Hamilton Anatomy of Risk Management: HARM

The HARM is a structured clinical judgment tool that guides the assessor(s) to formulate opinions regarding risk of violence. It combines both historical/static and dynamic factors to assess risk as reflected in the literature.

​The HARM was created to:

  • Predict imminent and short-term risk
  • Bring all information to bear in assessing risk
  • Foster and document discussion of risk among clinical team members
  • Provide a guided, continuous risk assessment and management process

The HARM captures three stages of the assessment: Past, Current, and Future. Each stage flows into the next, so that, in moving through the past and current stages to the future stage, the assessor can arrive at a prediction of a patient’s or service user’s risk of aggression and formulate risk management strategies.

Hamilton Anatomy of Risk Management: HARM