What is a key focus of risk assessment in personality disorders?

• A. Risk of financial harm
• B. Risk of self-harm, suicidality, and aggression toward others
• C. Risk of substance misuse only
• D. Risk of relationship dissolution only

Answer: (B)

The main concept tested is that risk assessment in personality disorders centers on imminent harm to self or others. People with personality disorders often show patterns that elevate self-directed risks like self-harm and suicidality, as well as aggression toward others due to impulsivity, affective instability, or distorted thinking. A thorough risk assessment looks at current ideation, intent, and plans, past history of attempts or violence, access to means, triggers or stressors, and the person’s mental state and substance use. It also weighs protective factors such as supports and coping skills to judge how likely and how soon harm might occur, guiding safety measures or crisis intervention when needed. While issues like financial harm, relationship problems, or substance misuse can be part of the broader picture, they do not carry the same immediate safety implications as self- or other-directed harm.