This is a more detailed questionnaire than the CAGE Questions. It has been developed by the World Health Organisation as a simple screening tool to pick up the early signs of hazardous and harmful drinking and identify mild dependence.
- Begin the AUDIT by saying “Now I am going to ask you some questions about your use of alcoholic drinks during this past year.”
- Read the questions as written. Record answers carefully.
- Explain what is meant by “alcoholic drinks” by using local examples of beer, wine, vodka, etc.
- Code answers in terms of “standard drinks”. Select the correct answer number in the box on the right.
The calculator has been created from the questionnaire in Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG; The Alcohol Use Disorders Identification Test, Guidelines for Use in Primary Care, Second Edition, Department of Mental Health and Substance Dependence, World Health Organization, CH-1211 Geneva 27, Switzerland. ©World Health Organization 2001, reproduced here with permission.
AUDIT was tested on a sample of 913 drinking patients, and has 92% sensitivity and specificity of 94% using the ≥8/40 threshold.
AUDIT-C (shortened form)
The AUDIT-C is a shortened version of the above using the first 3 questions only. Using a cut off ≥4 the Audit-C has a sensitivity of 86% of patients with heavy drinking and/or active alcohol abuse or dependence with a specificity of 72%. Using a cutoff of ≥3, AUDIT-C identifies 90% of patients with active alcohol abuse or dependence and 98% of patients with heavy drinking, (specificity was only 60%, false-positive rate 40%). 
It is recommended a score of ≥3 or more points on the AUDIT-C, or a report of drinking 6 or more drinks on one occasion ever in the last year, should lead to a more detailed assessment of drinking and related problems (ie completion of the full questionnaire).
Further reading & references
- The AUDIT (Alcohol Use Disorders Identification Test) questionnaire, World Health Organization
- Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG; The Alcohol Use Disorders Identification Test, Guidelines for Use in Primary Care, Second Edition, Department of Mental Health and Substance Dependence, World Health Organization.
- Saunders JB, Aasland OG, Babor TF, et al; Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction. 1993 Jun;88(6):791-804.
- Bush K, Kivlahan DR, McDonell MB, et al; The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998 Sep 14;158(16):1789-95.
- Bradley KA, DeBenedetti AF, Volk RJ, et al; AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol Clin Exp Res. 2007 Jul;31(7):1208-17. Epub 2007 Apr 19.
|Original Author: Dr Huw Thomas||Current Version: Dr Huw Thomas|
|Last Checked: 26/10/2010||Document ID: 9152 Version: 12||© EMIS|
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