This study examines the predictive validity of the Structured Assessment of Violence Risk in Youth (SAVRY) by examining relationships between SAVRY scores and violent reoffending during a 3-year period after sentencing. Two types of sentences were studied: a mandatory treatment order (N = 77) and a juvenile prison sentence (N = 40). The predictive validity of the SAVRY was significant for the two types of sentences. The predictive validity of the unstructured clinical judgment proved to be not significant. Support was found for the hypothesis that the juvenile court's sentence (treatment versus detention) might have been influenced by the unstructured clinical risk assessment of the mental health experts, even though this assessment is a poor predictor of violent reoffending.