Risk Assessment and Treatment of Critical Carotid Stenosis: Suggestions for Perioperative Management

Author(s):  
Kory S. Herrick

2008 ◽  
Vol 1 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Joseph G. Adel ◽  
Arun K. Sherma ◽  
Timothy J. Carroll ◽  
Ziad A. Hage ◽  
Jeffery W. Miller ◽  
...  




2008 ◽  
Vol 17 ◽  
pp. S156
Author(s):  
David Peiris ◽  
Jonathan Murray ◽  
Doreen Scully ◽  
Virantha Tilakawardane ◽  
Lorraine Hetaraka-Stevens ◽  
...  


2018 ◽  
Vol 24 (1) ◽  
pp. 37-45
Author(s):  
Jessica Yakeley ◽  
William Burbridge-James

SUMMARYRates of suicide and self-harm are rising in many countries, and it is therapeutically important to explore the personal stories and relationships that underlie this behaviour. In this article psychoanalytic and psychodynamic principles and concepts in relation to violence towards the self are introduced and the various unconscious meanings of suicide and self-harm are explored within a relational context and attachment framework. We describe how a psychodynamic approach may enhance the risk assessment and treatment of patients presenting with self-harm and suicidality, particularly examining the role of transference and countertransference within the therapeutic relationship.LEARNING OBJECTIVES•Understand historical and contemporary psychoanalytic theories and concepts regarding the aetiology of suicide and self-harm•Understand the different meanings and expressions of acts of suicide and self-harm•Understand the use of countertransference in the risk assessment and management of self-harm and suicide attemptsDECLARATION OF INTERESTNone.



Assessment ◽  
2018 ◽  
Vol 27 (8) ◽  
pp. 1886-1900 ◽  
Author(s):  
Richard B. A. Coupland ◽  
Mark E. Olver

The present study featured an investigation of the predictive properties of risk and change scores of two violence risk assessment and treatment planning tools—the Violence Risk Scale (VRS) and the Historical, Clinical, Risk–20, Version 2 (HCR-20)—in sample of 178 treated adult male violent offenders who attended a high-intensity violence reduction program. The cases were rated on the VRS and HCR-20 using archival information sources and followed up nearly 10 years postrelease. Associations of HCR-20 and VRS risk and change scores with postprogram institutional and community recidivism were examined. VRS and HCR-20 scores converged in conceptually meaningful ways, supporting the construct validity of the tools for violence risk. Receiver operating characteristic curve analyses demonstrated moderate- to high-predictive accuracy of VRS and HCR-20 scores for violent and general community recidivism, but weaker accuracy for postprogram institutional recidivism. Cox regression survival analyses demonstrated that positive pretreatment and posttreatment changes, as assessed via the HCR-20 and VRS, were each significantly associated with reductions in violent and general community recidivism, as well as serious institutional misconducts, after controlling for baseline pretreatment score. Implications for use of the HCR-20 and VRS for dynamic violence risk assessment and management are discussed.



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