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Cues and knowledge structures used by mental-health professionals when making risk assessments

By Christopher D. Buckingham, Ann Adams and Chris Mace

Abstract

Background: Research into mental-health risks has tended to focus on epidemiological approaches and to consider pieces of evidence in isolation. Less is known about the particular\ud factors and their patterns of occurrence that influence clinicians’ risk judgements in practice.\ud Aims: To identify the cues used by clinicians to make risk judgements and to explore how these combine within clinicians’ psychological representations of suicide, self-harm, self-neglect, and harm to others.\ud Method: Content analysis was applied to semi-structured interviews conducted with 46 practitioners from various mental-health disciplines, using mind maps to represent the\ud hierarchical relationships of data and concepts.\ud Results: Strong consensus between experts meant their knowledge could be integrated into a single hierarchical structure for each risk. This revealed contrasting emphases between data and concepts underpinning risks, including: reflection and forethought for suicide; motivation\ud for self-harm; situation and context for harm to others; and current presentation for self-neglect.\ud Conclusions: Analysis of experts’ risk-assessment knowledge identified influential cues and their relationships to risks. It can inform development of valid risk-screening decision support systems that combine actuarial evidence with clinical expertise

Topics: RC0321, BF
Publisher: Taylor & Francis
Year: 2008
OAI identifier: oai:wrap.warwick.ac.uk:177

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Citations

  1. (2005). Assessing violence risk in general psychiatry.
  2. (1984). Assessment of suicide risk in psychiatric in-patients. doi
  3. (2003). Care programme approach -documentation of past risk-related behaviour. doi
  4. (2004). Clinical assessment of risk decision support (CARDS): The development and evaluation of aRisk data 21 feasible violence risk assessment for routine psychiatric practice. doi
  5. (2003). Could a new Mental Health Act distort clinicalRisk data 20 judgement? a Bayesian justification of naturalistic reasoning about risk. doi
  6. (2000). Developing a clinically useful actuarial tool for assessing violence risk. doi
  7. (2002). Developing a mental-health risk-screening tool (Tech.
  8. (1998). Excess mortality of mental disorder. doi
  9. (2002). Exploring the risk management strategies of informal carers of mental health service users. doi
  10. (2005). Mortality and suicide after non-fatal self-poisoning: 16-year outcome study. doi
  11. (2004). Psychodynamic lessons in risk assessment and management. doi
  12. (2002). Psychological cue use and implications for a clinical decision support system. doi
  13. (2000). Qualitative research in health care: Assessing quality in qualitative research. doi
  14. (2005). Repeated self-poisoning: increasing severity of self-harm as a predictor of subsequent suicide. doi
  15. (2004). Risk factors for suicide in blacks and whites: An analysis of data from the 1993 national mortality followback survey. doi
  16. (2005). Self-injurious behavior as a separate clinical syndrome. doi
  17. (2003). Standardised risk assessment: why all the fuss? doi
  18. (1997). Suicide among psychiatric in-patients in a changing clinical scene. Suicidal ideation as a paramount index of short-term risk. doi
  19. (1964). Suicide and attempted suicide. doi
  20. (2005). Suicide risk: structured professional judgement. doi
  21. (2002). The content analysis guidebook.
  22. (2003). The mind map boook.
  23. (2005). Twenty years of progress in violence risk assessment. doi
  24. (2001). Violence risk prediction in practice. doi
  25. (2006). www.sourceforge.net/freemind. (url accessed in June,

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