@article{ref1,
title="Comparing clinical risk assessments using operationalized criteria",
journal="Acta psychiatrica Scandinavica. Supplementum",
year="2002",
author="Brown, C. S. H. and Lloyd, K. R.",
volume="",
number="412",
pages="148-151",
abstract="OBJECTIVE: To compare the clinical risk assessment of patients by psychiatrists working in different mental health service settings (low, medium and high security). METHOD: Operationalized criteria of clinical factors recognized as indicating risk of harm to others were developed into a simple checklist with explicit item descriptions and definitions (OP-RISK). This was used to compare risk assessments in a prospective cohort of 161 consecutive referrals to a high secure psychiatric hospital. RESULTS: Agreement on the risk posed by a patient between psychiatrists working outside and inside high secure services using unstructured clinical risk assessment was poor (kappa=-0.006). When OP-RISK was applied to the clinical risk assessments, agreement improved (kappa=0.742). CONCLUSION: Applying operationalized criteria to clinical risk assessment is useful in integrating different mental health service settings. The use of OP-RISK may facilitate the referral process to tertiary care.<p /><p>Language: en</p>",
language="en",
issn="0065-1591",
doi="",
url="http://dx.doi.org/"
}