Changeability, confidence, common sense and corroboration: comprehensive suicide risk assessment

O’Connor, Nick; Warby, Monica; Raphael, Beverley; Vassallo, Tony

doi:10.1111/j.1440-1665.2004.02126.x

Cited by 8 publications

(8 citation statements)

References 29 publications

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“…Therefore, they do not represent a reference standard of care in medicolegal proceedings. The recommendations have been constructed so as to provide a useful framework for the clinical management of depression and should ideally be used in conjunction with other recognized sources of information (72, 191, 192, 196) and the application of clinical wisdom.…”

Section: Discussionmentioning

confidence: 99%

Clinical practice recommendations for depression

Malhi

Adams

Porter

et al. 2009

Acta Psychiatr Scand

111

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Section: Discussionmentioning

confidence: 99%

Clinical practice recommendations for depression

Malhi

Adams

Porter

et al. 2009

Acta Psychiatr Scand

111

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“…1,2,12 This requirement is based on the belief that the likelihood of an individual suiciding varies over time.…”

Section: The Relative Risk Of Suicide Of An Individual Inpatient At Dmentioning

confidence: 99%

Suicide risk categorisation of psychiatric inpatients: what it might mean and why it is of no use

Ryan

2014

Australas Psychiatry

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“…The concept of ‘changeability’ of risk level was introduced in risk assessments in NSW Mental Health Services some years ago. It appears that this is a useful concept in assessing risk, as those with high changeability were more likely to be admitted (O'Connor et al . 2004).…”

Section: Discussionmentioning

confidence: 99%

Why are some patients admitted to psychiatric hospital while others are not? A study assessing risk during the admission interview and relationship to outcome

Hunt

O’Hara-Aarons

O’Connor

et al. 2011

Int J Mental Health Nurs

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The aim of this study was to determine what patient characteristics are used to decide whether a patient is or is not admitted to a psychiatric hospital, and what happens to those not admitted. A further aim was to determine if high levels of risk on admission predict seclusions, length of stay, or readmission within 28 days. Data were collected prospectively on consecutive presentations to an admission office via case notes and electronic databases. Eighty percent (100/127) of the adults presenting to the admission office over a typical month were admitted to hospital. Patients were more likely to be admitted if they were experiencing psychosis or exacerbation of schizophrenia, referred by other doctors or mental health teams, had a legal reason for referral, or if they were homeless. There was no association between risk for violence or suicide and seclusion rates, length of stay, or being readmitted within 28 days. It was reassuring to find that 85% of those not admitted were referred to other mental health providers, and none required admission over the following month. This study found high rates of seclusion and readmissions within 1 year, which requires further study to find strategies to reduce these rates.

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Changeability, confidence, common sense and corroboration: comprehensive suicide risk assessment

Abstract: Mental health clinicians can be guided by a framework in suicide risk assessment and documentation. The assessment of suicide risk can generate a suicide risk rating for which minimum standards of care can be mandated.

Cited by 8 publications

References 29 publications

Clinical practice recommendations for depression

Clinical practice recommendations for depression

Suicide risk categorisation of psychiatric inpatients: what it might mean and why it is of no use

Why are some patients admitted to psychiatric hospital while others are not? A study assessing risk during the admission interview and relationship to outcome

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