Marc de SPJ: Judici Professional Estructurat per

SPJ is a compromise between purely actuarial prediction and unstructured clinical judgment. It acknowledges that risk factors are dynamic, context-dependent, and individualized. SPJ operationalizes clinical judgment by guiding clinicians to identify salient risk factors, synthesize evidence for each factor, integrate the pattern of factors (not just sum them), and create a coherent case narrative that justifies the risk conclusion. This method allows for clinical flexibility to handle individual complexity while promoting discipline and transparency to reduce bias.