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Short Michigan Alcoholism Screening Test (SMAST)
13-item screen for an alcohol use disorder.
Short Michigan Alcoholism Screening Test (SMAST)
Do you feel you are a normal drinker?
Do those close to you ever worry or complain about your drinking?
Do you ever feel guilty about your drinking?
Do friends or relatives think you are a normal drinker?
Are you able to stop drinking when you want to?
Have you ever attended a meeting of Alcoholics Anonymous?
Has drinking ever created problems between you and someone close to you?
Have you ever gotten into trouble at work because of drinking?
Have you neglected obligations, family, or work for two or more days due to drinking?
Have you ever sought help about your drinking?
Have you ever been hospitalized because of drinking?
Have you been arrested for drunk driving or driving after drinking?
Have you been arrested for other drunken behaviour?
Result0 points
No evidence of an alcohol problem.
- Category
- No evidence of an alcohol problem
When to use
- Brief screening for a likely alcohol use disorder.
Formula
One point for each response indicating a problem across 13 items (items 1, 4, and 5 score for 'No'; the rest for 'Yes'). 0-1 no problem, 2 possible, >=3 probable alcohol use disorder.
Pearls and pitfalls
- A positive screen warrants a fuller diagnostic assessment; it is not itself diagnostic.