Psych CASC / OSCE · Emergency psychiatry — violence risk
Assess violence risk and explain the plan — CASC communication station
MRCPsych/FRANZCP-style CASC: gather collateral on violence risk, balance confidentiality with safety, explain dynamic factors and next steps, avoid stigmatising language, involve family appropriately.
On this page
Study tools
Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in ED. The examiner plays a parent of a 28-year-old man with recent-onset psychosis. [1]
Candidate instructions. Take a focused collateral history about threats and violence risk. Explain in plain language how you assess risk without stigmatising all people with mental illness. Outline immediate safety steps and what happens next. Discuss confidentiality limits when others may be at risk. Check understanding. Do not invent specific Mental Health Act section numbers. [1][2]
References3ShowHide
- [1]Buchanan A Risk of violence by psychiatric patients: beyond the "actuarial versus clinical" assessment debate Psychiatr Serv, 2008.PMID 18245161
- [2]Fazel S, Gulati G, Linsell L, et al. Schizophrenia and violence: systematic review and meta-analysis PLoS Med, 2009.PMID 19668362
- [3]Witt K, van Dorn R, Fazel S Risk factors for violence in psychosis: systematic review and meta-regression analysis of 110 studies PLoS One, 2013.PMID 23418482