They note that this approach to risk assessment requires further validation before being ready to be integrated into routine clinical practice—especially in countries other than Sweden, where their study was conducted. They specifically recommend the use of prospective studies that include economic analyses, (ie, comparisons of resources consumed prior to and after implementation) as well as qualitative analyses to explore clinicians’ perceptions of this novel approach.

The authors conclude, “With reasonably high rates of accuracy, the use of five items, no complicated weighting algorithm, and an easy-to-interpret classification system (screen out vs. continue risk assessment), our findings suggest that using a stepped strategy in which very low-risk patients are screened out prior to in-depth risk assessment may assist in improving the quality of violence risk assessment in schizophrenia.”


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