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Brief Screening Instruments for Risky Drinking in the Outpatient Psychiatry Clinic
Author(s) -
Hill Kevin P.,
Chang Grace
Publication year - 2007
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1080/10550490701375525
Subject(s) - alcohol use disorders identification test , audit , psychiatry , medicine , alcohol abuse , gold standard (test) , outpatient clinic , family medicine , poison control , medical emergency , injury prevention , management , economics
In this pilot study, we compared two brief screening instruments, the T‐ACE (Tolerance, Annoyed, Cut down, Eye‐opener) and the Alcohol Use Disorders Identification Test (AUDIT), with a clinician interview and structured clinical interview (SCID) to determine if they improved identification of risky drinking in a psychiatry clinic compared to clinician interviews. Sixteen of 50 subjects satisfied DSM‐IV criteria for lifetime alcohol abuse or dependence on the SCID, and four, all T‐ACE positive, were listed “correctly” in the chart as having an alcohol problem. With an SCID gold standard, risky drinking was identified with sensitivities and specificities of 0.88 and 0.59 for the T‐ACE and 0.63 and 0.85 for the AUDIT. Brief screening instruments improved the identification of risky drinking in a psychiatry clinic.