Predictive properties of risk assessment instruments following self-harm.
نویسندگان
چکیده
This month's BJPsych publishes two important studies concerned with the use of risk assessment scales after self-harm, one a systematic review and the other a multicentre cohort study. We agree with the authors: that each study adds weight to the existing evidence that points towards avoiding the use of such scales in clinical practice.
منابع مشابه
Predictive validity of the HCR-20 for inpatient self-harm.
BACKGROUND Few instruments have been developed to assess the risk of self-harm by psychiatric patients and the evidence for their predictive validity is limited. Given that individuals who self-harm may also engage in other-directed aggression, and that the behaviour can be a precursor to violence, we tested whether, and for which groups, the commonly used violence risk assessment HCR-20 demons...
متن کاملScales for predicting risk following self-harm: an observational study in 32 hospitals in England
OBJECTIVE To investigate the extent to which risk scales were used for the assessment of self-harm by emergency department clinicians and mental health staff, and to examine the association between the use of a risk scale and measures of service quality and repeat self-harm within 6 months. DESIGN Observational study. SETTING A stratified random sample of 32 hospitals in England. PARTICIP...
متن کاملPredictive accuracy of risk scales following self-harm: multicentre, prospective cohort study†
BackgroundScales are widely used in psychiatric assessments following self-harm. Robust evidence for their diagnostic use is lacking.AimsTo evaluate the performance of risk scales (Manchester Self-Harm Rule, ReACT Self-Harm Rule, SAD PERSONS scale, Modified SAD PERSONS scale, Barratt Impulsiveness Scale); and patient and clinician estimates of risk in identifying patients who repeat self-harm w...
متن کاملShort-Term Assessment of Risk and Treatability (START): systematic review and meta-analysis.
This article describes a systematic review of the psychometric properties of the Short-Term Assessment of Risk and Treatability (START) and a meta-analysis to assess its predictive efficacy for the 7 risk domains identified in the manual (violence to others, self-harm, suicide, substance abuse, victimization, unauthorized leave, and self-neglect) among institutionalized patients with mental dis...
متن کاملRoutine hospital management of self-harm and risk of further self-harm: propensity score analysis using record-based cohort data.
BACKGROUND The care received by people presenting to hospital following self-harm varies and it is unclear how different types of treatment affect risk of further self-harm. METHOD Observational cohort data from the Manchester Self-Harm Project, UK, included 16 456 individuals presenting to an Emergency Department with self-harm between 2003 and 2011. Individuals were followed up for 12 month...
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ورودعنوان ژورنال:
- The British journal of psychiatry : the journal of mental science
دوره 210 6 شماره
صفحات -
تاریخ انتشار 2017