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Updated: Jan 4, 2026
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Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
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Predictive properties of risk assessment instruments following self-harm
1David Owens, MD, MRCPsych, Institute of Health Sciences, University of Leeds, Leeds, UK; Rachael Kelley, RMN, MSc, Faculty of Health & Social Sciences, Leeds Beckett University, Leeds, UK d.w.owens@leeds.ac.uk.
Summary
This study advises against using risk assessment scales for self-harm patients. Evidence from a systematic review and cohort study supports avoiding these scales in clinical practice.
Area of Science:
- Psychiatry
- Clinical Psychology
- Public Health
Background:
- Two recent studies in BJPsych examine risk assessment scales post-self-harm.
- One study is a systematic review; the other is a multicentre cohort study.
Discussion:
- Both studies provide evidence regarding the utility of risk assessment scales.
- The findings suggest a need to re-evaluate current clinical practices.
Key Insights:
- The systematic review synthesizes existing evidence on risk assessment scales.
- The multicentre cohort study offers new data on scale application.
- Both studies converge on the recommendation to avoid these scales in clinical settings.
Outlook:
- Further research may explore alternative methods for self-harm risk assessment.
- Clinical guidelines may need revision based on this evidence.
- Improved patient care pathways for individuals who self-harm are a priority.
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