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Article   |    
When Psychiatrists Are Liable: Risk Management and Violent Patients
Jerome Kroll; Thomas B. MacKenzie
Psychiatric Services 1983; doi:
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University of Minnesota Medical School in Minneapolis; Box 393, Mayo Memorial Building, University of Minnesota Hospitals, Minneapolis, Minnesota 55455

University of Minnesota Medical School in Minneapolis

1983 by the American Psychiatric Association

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Abstract

In an era of rapid discharge and community treatment, psychiatrists must assess, with insufficient information, their patients' potential for committing a violent act outside of the hospital every time they authorize a pass or a discharge. The authors review court decisions on prediction of dangerousness and research data on the risk of bomicide, assault, and suicide among released mental patients. They then discuss a risk-management approach to decision-making that consists of three components-risk assessment, risk evaluation, and risk reduction. The authors also provide a decision table that clinicians can use to identify factors that suggest a high risk of violence in a patient's current status, history, and treatment reponse.

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