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	<title>Comments on: A better term for &#8220;high risk&#8221;?</title>
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	<description>Understanding and Responding to Suicide Risk</description>
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		<title>By: Anthony Pisani</title>
		<link>http://commitmenttoliving.com/2008/10/22/term-for-high-risk/#comment-5583</link>
		<dc:creator><![CDATA[Anthony Pisani]]></dc:creator>
		<pubDate>Tue, 28 Oct 2008 12:11:15 +0000</pubDate>
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		<description><![CDATA[Here is an excerpt from an email sent to me by a senior colleague who, though not a suicide expert, is a master clinician and has helped me many times gain clinical, conceptual, and semantic clarity:

it&#039;s a wrong question, trying to fix a problem that doesn&#039;t need fixing.  I think &quot;high risk&quot; is perfect and the question is a misguided one.  the fact that they technically aren&#039;t really at high risk in statistical terms is irrelevant, I propose.  subjectively, for the clinician, they are at risk, and it&#039;s high enough to be called high, and calling it high is useful on a number of levels...
 
I would disagree that High risk implies that suicide is probable.  It doesn&#039;t.  It implies that the risk is high. Which means that this individual is at higher risk than someone who is at lower risk.  And that is true.  There by definition must be an ability to mark even a low probability risk as high some of the time or for certain people.
 
You could go with elevated risk, but that sounds a bit precious. This patient is at elevated risk for suicide.  Well, elevated relative to what?  You could say the same about High (high relative to what), but high at least implies absolute vs. elevated which implies relative to something else, so it becomes more confusing.
 
that&#039;s my off the cuff opinion, and i&#039;m sticking too it, at least till i have another.]]></description>
		<content:encoded><![CDATA[<p>Here is an excerpt from an email sent to me by a senior colleague who, though not a suicide expert, is a master clinician and has helped me many times gain clinical, conceptual, and semantic clarity:</p>
<p>it&#8217;s a wrong question, trying to fix a problem that doesn&#8217;t need fixing.  I think &#8220;high risk&#8221; is perfect and the question is a misguided one.  the fact that they technically aren&#8217;t really at high risk in statistical terms is irrelevant, I propose.  subjectively, for the clinician, they are at risk, and it&#8217;s high enough to be called high, and calling it high is useful on a number of levels&#8230;</p>
<p>I would disagree that High risk implies that suicide is probable.  It doesn&#8217;t.  It implies that the risk is high. Which means that this individual is at higher risk than someone who is at lower risk.  And that is true.  There by definition must be an ability to mark even a low probability risk as high some of the time or for certain people.</p>
<p>You could go with elevated risk, but that sounds a bit precious. This patient is at elevated risk for suicide.  Well, elevated relative to what?  You could say the same about High (high relative to what), but high at least implies absolute vs. elevated which implies relative to something else, so it becomes more confusing.</p>
<p>that&#8217;s my off the cuff opinion, and i&#8217;m sticking too it, at least till i have another.</p>
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		<title>By: Speaking of nomenclature&#8230;what about &#8220;protective factors&#8221;? &#171; Commitment to Living</title>
		<link>http://commitmenttoliving.com/2008/10/22/term-for-high-risk/#comment-5578</link>
		<dc:creator><![CDATA[Speaking of nomenclature&#8230;what about &#8220;protective factors&#8221;? &#171; Commitment to Living]]></dc:creator>
		<pubDate>Thu, 23 Oct 2008 13:00:05 +0000</pubDate>
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		<description><![CDATA[[...] Commitment to Living Family psychologist learns and teaches about suicide risk and prevention      &#171; A better term for &#8220;high&#160;risk&#8221;? [...]]]></description>
		<content:encoded><![CDATA[<p>[...] Commitment to Living Family psychologist learns and teaches about suicide risk and prevention      &laquo; A better term for &#8220;high&nbsp;risk&#8221;? [...]</p>
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