The DOI matches its Crossref record; 67 of the 68 references it cites were found in a registry or an index.
Assessment of suicide risk in mental health practice: shifting from prediction to therapeutic assessment, formulation, and risk management
Open accessAbstract
Suicide prevention in psychiatric practice has been dominated by efforts to predict risk of suicide in individual patients. However, traditional risk prediction measures have been shown repeatedly in studies from high income countries to be ineffective. Several factors might contribute to clinicians' preoccupation with risk prediction, which can have negative effects on patient care and also on clinicians where prediction is seen as failing. The model of therapeutic risk assessment, formulation, and management we outline in this article regards all patients with mental health problems as potentially at increased risk of suicide. It is aimed at reducing risk through use of a person-centred approach. We describe how a move towards therapeutic risk assessment, formulation, and risk management, including collaborative safety planning, could help clinicians develop a more tailored approach to managing risk for all patients, incorporating potentially therapeutic effects as well as helping to identify other risk reduction interventions. Such an approach could lead to enhanced patient safety and quality of care, which is more acceptable to patients.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“However, healthcare service design and provision too often relies on practices that ignore or minimize the basic interpersonal aspects of care and thus fail to capitalize on their potential [2, 3].”
From Suicide attempt survivors’ recovery-related agency in the relational context of services: a qualitative analysis (2024) · cites this paper as [2]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“A more thorough assessment with a clinician can have therapeutic value, 96 particularly in engaging adolescents in treatment.”
From Suicide in young people: screening, risk assessment, and intervention (2023) · cites this paper as [96]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Yet finding meaningful ways to respond to service users in suicidal crises presents an ongoing challenge for health services internationally [2–4].”
From Suicide attempt survivors’ recovery-related agency in the relational context of services: a qualitative analysis (2024) · cites this paper as [2]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
The interpersonal theory of suicide.
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010) · Psychological Review · doi:10.1037/a0018697 · Cited by 5,292
Sick individuals and sick populations
ROSE, G. (1985) · International Journal of Epidemiology · doi:10.1093/ije/14.1.32 · Cited by 2,701
Dube, S. R., Anda, R. F., Felitti, V. J., Chapman, D. P., Williamson, D. F., & Giles, W. H. (2001) · JAMA · doi:10.1001/jama.286.24.3089 · Cited by 2,296
Psychological autopsy studies of suicide: a systematic review.
CAVANAGH, J. T. O., CARSON, A. J., SHARPE, M., & LAWRIE, S. M. (2003) · Psychological Medicine · doi:10.1017/s0033291702006943 · Cited by 2,207
The integrated motivational–volitional model of suicidal behaviour
O'Connor, R. C., & Kirtley, O. J. (2018) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2017.0268 · Cited by 1,781
Suicide prevention strategies revisited: 10-year systematic review
Zalsman, G., Hawton, K., Wasserman, D., van Heeringen, K., Arensman, E., Sarchiapone, M., Carli, V., Höschl, C., Barzilay, R., Balazs, J., et al. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)30030-x · Cited by 1,765
Self-citationA Hundred Cases of Suicide: Clinical Aspects
Barraclough, B. M., Bunch, J., Nelson, B., & Sainsbury, P. (1974) · British Journal of Psychiatry · doi:10.1192/bjp.125.4.355 · Cited by 1,283
Safety planning intervention: a brief intervention to mitigate suicide risk.
Stanley, B., & Brown, G. K. (2012) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2011.01.001 · Cited by 1,267
Kleiman, E. M., Turner, B. J., Fedor, S., Beale, E. E., Huffman, J. C., & Nock, M. K. (2017) · Journal of Abnormal Psychology · doi:10.1037/abn0000273 · Cited by 831
Borges, G., Nock, M. K., Haro Abad, J. M., Hwang, I., Sampson, N. A., Alonso, J., Andrade, L. H., Angermeyer, M. C., Beautrais, A., Bromet, E., et al. (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.08m04967blu · Cited by 796
Cited by
Sorted by citations
Lam, R. W. M., Kennedy, S. H., Adams, G. C., Bahji, A., Beaulieu, S., Bhat, V., Blier, P., Blumberger, D. M., Brietzke, E. M., Chakrabarty, T., et al. (2024) · The Canadian Journal of Psychiatry · doi:10.1177/07067437241245384 · Cited by 435
Suicide in young people: screening, risk assessment, and intervention
Hughes, J. L., Horowitz, L. M., Ackerman, J. P., Adrian, M. C., Campo, J. V., & Bridge, J. A. (2023) · BMJ · doi:10.1136/bmj-2022-070630 · Cited by 135
On mental pain and suicide risk in modern psychiatry
Pompili, M. (2024) · Annals of General Psychiatry · doi:10.1186/s12991-024-00490-5 · Cited by 68
Ki, M., Lapierre, S., Gim, B., Hwang, M., Kang, M., Dargis, L., Jung, M., Koh, E. J., & Mishara, B. L. (2024) · International Psychogeriatrics · doi:10.1017/s104161022300443x · Cited by 59
Bryan, C. J., Bryan, A. O., Khazem, L. R., Aase, D. M., Moreno, J. L., Ammendola, E., Bauder, C. R., Hiser, J., Daruwala, S. E., & Baker, J. C. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102824 · Cited by 46
Metadata
- Authors
- Hawton, K., Lascelles, K., Pitman, A., Gilbert, S., & Silverman, M.
- Affiliations
- Oxford Health NHS Foundation Trust (GB)
- University College London (GB)
- Medical College of Wisconsin (US)
- Venue
- The Lancet Psychiatry
- Publisher
- Elsevier BV
- Published
- 2022-11
- Volume
- 9
- Issue
- 11
- Pages
- 922-928
- ISSN
- 2215-0366 (ISSN-L)
- OpenAlex
- W4298159159
- Semantic Scholar
- a878d9367a25aae908dc8d4297cffd649a094150
- Cited by
- 196
- References
- 68
- Citations by year
- 2026: 51 · 2025: 61 · 2024: 44 · 2023: 34 · 2022: 6
- FWCI
- 6.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- The Lancet Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- suicide risk assessment, suicide prevention, risk management, clinical formulation, person-centred care, risk prediction, mental health services, patient safety
- MeSH terms
- Suicide Prevention, Humans, Mental Health, Risk Management, Risk Assessment, Patient Safety
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
