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Clinical assessment of dangerousness in psychotic patients: some risk indicators and pitfalls
- Author:
- BJORKLY Stal
- Journal article citation:
- Aggression and Violent Behavior, 2(2), Summer 1997, pp.167-178.
- Publisher:
- Elsevier
In assessing psychotic patients, clinicians are confronted with the difficult task of deciding whether or not patients are dangerous to others. Since no single predictor of dangerousness has proved to have superior predictive value, it is suggested that clinicians should rely on sets of indicators. Based on findings from empirical studies, this article presents some sets of indicators of dangerousness in psychotic patients. These include: background variables, demographic variables, psychopathological and psychodynamic indicators, analysis of observed aggressive incidents, and indicators derived from analysing patients' apprehension of their dynamics of aggression. Finally discusses some pitfalls in the clinical assessment of dangerousness in psychotic patients.