{"id":3062,"date":"2018-10-09T09:26:47","date_gmt":"2018-10-09T08:26:47","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/ncish\/?page_id=3062"},"modified":"2023-06-13T14:27:23","modified_gmt":"2023-06-13T13:27:23","slug":"the-assessment-of-clinical-risk-in-mental-health-services","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/the-assessment-of-clinical-risk-in-mental-health-services\/","title":{"rendered":"The assessment of clinical risk in mental health services"},"content":{"rendered":"

[et_pb_section fb_built=”1″ fullwidth=”on” admin_label=”section” _builder_version=”3.0.47″ global_module=”322″][et_pb_fullwidth_menu menu_id=”7″ submenu_direction=”downwards” fullwidth_menu=”off” module_class=”main-navigation” _builder_version=”3.0.106″ background_layout=”dark”][\/et_pb_fullwidth_menu][\/et_pb_section][et_pb_section fb_built=”1″ module_class=”header-image-section” _builder_version=”3.0.74″ custom_padding=”0px||0px|” custom_css_main_element=”padding-top:0px” transparent_background=”off”][et_pb_row custom_padding=”||0px|” custom_margin=”||0px|” parallax_method_1=”off” module_class=”header-image” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”off”][et_pb_image src=”https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/10\/risk-report-cover.jpg” show_bottom_space=”off” _builder_version=”3.15″ border_color_all=”#ffffff” custom_margin=”0px|||” animation_direction=”left” use_border_color=”off”]
\n[\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.0.74″ custom_padding=”||0px|” transparent_background=”off”][et_pb_row custom_padding=”||0px|” custom_margin=”||0px|” parallax_method_1=”off” module_class=”breadcrumbs-row” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”off”][et_pb_text admin_label=”Breadcrumbs (do not remove)” module_class=”breadcrumbs” _builder_version=”3.0.87″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” module_alignment=”left” custom_css_main_element=”border-bottom: 1px solid #ececed;” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]NCISH<\/a><\/span><\/span>
\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ use_custom_gutter=”on” gutter_width=”2″ specialty=”on” parallax_method_1=”off” parallax_method_2=”off” _builder_version=”3.0.74″ transparent_background=”off”][et_pb_column type=”1_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”off” parallax=”off” parallax_method=”off”][et_pb_sidebar area=”et_pb_widget_area_1″ show_border=”off” admin_label=”Left Nav Sidebar” module_id=”left-nav-menu” _builder_version=”3.0.74″ remove_border=”on”]
\n[\/et_pb_sidebar][\/et_pb_column][et_pb_column type=”2_3″ specialty_columns=”2″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”off” parallax=”off” parallax_method=”off”][et_pb_row_inner admin_label=”Row” _builder_version=”3.0.47″][et_pb_column_inner type=”4_4″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Text: Title and intro” _builder_version=”3.15″]<\/p>\n

The assessment of clinical risk in mental health services<\/h1>\n

Date of publication: October 2018<\/p>\n

This study examined which risk assessment tools are currently used in mental health services. We wanted to identify how effectively these tools were being used prior to patient suicide, especially in patients rated as at low or no risk of suicide at their final contact with a mental health professional. We also asked staff, patients, and carers about their experience of risk and safety assessment, their views on the effectiveness of risk assessment tools, and how their use might be improved.<\/p>\n

[\/et_pb_text][et_pb_text admin_label=”Text: Key messages title” _builder_version=”3.3.1″ border_color_all=”#ffffff” border_style_all=”solid” module_alignment=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

Key messages<\/h2>\n

[\/et_pb_text][et_pb_accordion admin_label=”Accordion: Key messages” _builder_version=”3.15″][et_pb_accordion_item title=”Risk assessment tools should not focus on prediction” open=”on” _builder_version=”3.15″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]Most risk assessment tools sought to predict future behaviour. Risk assessment tools should not be seen as a way of predicting future suicidal behaviour.<\/p>\n

\"Tools
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Risk assessment is not a checklist” open=”off” _builder_version=”3.15″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]Risk is not a number, and risk assessment is not a checklist. Tools if they are used (for example as a prompt or a measure of change) need to be simple, accessible, and should be considered part of a wider assessment process. Treatment decisions should not be determined by a score.<\/p>\n

\"\"
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Risk assessment is not a stand-alone or one-off process” open=”off” _builder_version=”3.15″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"TwoThere is a growing consensus that risk tools and scales have little place on their own in the prevention of suicide. We suggest clinical risk assessment processes might be improved; by placing the emphasis on clinical judgement and building relationships, and by gathering good information on (i) the current situation, (ii) history of risk, and (iii) social factors to inform a collaboratively-developed management plan. Staff should be comfortable asking patients about suicidal thoughts.
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Staff training” open=”off” _builder_version=”3.15″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"TrainingRisk assessment processes are an intrinsic part of mental health care but we suggest they need to be consistent across mental health services. Staff should be trained in how to assess, formulate, and manage risk. On-going supervision should be available to support consistency of approach. There is little place for locally developed tools.
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Family and carer involvement in the assessment process” open=”off” _builder_version=”3.15″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"FamilyFamilies and carers should have as much involvement as possible in the assessment process, including the opportunity to express their views on potential risk. The management plan should be collaboratively developed where possible. The findings suggest consulting with the patient\u2019s GP may also be helpful.
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Personalised risk management” open=”off” _builder_version=”3.15″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"MedicalThe management of risk should be personalised. Risk assessment is one part of a whole system approach that should aim to strengthen the standards of care for everyone, ensuring that supervision, delegation and referral pathways are all managed safely.
\n[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row” _builder_version=”3.0.47″][et_pb_column_inner type=”4_4″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Text: Find out more title” _builder_version=”3.3.1″]<\/p>\n

Find out more<\/h2>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row” _builder_version=”3.0.47″][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Text: Full PDF” _builder_version=”3.15″]<\/p>\n

\n\t\t\t\t\t\"Download\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload full report (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Text: Download key messages” _builder_version=”3.15″]<\/p>\n

\n\t\t\t\t\t\"Infographic\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload key messages sheet (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row” _builder_version=”3.0.47″][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Text: Video – key findings” _builder_version=”3.15″]<\/p>\n

\n\t\t\t\t\t\"Video\n\t\t\t\t<\/div>
\n\t\t\t\t\tWatch a video of the key findings\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Text: Video – key findings” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Video\n\t\t\t\t<\/div>
\n\t\t\t\t\tWatch a video of Professor Kapur talking about what the findings mean\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row” _builder_version=”3.0.47″][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Text: Download key messages for service users” _builder_version=”3.15″]<\/p>\n

\n\t\t\t\t\t\"Infographic\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload key messages sheet for service users (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text _builder_version=”3.17.6″]<\/p>\n

\"Publication <\/a><\/span><\/div>\n
Read the publication of our findings in The Lancet Psychiatry <\/a><\/div>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner _builder_version=”3.17.6″][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text _builder_version=”3.17.6″]<\/p>\n

\"\" <\/a><\/span><\/div>\n
Watch a webinar \/ Q&A on suicide risk assessment<\/a><\/div>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Text: Video – an animated video of key findings and recommendations” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Video\n\t\t\t\t<\/div>
\n\t\t\t\t\tWatch an animated video of key findings and recommendations\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner _builder_version=”3.17.6″][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text _builder_version=”3.17.6″]<\/p>\n

\"\" <\/a><\/span><\/div>\n
Watch a recording on ‘a relative’s perspective on risk stratification’ produced by Philip Pirie and Karen Lascelles as part of Oxford Health NHS Foundation Trust’s suicide prevention training<\/a><\/div>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Connect Title” module_class=”footer-section” _builder_version=”3.0.90″ background_color=”#1d1d1d” custom_padding=”0px||0px|” global_module=”380″][et_pb_row parallax_method_1=”off” parallax_method_2=”off” parallax_method_3=”off” admin_label=”row” module_id=”footer-row” _builder_version=”3.0.89″ locked=”off”][et_pb_column type=”1_3″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”off”][et_pb_text admin_label=”Contact Us Title” _builder_version=”3.0.74″ text_text_color=”#ffffff” background_size=”initial” background_position=”top_left” background_repeat=”repeat” background_layout=”dark”]<\/p>\n

Contact Us<\/h4>\n

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