • Large MM, Nielssen O, Ryan CJ, Hayes R. Mental health laws that require dangerousness for involuntary admission may delay the initial treatment of schizophrenia. Social Psychiatry and Psychiatric Epidemiology 2008; 43: 251–256.
  • Large MM, Ryan CJ, Nielssen OB, Hayes RA. The danger of dangerousness: why we must remove the dangerousness criterion from our mental health acts. Journal of Medical Ethics 2008; 34: 877–881.
  • Large MM, Ryan CJ, Singh SP, Paton MB, Nielssen OB. The predictive value of risk categorisation in schizophrenia. Harvard Review of Psychiatry 2010 (in press).
  • Appelbaum PS, Robbins PC, Monahan J. Violence and delusions: data from the MacArthur Violence Risk Assessment Study. American Journal of Psychiatry 2000; 157: 566–572.
  • Monahan J, Steadman HJ, Robbins PC . An actuarial model of violence risk assessment for persons with mental disorders. Psychiatric Services 2005; 56: 810–815.
  • Steadman HJ, Mulvey EP, Monahan J . Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry 1998; 55: 393–401.
  • Steadman HJ, Silver E, Monahan J . A classification tree approach to the development of actuarial violence risk assessment tools. Law and Human Behavior 2000; 24: 83–100.
  • The Report of the Inquiry into the Care and Treatment of Christopher Clunis. Her Majesty's Stationery Office, 1994.
  • Nilsson T, Munthe C, Gustavson C, Forsman A, Anckarsater H. The precarious practice of forensic psychiatric risk assessments. International Journal of Law and Psychiatry 2009; 32: 400–407.
  • Large M. Clinical governance must extend to government. Australasian Psychiatry 2008; 16: 370.
  • Nielssen O, Large M. Rates of homicide during the first episode of psychosis and after treatment: a systematic review and meta-analysis. Schizophrenia Bulletin 2010; 36: 702–712.
  • Nielssen O, Bourget D, Laajasalo T . Homicide of strangers by people with a psychotic illness. Schizophrenia Bulletin e-published 2009 doi:10.1093/schbul/sbp112.
  • Rogers v Whitaker HCA 58. 1992.
  • Mendelson D, Mendelson G. Tarasoff down under: the psychiatrist's duty to warn in Australia. Journal of Psychiatry and Law 1991; 19: 33–61.
  • Okai D, Owen G, McGuire H, Singh S, Churchill R, Hotopf M. Mental capacity in psychiatric patients: Systematic review. British Journal of Psychiatry 2007; 191: 291–297.
  • Owen GS, David AS, Hayward P, Richardson G, Szmukler G, Hotopf M. Retrospective views of psychiatric in-patients regaining mental capacity. British Journal of Psychiatry 2009; 195: 403–407.
  • Dawson J, Szmukler G. Fusion of mental health and incapacity legislation. British Journal of Psychiatry 2006; 188: 504–509.

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