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Breaking the Links in the Chain of Violence: Journal of Psychiatric Practice Continues Series on Therapeutic Risk Management Approach Applying chain analysis to identify pathways of reinforcement that can cause violent ideas and behaviors to persist. . An innovative model for therapeutic risk management of the potentially violent patient has been developed by Hal Wortzel, MD, and colleagues of the Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) at the VA Rocky Mountain Regional Medical Center (RMRMC), Aurora, Colo. The authors note that “Adding chain analysis builds on the structural assessment of violence risk discussed in our previous columns, and can be crucial to guiding effective, individually focused interventions to prevent future other-directed violence.” ....