Supporting reduction of suicide in the general population of Wales via the use of Structured Professional Judgment.

Lead Research Organisation: Swansea University
Department Name: College of Human and Health Sciences


Suicide is a particular problem in Wales. In 2013, Wales had a 50% greater rate of suicide than England (15.6 vs 10.7/100,000). The focus of the application will be on supporting the reduction of suicides in the general population in Wales via work with Accident and Emergency services. The Structured Professional Judgment (SPJ) approach comes from forensic psychology where it has had great success in the management of violence. It actively argues against the practice of applying points to the presence of risk factors (tick boxes) and summing these to evaluate level of risk. Instead, SPJs (RoSP) guide the clinician through multi-faceted areas of safety planning (both social and mental health) and formulates the person's individualised needs. It is sensitive to setting/context. The approach is dynamic in contrast to one-off approaches to risk management. The studentship will evaluate if RoSP will be effective in the general population via assessment of people attending A&E and the Crisis Liaison Team (CLT) following an episode of self-harm or suicidal behaviour.


10 25 50

Studentship Projects

Project Reference Relationship Related To Start End Student Name
ES/P00069X/1 01/10/2017 30/09/2027
1947554 Studentship ES/P00069X/1 01/10/2017 31/12/2021 JAMES KNOWLES
Description This project is in the process of comparing the current methods of assessing suicide risk in hospital based Crisis Teams, with a new approach to suicide risk assessment.

The research is a three stage design and we have just completed the first stage. The findings from the first stage indicate that the new approach to risk assessment offers a statistically significant improvement at identifying individuals at risk of future suicide compared to current methods.

The next two stages of the research will focus on replicating these findings and attempting to implement the new approach to suicide risk assessment into the hospital based Crisis Teams.
Exploitation Route If we continue to show that this new approach to suicide risk assessment offers an improved ability to detect future suicidal behaviour within one hospital based Crisis Team, it may result in this approach being adopted on a wider scale, across other Crisis Teams and other settings that implement suicide risk assessment procedures.
Sectors Healthcare