The Hamilton Anatomy of Risk Management - Youth Version


The HARM-FV is designed for use in the management of youth offenders in detention or treatment settings

Demographic and Diagnostic Information

Stage 1: PAST

History of offences

In the HARM-YV, 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

The HARM-YV adds several risk factors relevant specifically to youth

Self-harm incidents

Protective factors


Stage 3: FUTURE

Violence risk assessment

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

Suicide Risk assessment

In the HARM-YV, suicide risk is assessed with or without professional support

Risk management plan

Stressors or destabilisers


In the HARM-YV, privileges are chosen from options for onsite and offsite privileges, including time periods