Can violence risk assessment really assist in clinical decision-making?

Ryan, Christopher James; Callaghan, Sascha; Paton, Michael; Singh, Swaran P.

doi:10.1177/0004867413498275

Cited by 22 publications

(17 citation statements)

References 13 publications

(21 reference statements)

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“…Psychiatrists and other physicians should be able to embrace the dut the ha e ega di g the safet of thei patie t a d the patie t s fa il a d to a ds the public as a whole. 198,199 Psychiatrists should be able to provide optimal care according to the treatment needs of each patient.…”

Section: The Problem With Existing Mental Health Lawmentioning

confidence: 99%

The WPA- Lancet Psychiatry Commission on the Future of Psychiatry

Bhugra

Tasman

Pathare

et al. 2017

The Lancet Psychiatry

329

187

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Executive Summary BackgroundThis Commission addresses several priority areas for psychiatry over the next decade, and into the 21st century. These represent challenges and opportunities for the profession to sustain and develop itself to secure the best possible future for the millions of people worldwide who will face life with mental illness. Part 1: The patient and treatmentWho will psychiatrists help? The patient population of the future will reflect general demographic shifts towards older, more urban, and migrant populations. While technical advances such as the development of biomarkers will potentially alter diagnosis and treatment, and digital tech-nology will facilitate assessment of remote populations, the human elements of practice such as cultural sensitivity and the ability to form a strong therapeutic alliance with the patient will remain central. Part 2: Psychiatry and health-care systemsDelivering mental health services to those who need them will require reform of the traditional structure of services. Few existing models have evidence of clinical effectiveness and acceptability to service users. Services of the future should consider stepped care, increased use of multidisciplinary teamwork, more of a public health approach, and the integration of mental and physical health care. These services will need to fit into the cultural and economic framework of a diverse range of settings in high-income, low-income, and middle-income countries. Part 3: Psychiatry and societyIncreased emphasis on social interventions and engagement with societal expectations might be an important a ea fo ps hiat s de elop e t. This ould e o pass ad o a fo the ights of individuals living with mental illnesses, political involvement concerning the social risk factors for mental illness, and, on a smaller scale, work with families and local social networks and communities. Psychiatrists should therefore possess communication skills and knowledge of the social sciences as well as the basic biological sciences. Part 4: The future of mental health lawMental health law worldwide tends to be based on concerns about risk rather than the protection of the rights of individuals experiencing mental illness. The United Nations Convention on the Rights of Persons with Disabilities, which states that compulsion based in whole or in part on mental disability is discriminatory, is a landmark document that should inform the future formulation and reform of mental health laws. An evidence-based approach needs to be taken: mental health legislation should mandate mental health training for all health professionals; ensure access to good-quality care; and cover wider societal issues, particularly access to housing, resources, and employment. All governments should include a mental health impact assessment when drafting relevant legislation. Part 5: Digital psychiatry-enhancing the future of mental healthDigital technology might offer psychiatry the potential for radical change in terms of service delivery and the development of new treatm...

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Section: The Problem With Existing Mental Health Lawmentioning

confidence: 99%

The WPA- Lancet Psychiatry Commission on the Future of Psychiatry

Bhugra

Tasman

Pathare

et al. 2017

The Lancet Psychiatry

329

187

View full text Add to dashboard Cite

show abstract

“…Although this lack of transparency poses a problem, we caution against the view that the solution lies in greater standardisation between studies and consistent use of formal risk assessment scales, particularly in the context of evidence to suggest that risk of harm to self and others cannot be usefully assessed. 5,6 Bigger questions need to be addressed, such as whether a focus on risk prediction in psychiatry is truly beneficial. 6 In Walker and colleagues' study, poor adherence to treatment and poor compliance with medication before admission were associated with involuntary rather than voluntary admission in six of eight studies that reported on treatment adherence.…”

Section: Risk Factors For Involuntary Psychiatric Hospitalisationmentioning

confidence: 99%

Risk factors for involuntary psychiatric hospitalisation

Brophy

Roper

Grant

2019

The Lancet Psychiatry

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“…Violent victimization also has long-term adverse consequences for the course of mental illness, and further erodes the quality of lives of patients with SMI and their families 8 . Studies focusing on victimization in women find a particularly adverse psychosocial impact on vulnerable homeless women with psychiatric illnesses 9 . Similarly, a UK based study observed that women with SMI were more likely to report psychological and social problems following violent victimization than the general population.…”

Section: Matthewmentioning

confidence: 99%