I would suggest you consider a job change or even a move to another sub-speciality in psychiatry may be easier. If you like medicine a simpler move would be to work in old age dementia ward. It may be life changing. I believe you can join one of the new psychiatric liaison teams based in the general hospital that have started recently to become large teams. I think one or two 12 hour shifts would put you off general medicine. Remember psych really is extremely cushy compared to general medicine. It is cushy. You will notice it when you try to leave. It is not all rosey in other places.
Risk is an interesting one. It may be something of your subspecialty. I have found updating the risk assessment can be helpful in clinic but I pay very little attention to this. It seems to be contains the anxiety of managers when there is a suicide or incident. I thought generally most psychiatrists accept that risk assessment is more Mystic Meg than science. Where I work it is generally accepted you cannot predict risks. When there is high risk I would tend to say this is best managed within community support and psychological support. Sometimes inpatient or crisis team provides containment but rarely it is a cure. I tend to want to keep people out of hospitals if at all possible. The infighting post incident is normally dysfunctional teams.
The very worst system in general adult that I have ever seen is service line system where an assessment team has to decide which speciality team you go to dependent on your diagnosis. Our biomedical diagnostic validity model is very questionable so the system is doomed not to work. If you are in the system I have been there. I found in general adult psychiatry there were too many teams and lots of fighting. After 6 months I learnt that no one really understood it. People where passed around from ward, to crisis teams, to various community teams. I think in this sort of system it is all very paranoid and risk adverse. Its all very sad and hopeless. In the end when I was jaded I found it much easier. If you dont believe in the system it becomes much less stressful. I actually became very sympathetic for people stuck in the system. Or for people that have the wrong cluster of symptoms. Drug use, personality difficulties, difficult childhoods. I had a few people who had vary dubious diagnosis and used this as a defence when they committed crime. It is a small group but the police appeared to think this was a mental health problem. That I was the only thing I never found a way to manage. But actually most people do not need much and its easier when you dont believe in the system. I was told by someone this is good as the depressive position and it is better than the paranoid-schizoid position. I dont know Klein but it always helps me a lot. I rarely worry about risk now and finally got over the system worries I had.
I do not work in the general adult system now. I call it McDonalds. In old age and learning disability teams all new assessments normally go to one team. It is very small so we all know each other. Consultants meet each other and discuss. There is not often splits between inpatient and community teams. I have found become more honest and frank with people that see me. There are trials of things like open dialogue which I'm not sure would work here in my speciality but there are other models used. I think CAMHS is more psychological. Maybe people do formulation type ways of working. Maybe a change will help you rather than a full blow career change to general medicine but if you leave it good luck.