Future directions in clinical risk assessment and management

It is debatable whether the notion of dangerousness now has any utilitarian value for psychiatry. The presence or absence of dangerousness is very much in the eye of the beholder. It is an all or nothing term – you either have it or you do not! While there is usually little disagreement about the few very violent individuals “who, for 24 hours a day, and in any situation, are likely to cause harm to others” (Chiswick, 1995), most patients are not in this category and “little bit dangerous” is unlikely to be of much comfort to clinical staff. It is unhelpful to deny that dangerousness is any more than an adjective which has been elevated into a pseudoscientific construct whose definitions (Scott, 1977; Walker, 1978; Home Office & DHSS, 1975) amount to little more than “past harm predicts future behaviour”.

Formulation in Clinical Risk Assessment and Management

Self-Harm and Violence ◽

10.1002/9781119991175.ch10 ◽

2011 ◽

pp. 187-204 ◽

Cited By ~ 6

Author(s):

Caroline Logan ◽

Rajan Nathan ◽

Andrew Brown

Keyword(s):

Risk Assessment ◽

Clinical Risk ◽

Clinical risk assessment and management of service users

Clinical Governance An International Journal ◽

10.1108/14777271111153822 ◽

2011 ◽

Vol 16 (3) ◽

pp. 190-202 ◽

Cited By ~ 2

Author(s):

Alexis Bowers

Keyword(s):

Risk Assessment ◽

Service Users ◽

Clinical Risk ◽

Clinical risk assessment and management with military personnel and veterans: the tip of a camouﬂ aged iceberg JOHN MARHAM

Managing Clinical Risk ◽

10.4324/9780203106433-22 ◽

2012 ◽

pp. 258-271

Keyword(s):

Risk Assessment ◽

Military Personnel ◽

Clinical Risk ◽

Complications

Oxford Handbook of Trauma and Orthopaedic Nursing ◽

10.1093/med/9780198831839.003.0005 ◽

2020 ◽

pp. 189-222

Keyword(s):

Risk Assessment ◽

Trauma Patient ◽

Trauma Patients ◽

Clinical Risk ◽

Effective Care ◽

And Control ◽

This chapter deals with the potential complications that can occur for orthopaedic and trauma patients. Identification, assessment, and control of risk are fundamental in the efficient and effective care of the orthopaedic and trauma patient. This chapter covers the active prevention, clinical risk assessment, and management of these potential complications.

Etica e gestione del rischio clinico

Medicina e Morale ◽

10.4081/mem.2005.395 ◽

2005 ◽

Vol 54 (2) ◽

Author(s):

Paolo Cattorini

Keyword(s):

Risk Assessment ◽

Informed Consent ◽

Clinical Risk ◽

Psychological Education ◽

Il monitoraggio e la gestione del rischio clinco è un compito eticamente importante, che può essere svolto adeguatamente, se si tiene conto dei diversi fattori coinvolti. L’abitudine a riconoscere i propri limiti va coltivata sia attraverso incontri e momenti formativi di ordine etico-psicologico, sia tematizzando criticamente certi ideali trionfalistici ed onnipotenti in medicina. Il neo-paternalismo può essere superato non limitandosi a registrare superficialmente l’immediata soddisfazione degli utenti, ma potenziando il coinvolgimento dei malati, raccogliendo un consenso informato istituzionale, riconoscendo i molti fini dell’azienda sanitaria. ---------- The programs of clinical risk assessment and management may be ethically implemented, if several dimensions are taken into account. Continuous psychological education is to be offered and triumphalistic, almighty medical ideals criticized. Neo-paternalism may be rejected, if costumers’ satisfaction is monitored in fair and scientific ways, laymen empowerment is promoted, istitutional informed consent registered.