RT Journal Article SR Electronic T1 Actuarial risk assessment models: a review of critical issues related to violence and sex-offender recidivism assessments JF Journal of the American Academy of Psychiatry and the Law Online JO J Am Acad Psychiatry Law FD American Academy of Psychiatry and the Law SP 438 OP 448 VO 28 IS 4 A1 S Sreenivasan A1 P Kirkish A1 T Garrick A1 LE Weinberger A1 A Phenix YR 2000 UL http://jaapl.org/content/28/4/438.abstract AB Risk assessment in the area of identification of violence has been dichotomized by several prominent researchers as the "clinical approach" versus the "actuarial method". The proponents of the actuarial approach argue for actuarially derived decisions to replace existing clinical practice. The actuarial method requires no clinical input, just a translation of the relevant material from the records to calculate the risk score. A risk appraisal approach based upon a sole actuarial method raises several questions: those of public safety, peer-accepted standards of practice, liability issues, and concordance with evidence-based medicine practice. We conclude that the sole actuarial approach fails to satisfy these critical issues.