Aims and method: To assess the feasibility of using a structured risk assessment tool (Historical Clinical Risk 20-Item (HCR-20) Scale) in general adult psychiatry admissions and the characteristics of 'high-risk' patients. A notes review and interviews were used to conduct an HCR-20 assessment of 135 patients admitted to Murray Royal Hospital, Scotland. Results: Patients scoring higher on the HCR-20 were-discharged earlier and more likely to have a diagnosis of personality disorder and a comorbid diagnosis. Clinical Implications: It was possible to complete an HCR-20 assessment of over 80% of patients within 48 h of admission.
Smith, H., & White, T. (2007). Feasibility of a structured risk assessment tool in general adult psychiatry admissions. Psychiatric Bulletin, 31(11), 418–420. https://doi.org/10.1192/pb.bp.106.012518