title: The effect of discordance among violence and general recidivism risk estimates on predictive accuracy.
abstract: BACKGROUND
  Previous research has shown that the prediction of short-term inpatient violence is negatively affected when clinicians' inter-rater agreement is low and when confidence in the estimate of risk is low. This study examined the effect of discordance between risk assessment instruments used to predict long-term general and violence risk in offenders.
  
  
  METHODS
  The Psychopathy Checklist - Revised (PCL-R), Level of Service Inventory - Revised (LSI-R), Violence Risk Appraisal Guide (VRAG), and the General Statistical Information on Recidivism (GSIR) were the four risk-prediction instruments used to predict post-release general and violent recidivism within a sample of 209 offenders.
  
  
  RESULTS
  The findings lend empirical support to the assumption that predictive accuracy is threatened where there is discordance between risk estimates. Discordance between instruments had the impact of reducing predictive accuracy for all instruments except the GSIR. Further, the influence of discordance was shown to be greater on certain instruments over others. Discordance had a moderating effect on both the PCL-R and LSI-R but not on the VRAG and GSIR.
  
  
  CONCLUSIONS
  There is a distinct advantage when attempting to predict recidivism to employing measures such as the LSI-R, which includes dynamic variables and intervention-related criminogenic domains, over a measure purely of fixed characteristics, such as the GSIR; however, if there is discordance between the risk estimates, caution should be exercised and more reliance on the more static historically based instrument may be indicated.
authors.affiliation: Psychology Department, Bath Institution, Bath, Ontario, Canada. Millsjf@csc-scc.gc.ca
authors.forename: Jeremy F
authors.initials: JF
authors.lastname: Mills
authors.forename: Daryl G
authors.initials: DG
authors.lastname: Kroner
mesh_terms: D000293:Adolescent; D000328:Adult; D000987:Antisocial Personality Disorder / Q000175:diagnosis / Q000453:epidemiology*; D003299:Cooperative Behavior; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D014754:Violence