Developing Clinical Practice Guidelines for violence risk assessment at triage

2009 ◽  
Vol 12 (4) ◽  
pp. 153 ◽  
Author(s):  
Natisha Sands ◽  
Marie Gerdtz
Author(s):  
K.J. Anstey ◽  
R. Eramudugolla ◽  
D.E. Hosking ◽  
N.T. Lautenschlager ◽  
R.A. Dixon

Dementia risk reduction is a global health and fiscal priority given the current lack of effective treatments and the projected increased number of dementia cases due to population ageing. There are often gaps among academic research, clinical practice, and public policy. We present information on the evidence for dementia risk reduction and evaluate the progress required to formulate this evidence into clinical practice guidelines. This narrative review provides capsule summaries of current evidence for 25 risk and protective factors associated with AD and dementia according to domains including biomarkers, demographic, lifestyle, medical, and environment. We identify the factors for which evidence is strong and thereby especially useful for risk assessment with the goal of personalising recommendations for risk reduction. We also note gaps in knowledge, and discuss how the field may progress towards clinical practice guidelines for dementia risk reduction.


Author(s):  
Daniel C. Murrie ◽  
Sharon Kelley

Although concerns about violence risk emerge regularly in routine clinical practice, many clinicians feel underprepared to assess and manage violence risk. One problem is that the rich knowledge base underlying violence risk assessment has largely remained in the specialties of forensic psychology and psychiatry, where it has been less familiar to clinicians in general practice. In this chapter we review the legal and ethical parameters that guide clinician appraisals of violence risk, and then we summarize the foundational knowledge and techniques—from both the forensic psychology approach and the emerging field of threat assessment. By integrating basic knowledge and practices from these specialized disciplines, clinicians can more comfortably incorporate violence risk assessment and management into their routine care for patients, better infuse risk assessment into the start of treatment, monitor risk over the course of treatment, and respond appropriately to any threats of violence that emerge.


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