J Psychiatr Pract. 2020 Sep;26(5):405-410. doi: 10.1097/PRA.0000000000000495.
Violence risk assessment is a requisite component of mental health treatment. Adhering to standards of care and ethical and legal requirements necessitates a cogent process for conducting, and then documenting, other-directed violence risk screening, assessment, and management. In this 5-part series, we describe a model for achieving therapeutic risk management of the potentially violent patient, with essential elements involving: clinical interview augmented by structured screening or assessment tools; risk stratification in terms of temporality and severity; chain analysis to intervene on the functions of violent ideation and behavior; and a personalized safety plan to mitigate/manage risk. This second column in the series describes the advantages of, and offers suggestions for, incorporating structured tools into violence risk assessment.
暴力风险评估是精神卫生治疗的必要组成部分。为了遵循护理标准以及伦理和法律要求，有必要制定一个合理的流程来进行和记录针对他人的暴力风险筛查、评估和管理。在这个由五部分组成的系列中，我们描述了一种实现潜在暴力患者治疗性风险管理的模型，其中包含以下基本要素：临床访谈辅以结构化筛查或评估工具；根据时间和严重程度进行风险分层；链分析以干预暴力观念和行为的功能；以及个性化的安全计划以减轻/管理风险。本系列的第二篇文章介绍了将结构化工具纳入暴力风险评估的优势，并提出了一些建议。
