Recognising Signs of Deterioration in a Person's Mental Health State An Updated Literature Review
Updated review of peer-reviewed and grey literature on mental state deterioration published since the completion of Recognising Signs of Deterioration in a Person's Mental State: Final Report.
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The updated literature review incorporates research published from May 2017 to April 2019. Searches of five electronic databases returned 707 papers, three of which met the selection criteria for this review. The grey literature search yielded no additional information. No new tools for recognising the range of signs that might be expected to be indicative of deterioration in a person's mental state were found. The three papers contained studies on two instruments: Dynamic Appraisal of Situational Aggression (DASA) and Concise Health Risk Tracking (CHRT) scale. DASA facilitates assessment of the risk of imminent aggression, and was described in the previous report. The CHRT scale was developed to assess suicide risk over time.
This review found that there continues to be significant clinical and scientific interest in developing and validating tools for assessing risk of adverse outcomes (e.g., aggression and suicide). Limited attention, however, has been paid to developing a tool to facilitate the recognition of mental state deterioration more broadly.