Silence Hurts
Alcohol Abuse and Violence Against Women

Supplements

General Alcohol Screening Questions

1. Now I would like to ask you some questions about your use of alcoholic beverages, such as beer, wine, wine coolers, or hard liquor like vodka, gin, or whiskey. Have you had a drink of alcohol in the past year?
  • No (interview ends) - 1
  • Yes (skip to 2) - 5
  • Unable to answer (interview ends) - 8
  • Refused to answer - 9
 ___
2. During the last 3 months, on average, how many days per week did you have an alcoholic beverage? (answers range from 0 to 7 only) ___
3.

During the last 3 months, on average, how many drinks did you consume on a day that you drank?

 ___
4.

During the last 3 months, on days that you drank any alcohol, how many times did you drink four or more drinks in one day?

 ___

Note:

This screen will be considered positive if a patient exceeds seven drinks per week (determined by multiplying the response to question #2 by the response to question #3). The screen will also be considered positive if the patient has had more than two binge episodes in the prior 3 months (response to question #4 >2). A positive screen indicates the need to proceed with a more indepth assessment of patients' drinking and possible alcohol-related problems.

Source: Barry, K.L., Oslin, D.W., and Blow, F.C. (2001). Alcohol problems in older adults: Prevention and management. New York: Springer Publishing.

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