Event Risk Assessment Example: Fill & Download for Free

Hi,Mental health clinicians vary in their ability to predict the level of risk a patient poses to themselves or others. Suicide is one of the most difficult areas that a mental health clinician has to deal with.Discuss the client of concern with other cliniciansWhen a clinician believes that their client may be a suicide risk, the best thing they can do is to remain calm and think clearly about the issue. Most clinicians will talk about a client of concern with a colleague or if they are working with others in a clinical team, they usually talk about the client’s risks and other concerns with a clinical supervisor or other team members.Experience and EmpathyI believe that an experienced clinician is better able to predict suicide risk in a client. I also believe that an emphatic psychotherapist is better able to sense if their client is considering suicide or is a serious suicide risk.Communication and listening skillsMoreover, in order for a clinician to develop a good working relationship and empathy with a client, they must have good communication and listening skills. In fact, when it comes to suicide, clinicians are trained to ask a person directly if they are contemplating suicide.Clinician’s personality and ability to think under pressureI believe that a clinician’s personality and their ability to stay cool, calm and collected are essential when it comes to working with suicidal patients. I have worked with many clinicians that just could not cope with the ongoing stress and fear that one of their patients might kill themselves.It takes a particular kind of person to work in Emergency Services and mental health teams that treat people with serious mental illness. For example, whilst working in Psychiatric Triage, I would receive calls from psychotherapists on Thursdays and Fridays that wanted to refer their clients to CATT for treatment over the weekend.I found that certain psychotherapists regularly called to handball their clients to CATT because they just could not relax on the weekend with the thought that their client may self-harm. I discovered that this group of psychotherapists stopped working in the sector or stopped taking on clients that suffered from severe mental illness or that they felt may be a suicide risk.It is impossible for a mental health clinician to accurately predict the future, including the likelihood of self-harm or homicidal behaviour in other people. However, a qualified, skilled and empathic mental health clinician is expected to identify those at risk and deliver an acceptable clinical response.Asking the right questions during a risk assessmentIf a clinician believes that a client is a suicide risk, they must ask the client specific questions that explore various clinical hypotheses. For example, the clinician must ascertain how advanced the patient's suicide plan is.For example:Does the patient have a method in mind (i.e. pills)?Does the client actually have the pills that speak of and do they have enough of them to result is death or serious harm?Does the client have a well thought out premeditated plan?Is the client’s mental state unstable and do they have a history of impulsive behaviour?Has the patient attempted suicide in the past?Has the patient been giving away their possessions?Has the patient been saying goodbye to their significant others?Risk Assessment formsMental health services and private practitioners have developed risk assessments forms that they use to assist them to assess the patients risk factors. The risk assessment form assists the clinician to:make a more comprehensive risk assessment,make a clinical decision about the client’s risk level, anddecisions about treatment/intervention.Please click on the link below to view the South Australian Government Mental Health Services Risk Assessment Guide:https://www.square.org.au/wp-content/uploads/sites/10/2013/05/Risk-Assessment_Colour_May2013_Handout2.pdfI have learnt that the above-mentioned strategies and Risk Assessment forms can assist a clinician to better accurately predict the patient’s suicide risk. However, I have learnt that sometimes our patients make a decision to commit suicide and we cannot save them.The patient may attend their regular therapy session. They compose themselves, state that everything is going well for them and do not give the clinician any indication that they plan to kill themselves.I have also learnt that a good clinician can predict if a particular patient will make an attempt to end their own life. However, to my frustration, we cannot predict the timing of the event or when the patient will actually try to end their life.Kamal

Unless you are talking about very frequent events, it is doubtful that "real world accuracy" is achievable for risk assessment.To even make the claim that your method of assessing risk produced an accurate measure of the real risk, you would need:A history of people using that method and producing results which matched the actual outcomes; andA method which is reliable, in the sense that different people using your method with the same data would reach the same conclusions.The first requirement is very difficult to meet for very low probabilities. As a rule of thumb, you need to invert and then double your probability to know how much data you would need to be confident you knew the "real" risk.For example, if I want to claim my nuclear power plant will meltdown less than once in every 10,000 years, I would need 20,000 years of data to be confident I had achieved that probability.The second requirement has been actually tested, in some benchmark exercises. Experienced risk assessment teams examining the same chemical plant with the same data disagreed over six orders of magnitude. (That's a million times difference in their predictions).For more information on accuracy of risk assessment, check out the work of Terje Aven, or google "The Science and Superstition of Quantitative Risk Assessment".

In my line of work, I have to provide a multi-million indemnity in the event that any risk assessment work done was incomplete or incompetent in some manner, and a lack of diligence caused the client to lose money which I am now responsible for. No professional indemnity insurance would cover the sums required in full so I have my own personal fund set aside, a 7-digit amount which is augmented by my employers. That’s how it works in my field.To answer the question, it is very simple. I have offered several analyses here in Quora (personal ones, not professional as I am not paid) which, in my estimation, suggests with a very, very high degree of certainty that Brexit is unable to offer any positive effects to the UK economy in general or to the financial prospects of much of UK industry, businesses and citizens. In fact, I have traded on my own analysis and made enough to take a sabbatical for (probably at least) several years after completing my current project.So if Brexit turns out to be a success, then honestly, it would be a black swan’s black swan event. Consequently, although I would be happy (and personally relieved) to admit to being wrong, the reality is that my job has always required me not to be wrong. It’s a habit and a professional requirement. As such, if you look at any of my answers, they are always considered with the weight of evidence treated realistically and the probabilities weighted accordingly. Answers such as:What is the logical rational reason for No-Deal Brexit? Let’s explore the most rational reasons for Brexit properly and in detailHow does one measure the "success" of Brexit? It cannot be that Brexit is automatically a success just because we left the world’s largest trade bloc, our biggest customer, our largest economic partner - that would simply be ridiculousTherefore, even though I am not a Remainer (despite what many people think), I would be the first to put up my hand to admit I am wrong if Brexit turned out to be a success. And to be honest, I run a zero risk of doing that because there is no definition of the “success” criteria of Brexit.Brexit never offered any metrics by which success can be measured and therefore, nobody can quantify it meaningfully because there are no electable metrics which can be used against unknown economic targets. For example, was Brexit designed to improve employment? Or income levels? Or trade? Or GDP? Raise living standards? Reduce poverty? If so, what are the targets? If there were any such targets, then we can base a more meaningful analysis using the metrics needed to measure performance against such stated targets. Without targets, anything can be considered a “success”. It is simply a derisory scam, to put it politely.For it cannot be that Brexit is considered a success just because it may be “less bad” than a total disaster because, for example, only 500 people died due to lack of medicines when it could have been 2,000 people. And if 2,000 people did die, then Boris will say it could have been 15,000 people dead instead. Body bags are being stockpiled as part of no deal Brexit preparationsIn the aftermath of Brexit, we will always be comparing a pile of shit against a smellier pile of shit and saying it’s at least not as bad. Think about it. That’s the smell of “huge success” as far as Brexit is concerned.