Community Mental Health Journal

, Volume 54, Issue 3, pp 245–251 | Cite as

Implementing a Violence Risk Screening Protocol in a Civil Psychiatric Setting: Preliminary Results and Clinical Policy Implications

  • Merrill Rotter
  • Barry Rosenfeld
Original Paper


Comprehensive violence risk assessment can require substantial time and resources, which may be challenging for an already strapped public mental health system. Herein, we describe a naturalistic study of the Fordham Risk Screening Tool (“FRST”), a violence risk screening instrument designed to quickly identify individuals for whom thorough violence risk assessment would be advisable. All patients admitted to one of three state hospitals during the study period received FRST screening and HCR-20V3 risk assessment. The FRST reliably and accurately identified individuals deemed high risk by the HCR-20V3. The implications of these findings, and the broader clinical policy choices are reviewed.


Violence Risk assessment Screening Triage 


Compliance with Ethical Standards

Conflict of interest

Neither author has a financial or non-financial conflict of interest to disclose.

Ethical Approval

Because this study was implemented as a pilot project to improve the accuracy and quality of violence risk assessments, all data were extracted from the electronic medical record, without any identifying information. The study was reviewed and approved by the Institutional Review Board of the New York State Office of Mental Health/Nathan Kline Institute.

Informed Consent

The study was granted a waiver of informed consent by the IRB.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Merrill Rotter
    • 1
  • Barry Rosenfeld
    • 2
  1. 1.Department of Psychiatry and Behavioral SciencesAlbert Einstein College of MedicineBronxUSA
  2. 2.Department of PsychologyFordham UniversityBronxUSA

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