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Letters Risk in psychiatry

Time to change psychiatry’s frame of reference for risk?

BMJ 2013; 346 doi: (Published 19 March 2013) Cite this as: BMJ 2013;346:f1544
  1. Annie Bartlett, reader in forensic psychiatry1
  1. 1St George’s, University of London SW17 0RE, UK
  1. abartlet{at}

The recent debate on risk emphasis in psychiatry covered only individual practitioners’ risk assessments in individual patients, notably in relation to rare but important events—suicide and homicide.1 2

Politicians and the media have rightly ensured that uncommon extreme events are closely scrutinised. Psychiatry has not otherwise benchmarked its decision making. Clinicians seldom peer review consensus or differences regarding routine risk management, almost none …

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