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Risk communication: clinicians' reported approaches and perceived values.

K Heilbrun1, J Philipson, L Berman

  • 1Department of Clinical and Health Psychology, MCP Hahnemann University, Philadelphia, PA 19102-1192, USA. KHEILBRUN@compuserve.com

The Journal of the American Academy of Psychiatry and the Law
|October 6, 1999
PubMed
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Clinicians rarely use numerical probabilities when communicating violence risk. They prefer alternative methods, citing various reasons for avoiding precise figures in risk communication.

Area of Science:

  • Forensic Psychology
  • Clinical Psychology
  • Risk Assessment

Background:

  • Advances in violence risk assessment have not been matched by research into risk communication.
  • Effective communication of risk is crucial for informed decision-making in clinical and legal contexts.

Purpose of the Study:

  • To empirically investigate how clinicians communicate violence risk assessments.
  • To identify clinicians' reasons for their chosen risk communication methods.

Main Methods:

  • Two studies surveyed and surveyed clinicians (psychiatrists and psychologists).
  • Study 1 assessed current risk communication practices and reasons for not using numerical probabilities.
  • Study 2 evaluated the importance of cited reasons and the value of different communication approaches.

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Main Results:

  • Only one clinician used numerical probabilities for risk communication.
  • Eleven alternative risk communication approaches were identified.
  • Clinicians provided multiple reasons for avoiding numerical probability figures.

Conclusions:

  • Clinicians' current practices in communicating violence risk assessments are primarily non-numerical.
  • Further research is needed to understand and potentially improve risk communication strategies in clinical practice.