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dc.contributor.authorWyder, Marianne
dc.contributor.authorRay, Manaan Kar
dc.contributor.authorRussell, Samara
dc.contributor.authorKinsella, Kieran
dc.contributor.authorCrompton, David
dc.contributor.authorvan den Akker, Jeremy
dc.date.accessioned2021-02-08T23:13:28Z
dc.date.available2021-02-08T23:13:28Z
dc.date.issued2021
dc.identifier.issn1039-8562
dc.identifier.doi10.1177/1039856220984032
dc.identifier.urihttp://hdl.handle.net/10072/401859
dc.description.abstractINTRODUCTION: Risk assessment tools are routinely used to identify patients at high risk. There is increasing evidence that these tools may not be sufficiently accurate to determine the risk of suicide of people, particularly those being treated in community mental health settings. METHODS: An outcome analysis for case serials of people who died by suicide between January 2014 and December 2016 and had contact with a public mental health service within 31 days prior to their death. RESULTS: Of the 68 people who had contact, 70.5% had a formal risk assessment. Seventy-five per cent were classified as low risk of suicide. None were identified as being at high risk. While individual risk factors were identified, these did not allow to differentiate between patients classified as low or medium. DISCUSSION: Risk categorisation contributes little to patient safety. Given the dynamic nature of suicide risk, a risk assessment should focus on modifiable risk factors and safety planning rather than risk prediction. CONCLUSION: The prediction value of suicide risk assessment tools is limited. The risk classifications of high, medium or low could become the basis of denying necessary treatment to many and delivering unnecessary treatment to some and should not be used for care allocation.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherSAGE Publications
dc.relation.ispartofjournalAustralas Psychiatry
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode52
dc.subject.keywordspublic mental health service
dc.subject.keywordsrisk classification
dc.subject.keywordssuicide
dc.titleSuicide risk assessment in a large public mental health service: do suicide risk classifications identify those at risk?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationWyder, M; Ray, MK; Russell, S; Kinsella, K; Crompton, D; van den Akker, J, Suicide risk assessment in a large public mental health service: do suicide risk classifications identify those at risk?, Australas Psychiatry, 2021
dc.date.updated2021-02-08T04:10:11Z
gro.description.notepublicThis publication has been entered as an advanced online version in Griffith Research Online.
gro.hasfulltextNo Full Text
gro.griffith.authorCrompton, David R.


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