Differential privacy (DP) is a widely used approach for mitigating privacy risks when training machine learning models on sensitive data. DP mechanisms add noise during training to limit the risk of information leakage. The scale of the added noise is critical, as it determines the trade-off between privacy and utility. The standard practice is to select the noise scale in terms of a privacy budget parameter $\epsilon$. This parameter is in turn interpreted in terms of operational attack risk, such as accuracy, or sensitivity and specificity of inference attacks against the privacy of the data. We demonstrate that this two-step procedure of first calibrating the noise scale to a privacy budget $\epsilon$, and then translating $\epsilon$ to attack risk leads to overly conservative risk assessments and unnecessarily low utility. We propose methods to directly calibrate the noise scale to a desired attack risk level, bypassing the intermediate step of choosing $\epsilon$. For a target attack risk, our approach significantly decreases noise scale, leading to increased utility at the same level of privacy. We empirically demonstrate that calibrating noise to attack sensitivity/specificity, rather than $\epsilon$, when training privacy-preserving ML models substantially improves model accuracy for the same risk level. Our work provides a principled and practical way to improve the utility of privacy-preserving ML without compromising on privacy.