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The British Journal of Psychiatry 150: 228-234 (1987)
© 1987 The Royal College of Psychiatrists
JM Rey, JM Plapp, G Stewart, I Richards and M Bashir
Rivendell Adolescent Unit, Royal Prince Alfred Hospital, NSW, Australia.
Three psychosocial variables were rated independently by two clinicians for 140 adolescent referrals to a psychiatric unit. Overall, intraclass correlations for DSM-III Axis IV, Axis V and a psychosocial adversity index (PSAI) were respectively 0.44, 0.58 and 0.68. The main source of unreliability is probably the operational definitions, rather than their application by clinicians; indices similar to the PSAI may be preferable.
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