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🍷 SMAST-G Geriatric Alcohol Screen

UseWhen to use: geriatric primary care, ED, or pre-op alcohol risk screening.

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StrataPositive screen warrants fuller AUD assessment — not a diagnosis by itself.

LimitsWhen not to use: as the sole severity measure of dependence. · Pitfall: skipping quantity questions after a positive screen. · Medications and falls risk amplify alcohol harm in elders.

SourceBlow FC, et al. SMAST-G geriatric alcohol screening

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.

Methodology · worked example, guidelines & full notes
Clinical takeaway

Cutoff ≥2.

When to use

When to use: geriatric primary care, ED, or pre-op alcohol risk screening.

How it works

Ten yes/no items; score = number of yes answers. ≥2 = positive screen.

Key points

  • Cutoff ≥2.
  • Geriatric-specific wording.
  • Next: AUDIT-C / SBIRT pathways.

References

  • Blow FC, et al. SMAST-G geriatric alcohol screening
  • China elderly health / substance use guidance on zh when cited

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

When talking with others, do you ever underestimate how much you drink?No
After a few drinks, have you sometimes not eaten or been able to skip a meal?No
Does having a drink help you sleep?No
In the last year, have you had a drink first thing in the morning to get going?No
Have you ever had memory loss after drinking?No
Have you used alcohol to quiet nerves or ease loneliness?No
Have drinking caused you to feel depressed?No
Have you made rules to manage your drinking?No
When you feel lonely, does having a drink help?No
Have you had a drink after getting up and before breakfast?No

→SMAST-G0/10

  • Screen：Negative (<2)
When talking with others, do you ever underestimate how much you drink?Yes
After a few drinks, have you sometimes not eaten or been able to skip a meal?Yes
Does having a drink help you sleep?Yes
In the last year, have you had a drink first thing in the morning to get going?Yes
Have you ever had memory loss after drinking?Yes
Have you used alcohol to quiet nerves or ease loneliness?Yes
Have drinking caused you to feel depressed?Yes
Have you made rules to manage your drinking?Yes
When you feel lonely, does having a drink help?Yes
Have you had a drink after getting up and before breakfast?Yes

→SMAST-G10/10

  • Screen：Positive (≥2) — needs fuller alcohol assessment
Verification & sources · governance
FAQ

Frequently asked questions

Does SMAST-G Geriatric Alcohol Screen upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is SMAST-G Geriatric Alcohol Screen calculated in practice? Can you show a worked example?
Inputs: When talking with others, do you ever underestimate how much you drink? No, After a few drinks, have you sometimes not eaten or been able to skip a meal? No, Does having a drink help you sleep? No, In the last year, have you had a drink first thing in the morning to get going? No, Have you ever had memory loss after drinking? No, Have you used alcohol to quiet nerves or ease loneliness? No, Have drinking caused you to feel depressed? No, Have you made rules to manage your drinking? No… → Result: SMAST-G 0 /10（Screen: Negative (<2)） Inputs: When talking with others, do you ever underestimate how much you drink? Yes, After a few drinks, have you sometimes not eaten or been able to skip a meal? Yes, Does having a drink help you sleep? Yes, In the last year, have you had a drink first thing in the morning to get going? Yes, Have you ever had memory loss after drinking? Yes, Have you used alcohol to quiet nerves or ease loneliness? Yes, Have drinking caused you to feel depressed? Yes, Have you made rules to manage your drinking? Yes… → Result: SMAST-G 10 /10（Screen: Positive (≥2) — needs fuller alcohol assessment）
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