Alcohol rating scales

Question 1

CAGE questions

Answer 1

1. have you ever felt like cutting down on your drinking?
2. Have annoyed you or criticised you for drinking?
3. Have you ever felt bad or guilty about your drinking?
4. Have you ever had a drink first thing in the morning ?(eye opener)
   One positive answer raises suspicion of an alcohol problem
   A score of 2 is highly suggestive of an alcohol problem
   Takes less than 1 minute to administer

Question 2

AUDIT

Answer 2

Alcohol Use Disorders Identification Test

• 10 item questionnaire
• score of 8 or more indicates the person is drinking harmfully
• score of 13 in women or 15 in men is dependency
• recommended by WHO for primary care

Question 3

MAST

Answer 3

Michigan Alcohol Screening Test

• self report 25 item test of yes/ no answers
• score of 3-5 may be problem drinking
• 6+ is problem drinking
• variants on test available

Question 4

CIWA

Answer 4

Clinical Institute Withdrawal Assessment for Alcohol

• used for ETOH withdrawal
• 10 items
• total 67
• 10 items
• 9 items can be scored 0-7, one can be scored 0-4