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Table 4 Viewpoints on utility at the point of admission (case by case)

From: Assessment of violence risk in 440 psychiatric patients in China: examining the feasibility and acceptability of a novel and scalable approach (FoVOx)

Themes

Sub-theme

Helpful

Not helpful

Assist decision making

As part of disposal suggestions

For high-risk individuals, clinicians will refer to the tool and make suggestions on compulsory treatment to guide disposal for the law enforcement agencies.

No difference in disposal decision for low- or moderate-risk individuals: patients will go to prisons.

ln liaison with third parties

Help to explain to people without a professional background using a more objective tool, e.g. patients, family members, the police

Other agencies care about categorical risk levels (e.g. high/low) rather than probability scores.

ln liaison with other clinicians

Consistent risk levels; able to communicate among clinicians and nurses.

 

Impact on risk assessment

As part of clinical plan and management

Add supportive information, and possible to choose a more conservative risk assessment plan 

If there is a difference between: FoVOx scores and clinical judgement, clinicians might revert to clinical judgement.

Reassurance

Confirm and support clinical assessment if the risk levels between clinicians and FoVOx are consistent

 

Existing perceptions of risk assessment

The FoVOx score provides an objective view

The tool has not been externally validated yet;

Not sure how to use probability value. Not clear from online calculator how risk factors are weighted.

Reminders for added risk factors

Clinicians would consider other risk factors if FoVOx has a higher value and would consider protective factors if FoVOx has a lower value than clinician judgement

Not many clinical and dynamic factors