Risk assessment and management of violence in general adult psychiatry

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			Risk assessment and management of violence in general adult psychiatry
			
					Introduction
				
					Section 1: Is mental illness associated with an increased risk of violence?
				
					Section 2: How do we identify those at high risk?
				
					Section 3: How can these risk factors be usefully assessed?
				
					Section 4: What clinical interventions can improve the management of risk?
				
					Summary
				
					Appendix: Video transcripts

Risk assessment and management of violence in general adult psychiatryby Dr Fiona Toal, Professor Paul Mullen and Professor James Ogloff

This module gives an introduction to the concept of systematic risk assessment and management within psychiatry which can be incorporated into daily clinical practice.

We first summarise the epidemiological evidence relating to the risk of serious violence within populations with major psychiatric disorder (including the schizophrenias). We then place this in the context of overall serious violence within the community.

We discuss the risk factors known to be associated with violence and specifically focus on the dynamic factors that are potentially modifiable by clinical intervention.

We describe the various tools currently available to clinicians to assist in risk assessment and explore the potential benefits and limitations of these tools.

Finally, we summarise the practical interventions that can assist in managing violence including psychological, pharmacological and social interventions. Video interview is used to present some of the information.

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