The Hamilton Anatomy of Risk Management - Forensic Version


The HARM-FV is designed for use in the management of adult inpatients in a forensic psychiatric setting








Stage 1: PAST

History of Offence, Criminal Record

In the eHARM-FV, the focus of the historical violence assessment is the patient’s criminal record

Historical risk factors





Stage 2: CURRENT

Aggression Tracking

We encourage the use of the AIS or a similar instrument for recording and tracking of aggressive incidents

Current risk factors

Protective factors






Stage 3: FUTURE

Potential Behaviours

Duty to Protect

Violence Risk Assessment

Risk is assessed for two time horizons: immediate (days) and short-term (weeks)

Because many patients do very well with structure and supervision but may be at higher risk without these, risk is also assessed with professional (or mental health support), and without

Escape Risk

Risk Management and Transition Planning

Stressors or Destabilizers







General Team Comments

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