ColumnsTherapeutic Risk Management for Violence: Clinical Risk AssessmentWORTZEL, HAL S. MD; BORGES, LAUREN M. PhD; BARNES, SEAN M. PhD; NAZEM, SARRA PhD; MCGARITY, SUZANNE PhD; CLARK, KAILY PsyD; BAHRAINI, NAZANIN H. PhD; MATARAZZO, BRIDGET B. PsyDAuthor Information WORTZEL: Michael K. Cooper Professor of Neurocognitive Disease, Director of Neuropsychiatry, and Associate Professor in Psychiatry, Neurology, and Physical Medicine & Rehabilitation, and Faculty for the Forensic Psychiatry Fellowship at the University of Colorado, and Director of Neuropsychiatric Services for the Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) at the VA Rocky Mountain Regional Medical Center (RMRMC), Aurora, CO BORGES, BARNES: Clinical Research Psychologist, Rocky Mountain MIRECC, and Assistant Professor, Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO NAZEM, Clinical Research Psychologist at the Rocky Mountain MIRECC, and an Assistant Professor in Psychiatry and Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO MCGARITY: Assistant Professor in the Department of Physical Medicine & Rehabilitation at the University of Colorado School of Medicine and staff psychologist at the Rocky Mountain MIRECC at the VA RMRMC, Aurora, CO CLARK: Clinical and Research Psychologist with the Rocky Mountain MIRECC, Aurora, CO BAHRAINI: Associate Professor in Psychiatry, and Physical Medicine & Rehabilitation at the University of Colorado School of Medicine and Director of Education for the Rocky Mountain MIRECC at the VA RMRMC, Aurora, CO MATARAZZO: Director of Clinical Services for the Rocky Mountain MIRECC at the VA RMRMC, and Associate Professor in Psychiatry at the University of Colorado School of Medicine, Aurora, CO The authors declare no conflicts of interest. Please send correspondence to: Hal S. Wortzel, MD, Rocky Mountain MIRECC, Rocky Mountain Regional Medical Center, 1700 North Wheeling Street, Building G3 Room 185, Aurora, CO 80045 (e-mail: [email protected]). Journal of Psychiatric Practice: July 2020 - Volume 26 - Issue 4 - p 313-319 doi: 10.1097/PRA.0000000000000481 Buy Metrics Abstract Violence risk assessment is a requisite component of mental health treatment. Adhering to standards of care and ethical and legal requirements necessitates a cogent process for conducting (and documenting) screening, assessment, and management of other-directed violence risk. In this 5-part series, we describe a model for achieving therapeutic risk management of the potentially violent patient, with essential elements involving a clinical interview augmented by structured screening or assessment tools; risk stratification in terms of temporality and severity; chain analysis to intervene on the functions of violent ideation and behavior; and development of a personalized safety plan. This first column of the series focuses on essential aspects of the clinical interview. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.