AUDIT Scoring: Clinician use only

Download page Download PDF

The number in the column of each response circled by the client should be entered by the scorer in the extreme right-hand column. All responses should be added and recorded in the Total box.

Risk level AUDIT score* Intervention
Zone I: Low risk 0 to 7 Alcohol education
Zone II: Hazardous 8 to 15 Simple advice and patient education materials
Zone III: Harmful 16 to 19 Simple advice plus brief counselling and ongoing monitoring
*The cut-off score may vary slightly depending on the country’s drinking patterns, the alcohol content of standard drinks, and the nature of the screening program. Clinical judgement should be exercised in cases where the patient’s score is not consistent with other evidence, or if the patient has a prior history of alcohol dependence. It may also be instructive to review the patient’s responses to individual questions dealing with dependence symptoms (Questions 4, 5 and 6) and alcohol-related problems (Questions 9 and 10). Provide the next highest level of intervention to patients who score 2 or more on Questions 4, 5 and 6, or 4 on Questions 9 or 10.

Source: Babor, TF, Higgins-Biddle, JC, Saunders, JB, & Monteiro, MG. (2001). The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care, Second Edition. Geneva, Switzerland: World Health Organisation, Department of Mental Health and Substance Dependence.