Assessing violence risk in Tarasoff situations: a fact-based model of inquiry.

Although significant advances in risk assessment research and practice have been made in recent years, there has not been any analysis in the professional literature regarding how and whether the emerging practice recommendations apply in Tarasoff-type situations. We suggest that, when faced with a Tarasoff-type situation, the appraisal of risk should be guided by a method that is primarily fact-based and deductive, rather than by the more inductive risk assessment approach for general violence recidivism, which is guided primarily by base rates and historical risk factors. We review the principles underlying a fact-based, or threat assessment, approach and outline six areas of inquiry that can guide the appraisal of risk: A-attitudes that support or facilitate violence, C-capacity, T-thresholds crossed, I-intent, O-other's reactions, and N-noncompliance with risk reduction interventions.

[1]  N. Poythress,et al.  Psychological Evaluations for the Courts: A Handbook for Mental Health Professionals and Lawyers , 1997 .

[2]  R Borum,et al.  Assessing violence risk among youth. , 2000, Journal of clinical psychology.

[3]  R. Borum,et al.  EVALUATING RISK FOR TARGETED VIOLENCE IN SCHOOLS: COMPARING RISK ASSESSMENT, THREAT ASSESSMENT, AND OTHER APPROACHES , 2001 .

[4]  John Monahan,et al.  Clinical Prediction of Violent Behavior , 1982 .

[5]  K. Heilbrun.  Violent offenders: Appraising and managing risk. , 1998 .

[6]  B Vossekuil,et al.  Threat assessment: defining an approach for evaluating risk of targeted violence. , 1999, Behavioral sciences & the law.

[7]  Douglas Mossman,et al.  Assessing predictions of violence: being accurate about accuracy. , 1994, Journal of consulting and clinical psychology.

[8]  G. Towl,et al.  Risk assessment with offenders , 1997 .

[9]  M. Straus,et al.  Family Violence@@@Behind Closed Doors: Violence in the American Family , 1981 .

[10]  Christopher D. Webster,et al.  Violence risk assessment: Science and practice , 1999 .

[11]  J. Monahan.  Limiting therapist exposure to Tarasoff liability: Guidelines for risk containment. , 1993 .

[12]  D. Bersoff.  Ethical conflicts in psychology, 2nd ed. , 1999 .

[13]  E. Mulvey,et al.  Conditional prediction: a model for research on dangerousness to others in a new era. , 1995, International journal of law and psychiatry.

[14]  F. Firestone.  ?WHERE THE PUBLIC PERIL BEGINS? 25 YEARS AFTER TARASOFF , 2000, The Journal of legal medicine.

[15]  M. Swartz,et al.  Assessing and Managing Violence Risk in Clinical Practice , 1996 .

[16]  M. Lambert,et al.  Psychotherapy With High-Risk Clients: Legal and Professional Standards , 1991 .

[17]  A. Buchanan,et al.  Assessing risk: limits to the measurement of the target behaviours , 1997 .

[18]  John Monahan,et al.  Violence and mental disorder: Developments in risk assessment. , 1994 .

[19]  R. Borum,et al.  Improving Clinical Judgment and Decision Making in Forensic Evalution , 1993 .

[20]  R Borum,et al.  Improving the clinical practice of violence risk assessment. Technology, guidelines, and training. , 1996, The American psychologist.

[21]  P. Appelbaum.  Tarasoff and the clinician: problems in fulfilling the duty to protect. , 1985, The American journal of psychiatry.

[22]  Antonio Andrés Pueyo,et al.  THE PSYCHOLOGY OF CRIMINAL CONDUCT , 2008 .

[23]  J. Beck.  Legal and ethical duties of the clinician treating a patient who is liable to be impulsively violent. , 1998, Behavioral sciences & the law.

[24]  G. Harris,et al.  Risk appraisal and management of violent behavior. , 1997, Psychiatric services.

[25]  R. Otto.  Assessing and managing violence risk in outpatient settings. , 2000, Journal of clinical psychology.