1. Have you used drugs other than those required for medical
reasons?
2. Have you abused prescription drugs?
3. Do you abuse more than one drug at a time?
4. Can you get through the week without using drugs
(other than those required for medical reasons)?
5. Are you always able to stop using drugs when you
want to?
6. Do you abuse drugs on a continuous basis?
7. Do you try to limit your drug use to certain situations?
8. Have you had "blackouts" or "flashbacks" as
a result of drug use?
9. Do you ever feel bad about your drug abuse?
10. Does your spouse (or parents) ever complain about
your involvement with drugs?
11. Do your friends or relatives kw or suspect you
abuse drugs?
12. Has drug abuse ever created problems between you
and your spouse?
13. Has any family member ever sought help for problems
related to your drug use?
14. Have you ever lost friends because of your use
of drugs?
15. Have you ever neglected your family or missed work
because of your use of drugs?
16. Have you ever been in trouble at work because of
drug abuse?
17. Have you ever lost a job because of drug abuse?
18. Have you gotten into fights when under the influence
of drugs?
19. Have you ever been arrested because of unusual
behavior while under the influence of drugs?
20. Have you ever been arrested for driving while under
the influence of drugs?
21. Have you engaged in illegal activities to obtain
drugs?
22. Have you ever been arrested for possession of illegal
drugs?
23. Have you ever experienced withdrawal symptoms as
a result of heavy drug intake?
24. Have you had medical problems as a result of your
drug use (e.g., memory loss, hepatitis, convulsions, or bleeding)?
25. Have you ever gone to anyone for help for a drug
problem?
26. Have you ever been in hospital for medical problems
related to your drug use?
27. Have you ever been involved in a treatment program
specifically related to drug use?
28. Have you been treated as an outpatient for problems
related to drug abuse?
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| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| |
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| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| |
|
| yes |
no |
| yes |
no |
| yes |
no |
| yes |
no |
| |
|
Scoring: Each item in bold = 1 point
6 or more = substance
use problem (abuse or dependence)
Reference:
Gavin DR; Ross HE; Skinner HA. Diagnostic
validity of the Drug Abuse Screening Test in the assessment
of DSM-III drug disorders. British Journal of Addiction 84(3): 301-307,
1989. (23 refs.)
Bibliography on DAST
Copy for clinical use