Cues and knowledge structures used by mental-health professionals when making risk assessments
Buckingham, C. D., Adams, Ann and Mace, Chris. (2008) Cues and knowledge structures used by mental-health professionals when making risk assessments. Journal of Mental Health, Vol.17 (No.3). pp. 299-314. ISSN 0963-8237
WRAP_Adams_jmh_risk_resub.pdf - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Official URL: http://dx.doi.org/10.1080/09638230701498374
Background: Research into mental-health risks has tended to focus on epidemiological approaches and to consider pieces of evidence in isolation. Less is known about the particular
factors and their patterns of occurrence that influence clinicians’ risk judgements in practice.
Aims: To identify the cues used by clinicians to make risk judgements and to explore how these combine within clinicians’ psychological representations of suicide, self-harm, self-neglect, and harm to others.
Method: Content analysis was applied to semi-structured interviews conducted with 46 practitioners from various mental-health disciplines, using mind maps to represent the
hierarchical relationships of data and concepts.
Results: Strong consensus between experts meant their knowledge could be integrated into a single hierarchical structure for each risk. This revealed contrasting emphases between data and concepts underpinning risks, including: reflection and forethought for suicide; motivation
for self-harm; situation and context for harm to others; and current presentation for self-neglect.
Conclusions: Analysis of experts’ risk-assessment knowledge identified influential cues and their relationships to risks. It can inform development of valid risk-screening decision support systems that combine actuarial evidence with clinical expertise.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
B Philosophy. Psychology. Religion > BF Psychology
|Divisions:||Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing
Faculty of Science > Psychology
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Mental health -- Research, Risk assessment, Self-mutilation|
|Journal or Publication Title:||Journal of Mental Health|
|Publisher:||Taylor & Francis|
|Page Range:||pp. 299-314|
|Access rights to Published version:||Open Access|
Version accepted by publisher (post-print, after peer review, before copy-editing).
|Funder:||Great Britain. National Health Service (NHS), Great Britain. Dept. of Health (DoH)|
Bouch, J., & Marshall, J. J. (2005). Suicide risk: structured professional judgement. Advances
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