Investigating the evidence for the effectiveness of risk assessment in mental health care.
Risk assessment pervades mental health care policy, practice, and legislation. This paper aims to establish the research evidence for the effectiveness of a risk assessment approach in mental health. A search was conducted of the professional literature on risk assessment in mental health, specifically seeking any research on the effectiveness of risk assessment in reducing risk of harm to self or others. The search found limited research on the effectiveness of risk assessment. "Structured professional judgment" possibly reduces aggression risk but there is no evidence that risk assessment is effective in relation to self-harm or suicide reduction. The implications for practice are discussed and alternatives to a risk assessment approach are considered.
Royal Prince Alfred Hospital, Emergency Department, Camperdown, Australia and University of Sydney, Sydney Nursing School, Camperdown, Australia. timothy.wand@sswahs.nsw.gov.au
Timothy
T
Wand
D000374:Aggression / Q000523:psychology; D003617:Dangerous Behavior; D055318:Evidence-Based Nursing; D006801:Humans; D001523:Mental Disorders / Q000451:nursing*; D009730:Nursing Assessment; D011618:Psychotic Disorders / Q000451:nursing / Q000523:psychology; D018570:Risk Assessment; D016728:Self-Injurious Behavior / Q000451:nursing / Q000517:prevention & control / Q000523:psychology; D013405:Suicide / Q000523:psychology; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology; D014754:Violence / Q000517:prevention & control / Q000523:psychology; D000092864:Suicide Prevention