Table 3.

RAS (Risk Assessment Schedule) Enter the RISK in terms of NIL, LOW, MEDIUM, HIGH & VERY HIGH Risk.
MENTAL STATE (RAS – 1)	N	L	M	H	V
Behaviour
• Dangerous or threatening actions	N	L	M	H	V
• Verbal/non-verbal risks	N	L	M	H	V
• Deliberate self harm	N	L	M	H	V
• Aggression	N	L	M	H	V
Affect
• Arousal, anger, hostility, irritability, suspiciousness, fear	N	L	M	H	V
• Low mood or elevated mood	N	L	M	H	V
Cognition
• Fantasies of deliberate self harm or harm to others	N	L	M	H	V
• Persecutory thoughts, delusions	N	L	M	H	V
• External control	N	L	M	H	V
• Confusion	N	L	M	H	V
• Preoccupation, obsession, jealousy	N	L	M	H	V
• Control over-ride	N	L	M	H	V
• Cultural beliefs	N	L	M	H	V
Perceptions
• Command hallucinations	N	L	M	H	V
• Misidentification	N	L	M	H	V
• Matakite	N	L	M	H	V
ENVIRONMENTAL/CURRENT FACTORS (RAS – 2)	N	L	M	H	V
Immediate stressors
• Substance use, intoxication or withdrawal	N	L	M	H	V
• Relationships	N	L	M	H	V
• Presence or absence of support	N	L	M	H	V
• Absence of treatment, non compliance	N	L	M	H	V
• Persecution or threats from others	N	L	M	H	V
• Arrest or criminal charges	N	L	M	H	V
• Loss including death of a peer	N	L	M	H	V
• Cultural transgression	N	L	M	H	V
• Financial stress	N	L	M	H	V
Access
• To weapons, pills, victims	N	L	M	H	V
Situation
• Referral from Prison, Police, Secure Unit	N	L	M	H	V
Individual's attitude
• Co-operation	N	L	M	H	V
• Refusal to co-operate or fear of compulsory treatment	N	L	M	H	V
HISTORICAL INFORMATION (RAS-3)	N	L	M	H	V
Illness and incidents
• Patterns of illness – Chronic active, Neurological disorder, H/O Head injury	N	L	M	H	V
• Psychiatric history – Serious mental illness, Multiple diagnoses, Treatment under MHA	N	L	M	H	V
• History of incidents (and context) – Repeated antisocial behavior	N	L	M	H	V
• Treatment and outcomes – Compliance and response of treatment given in past	N	L	M	H	V
• Features of past crises – Pathological intoxication, Episodic dyscontrol, Cruelty to animals, Blackouts	N	L	M	H	V
• Personal history – Criminal charges, Previous offenses, Forensic involvement	N	L	M	H	V
Personality
• Usual coping style – Loner, Displaced rage reaction, self mutilism, Impulsivity, denial, Blaming others	N	L	M	H	V
Family background
• Demographics – Single, Male, Poor, Low educational and vocational success	N	L	M	H	V
• Culture – Tolerance to antisocial behavior, Reluctance to disclose, Shame & Guilt	N	L	M	H	V
• Dynamics – H/O Violence, Contact of violent gangs, Intrafamilial violence	N	L	M	H	V
OUTCOME OF RISK ASSESSMENT (Use knowledge & Information gathered from RAS-1, 2 & 3)
RISK TO SELF	N	L	M	H	V
1. Safety (including suicidal acts, deliberate self harm)	N	L	M	H	V
2. Health (incl. drug & alcohol abuse, physical & psychological harm)	N	L	M	H	V
3. Self neglect and vulnerability (incl. exploitation, sexual abuse, violence from others)	N	L	M	H	V
4. Quality of life (including dignity, social and financial status)	N	L	M	H	V
RISK TO OTHERS	N	L	M	H	V
1. Violence (including emotional, sexual and physical violence)
2. Intimidation/threats	N	L	M	H	V
3. Neglect/abuse of Dependants	N	L	M	H	V
4. Stalking/harassment	N	L	M	H	V
5. Reckless behavior (including driving)Property damage (including arson)	N	L	M	H	V
6. Public nuisance	N	L	M	H	V