TY - JOUR T1 - Alice In Actuarial-Land: Through the Looking Glass of Changing Static-99 Norms JF - Journal of the American Academy of Psychiatry and the Law Online JO - J Am Acad Psychiatry Law SP - 400 LP - 406 VL - 38 IS - 3 AU - Shoba Sreenivasan AU - Linda E. Weinberger AU - Allen Frances AU - Sarah Cusworth-Walker Y1 - 2010/09/01 UR - http://jaapl.org/content/38/3/400.abstract N2 - The Static-99, an actuarial rating method, is employed to conduct sexual violence risk assessment in legal contexts. The proponents of the Static-99 dismiss clinical judgment as not empirical. Two elements must be present to apply an actuarial risk model to a specific individual: sample representativeness and uniform measurement of outcome. This review demonstrates that both of these elements are lacking in the normative studies of the Static-99 and its revised version, the Static-99R. Studies conducted since the publication of the Static-99 have not replicated the original norms. Sexual recidivism rates for the same Static-99 score vary widely, from low to high, depending on the sample used. A hypothetical case example is presented to illustrate how the solitary application of the Static-99 or Static-99R recidivism rates to the exclusion of salient clinical factors for identifying sexual dangerousness can have serious consequences for public safety. ER -