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Alcohol and Alcoholism Vol. 37, No. 5, pp. 444-450, 2002
© 2002 Medical Council on Alcohol

A COMPARISON OF ALCOHOL SCREENING INSTRUMENTS AMONG UNDER-AGED DRINKERS TREATED IN EMERGENCY DEPARTMENTS

Thomas M. Kelly1,*, John E. Donovan1, Janet M. Kinnane1,2 and David M. C. D. Taylor3

1 University of Pittsburgh School of Medicine, Pittsburgh,
2 Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA and
3 Royal Melbourne Hospital, Victoria, Australia

Received 19 September 2001; first review notified 1 February 2002; accepted 17 February 2002

— Aims: Few studies have examined the adequacy of adult-validated alcohol screening measures when used with adolescents and young adults. A total of 103 subjects (55 males, 48 females) participated in a study of alcohol use among under-aged drinkers conducted in two emergency departments. Methods: Participants completed three brief screening instruments for problematic alcohol use: the Alcohol Use Disorders Identification Test (AUDIT); a modified version of the TWEAK; and the CAGE. Results and Conclusions: Missing data on the TWEAK, lower internal consistency for the TWEAK and CAGE, and the better ability of the AUDIT to differentiate problem drinkers from non-problem drinkers, suggest that the AUDIT performs best in screening for problematic alcohol use among under-aged drinkers treated in emergency departments.


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