Author(s): Jakhar K, Bhatia T, Saha R, Deshpande SN, Jakhar K, Bhatia T, Saha R, Deshpande SN
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Abstract BACKGROUND: The growing burden of chronic often untreated mental illness has increased the importance of risk assessment in people suffering from major mental disorders. AIMS: The present study was undertaken to obtain prevalence of various risks and predictive factors for self-harm, violence and various other risks among randomly recruited schizophrenia subjects (N=270) on the basis of past history of their disorder. METHOD: Using a rigorous translation, back translation and acceptability process, a specially constructed semi-structured assessment interview, based on a prior NHS Trust risk assessment interview along with the Diagnostic Interview for Genetic Studies (DIGS), detailed information was obtained for various risks. RESULTS: Risk of violence (historical) was reported among 65.55\%, and risk of self-neglect among 53.33\%, risk to others (47.41\%), risk of coming to harm (24.07\%), self-harm (22.59\%), risk from others (11.85\%), fire risk (2.96\%). Risk of violence (historical) and risk to others was related to 'ever' having emotions related to harm and self-harm, 'current' emotions related to violence and poor compliance to treatment. CONCLUSION: Regular risk assessment is essential to assess emotions related to violence and non-adherence to treatment. Assessment of risk helps clinicians predict the risks involved in management and in timely intervention. Copyright © 2015 Elsevier B.V. All rights reserved.
This article was published in Asian J Psychiatr
and referenced in Journal of Psychiatry