The futility of risk prediction in psychiatry.

Significant efforts have been made to identify risk factors associated with suicide. However, the evidence suggests that risk categorisation may be of limited value, or worse, potentially harmful, confusing clinical thinking. We argue instead for a shift in focus towards real engagement with the individual patient, their specific problems and circumstances.

[1]  Tim Kendall,et al.  Predicting suicide following self-harm: systematic review of risk factors and risk scales. , 2016, The British journal of psychiatry : the journal of mental science.

[2]  M. Large,et al.  Risk Factors for Suicide Within a Year of Discharge from Psychiatric Hospital: A Systematic Meta-Analysis , 2011, The Australian and New Zealand journal of psychiatry.

[3]  M. Large,et al.  Debate: Clinical risk categorisation is valuable in the prevention of suicide and severe violence – No , 2014, Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists.

[4]  Guy Undrill The risks of risk assessment , 2007 .

[5]  G. Szmukler Risk assessment for suicide and violence is of extremely limited value in general psychiatric practice , 2012, The Australian and New Zealand journal of psychiatry.

[6]  R. Mulder Problems with Suicide Risk Assessment , 2011, The Australian and New Zealand journal of psychiatry.

[7]  R. Schoevers,et al.  Risk assessment and shared care planning in out-patient forensic psychiatry: cluster randomised controlled trial , 2013, British Journal of Psychiatry.