D0718 /09 P1 of Introduction



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D0718 - 8/09 - P1 of 2

Introduction

Because alcohol use can affect health and interfere with certain medications and treatments, it is important that we ask you some questions about your use

of alcohol.  Your answers will remain confidential, so please be as accurate as possible.  Try to answer the questions in terms of ‘standard drinks’.  Please

ask for clarification if required.

Please tick the response that best fits your drinking.

1. How often do you have a drink containing alcohol?

Never


Monthly or

less


2 - 4 times a

month


2 - 3 times a

week


4 or more

times a week

2. How many standard drinks do you have on a typical

day when you are drinking?

3. How often do you have six or more standard drinks

on one occasion ?

4. How often during the last year have you found that

you were not able to stop drinking once you had

started?

Go to Qs


9 & 10

1 or 2


3 or 4

5 or 6


7 to 9

10 or more

Never

Less than



monthly

Monthly


Weekly

Daily or


almost daily

5. How often during the last year have you failed to do

what was normally expected of you because of

drinking?

6. How often during the last year have you needed a

first drink in the morning to get yourself going after

a heavy drinking session?

7. How often during the last year have you had a feeling

of guilt or remorse after drinking?

8. How often during the last year have you been unable

to remember what happened the night before because

you had been drinking?

No

Yes, but not in the



last year

Yes, during the last

year

9. Have you or someone else been injured because of



your drinking?

10. Has a relative, friend, doctor, or other health care

worker been concerned about your drinking or

suggested you cut down?

Do you think you presently have a problem with drinking?

No

Probably



Not

Unsure


Possibly

Definitely

In the next 3 months, how difficult would you find it to

cut down or stop drinking?

Very easy

Fairly easy

Neither

difficult nor



easy

Fairly difficult Very difficult

Score

Sub totals



TOTAL

Alcohol Screen (AUDIT)

Supplementary Questions

AUDIT Questions

This guide contains examples

of one standard drink.

A full strength can or stubbie

contains 

one and a half

standard drinks.

Low Strength Beer

425ml


2.7% Alcohol

Wine


100ml

12% Alcohol




D0718 - 8/09 - P2 of 2

How to score and interpret the AUDIT

The World Health Organization’s Alcohol Use Disorders Identification Test (AUDIT) is a very reliable and simple screening tool which is sensitive to early

detection of risky and high risk (or hazardous and harmful) drinking.  It has three questions on alcohol consumption (1 to 3), three questions on drinking

behaviour and dependence (4 to 6) and four questions on the consequences or problems related to drinking (7 to 10).

The Supplementary Questions do not belong to the AUDIT and are not scored.  They provide useful clinical information associated with the client’s

perception of whether they have an alcohol problem and their confidence that change is possible in the short-term.  They act as an indication of the degree

of intervention required and provide a link to counselling or brief intervention following feedback of the AUDIT score to the client.

Scoring the AUDIT

• The columns in the AUDIT are scored from left to right.

• Questions 1 to 8 are scored on a five-point scale from 0, 1, 2, 3, and 4.

• Questions 9 & 10 are scored on a three -point scale from 0, 2 and 4.

• Record the score for each question in the “score” column on the right, including a zero for questions 2 to 8 if ‘skipped’.

• Record a total score in the “TOTAL” box at the bottom of the column.  The maximum score is 40.

Consumption score

Add up questions 1 to 3 and place this sub-score in the adjacent single box in the far right column (maximum score possible = 12).  A score of 6 or 7

may indicate a risk of alcohol-related harm, even if this is also the total score for the AUDIT (e.g. consumption could be over the recommended weekly intake

of 28 for men and 14 for females in the absence of scoring on any other questions).  Drinking may also take place in dangerous situations (e.g. driving,

fishing/boating).  Scores of 6 to 7 may also indicate potential harm for those groups more susceptible to the effects of alcohol, such as young people, women,

the elderly, people with mental health problems and people on medication.  Further inquiry may reveal the necessity for harm reduction advice.

Dependence score

Add up questions 4 to 6 and place this sub-score in the adjacent single box in the far right column (maximum score possible = 12).  In addition to the

total AUDIT score, a secondary ‘dependence’ score of 4 or more as a subtotal of questions 4 to 6, suggests the possibility of alcohol dependence (and

therefore the need for more intensive intervention if further assessment confirms dependence).

Alcohol-related problems score

Any scoring on questions 7 to 10 warrants further investigation to determine whether the problem is of current concern and requires intervention.

AUDIT Total score

Dependence score

Risk level

Possible Interventions

0 - 7

below 4


Low-risk

8 - 15


below 4

Risky or hazardous level.

Moderate risk of harm.  May include

some clients currently experiencing

harm (especially those who have

minimised their reported intake and

problems).

• Brief Intervention

- feedback of AUDIT and harm reduction advice may be 

sufficient

Ideally also:

- setting goals and limits

- a motivational interview

- self-monitoring of drinking

- use of “The Right Mix” self-help guide

• Counselling may be required.

4 or more

Assess for dependency

16 - 19

below 4


High-risk or harmful level.

Drinking that will eventually result

in harm, if not already doing so.

May be dependent.

• Brief Intervention (all components) is a minimum requirement.

• Assessment for more intensive intervention.

• Counselling using CBT principles and motivational interviewing

in individual sessions and/or in groups.

• Follow-up and referral where necessary.

4 or more

Assess for dependence

20 or more

below 4

High-risk



Definite harm, also likely to be

alcohol dependent.  Assess for

dependence.

• Further assessement preferably including family and significant

others.

• More intensive counselling and/or group program.



• Consider referral to medical or specialist services for withdrawal

management.

• Pharmacotherapy to manage cravings.

• Relapse prevention, longer-term follow-up and support.

4 or more

Almost certainly dependent.

Assess for dependency.

• Use ‘Right Mix’ materials to reinforce low-risk drinking, 

particularly for those who previously had alcohol problems 

or whose circumstances may change.

• Harm reduction advice may be appropriate for those in 

susceptible groups (see ‘Consumption Score’ above).



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