ColumnsTherapeutic Risk Management for Violence: Safety Planning for Other-directed ViolenceMcGarity, Suzanne PhD; Stacy, Stephanie PhD; Borges, Lauren M. PhD; Barnes, Sean M. PhD; Nazem, Sarra PhD; Gerard, Georgia R. LCSW; Clark, Kaily PsyD; Matarazzo, Bridget B. PsyD; Bahraini, Nazanin H. PhD; Wortzel, Hal S. MDAuthor Information MCGARITY: Assistant Professor in the Department of Physical Medicine & Rehabilitation at the University of Colorado School of Medicine; and Staff Psychologist in the Rocky Mountain MIRECC, Aurora, CO STACY: Clinical Psychologist at VISN 19 Suicide Prevention 2.0 Clinical Resource Hub, Salt Lake City, UT BORGES, BARNES: Clinical Research Psychologist, Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) at the Rocky Mountain Regional VA Medical Center; and Assistant Professor, Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO NAZEM: Clinical Psychologist at Charlie Norwood Veterans Affairs Medical Center; and Clinical Associate Professor at the Medical College of Georgia, Augusta, GA GERARD: Licensed Clinical Social Worker at the Rocky Mountain MIRECC, Aurora, CO CLARK: Clinical Psychologist and Supervisor for the V19 Clinical Resource HUB Suicide Prevention Clinical Team Telehealth Program, Salt Lake City, UT MATARAZZO: Director of Clinical Services for the Rocky Mountain MIRECC; and Associate Professor in Psychiatry at the University of Colorado School of Medicine, 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, Aurora, CO WORTZEL: Michael K. Cooper Professor of Neurocognitive Disease, Director of Neuropsychiatry, 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 MIRECC, Aurora, CO The authors declare no conflicts of interest. Please send correspondence to: Suzanne McGarity, PhD, Rocky Mountain VA Medical Center, 1700 North Wheeling Street, G3-153 MIRECC, Aurora, CO 80045 (e-mail: [email protected]). Journal of Psychiatric Practice: July 2021 - Volume 27 - Issue 4 - p 296-304 doi: 10.1097/PRA.0000000000000565 Buy Metrics Abstract Therapeutic management of risk for other-directed violence (ODV) involves screening, assessment, and clinically appropriate intervention. In this 5-part series, effective screening and assessment for ODV have been described as a combination of clinical interviewing and the use of structured tools to inform clinical impressions of both acute and chronic risk for violence. Once risk of violence is identified, therapeutic management of the risk throughout the course of treatment is best achieved by determining the function of the violent ideation and behavior. This can be achieved through the use of functional chain analysis. Chain analysis not only serves the purpose of providing insight into the contingencies of violent behavior but also helps to identify target areas of intervention where other skills, strategies, and means to access resources for support can be applied. In this fifth and final column of the series, we describe an intervention with all of these outcomes as its goals. A safety plan for ODV assists both clients and mental health professionals in disrupting patterns of violent ideation or behavior that would otherwise continue causing not only harm to others but prolonged negative consequences for those engaging in such behaviors. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.