MDCalc

Short Michigan Alcoholism Screening Test (SMAST)

Screens for alcohol abuse.

This tool should only be used in non-geriatric populations.

Patient feels they are a normal drinker
That they drink less than or the same amount as most people
Spouse or other near relative has worried or complained about patient’s drinking
Patient has ever felt guilty about drinking
Friends/relatives think patient is a normal drinker
Patient is able to stop drinking when they want
Patient has ever attended an Alcoholics Anonymous meeting
Drinking has ever created problems with spouse or other near relative
Patient has gotten into trouble at work because of drinking
Patient has neglected family, obligations, or work for ≥2 days in a row because of drinking
Patient has ever sought help for drinking
Patient has ever been in a hospital because of drinking
Patient has ever been arrested for driving while intoxicated
Patient has ever been arrested for other drunken behavior
Even if only a few hours

Result:

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Advice

Patients with heavy alcohol use should also be screened for other illicit drug use.