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A 10-item brief screening instrument adapted for older adults (age ≥ 65) to detect alcohol use disorder. The SMAST-G (Geriatric) version uses age-appropriate language and scenarios more relevant to older adults' drinking context (drinking alone at home, memory issues) where standard CAGE and AUDIT may be less sensitive. Two or more positive responses constitutes a positive screen.
1. When talking with others, do you ever underestimate how much you actually drink?
2. After a few drinks, have you sometimes not eaten or been able to skip a meal because you didn't feel hungry?
3. Does having a few drinks help decrease your shakiness or tremors?
4. Does alcohol sometimes make it hard for you to remember parts of the day or night?
5. Do you usually take a drink to relax or calm your nerves?
6. Do you drink to take your mind off your problems?
7. Have you ever increased your drinking after experiencing a loss in your life?
8. Has a doctor or nurse ever said they were worried or concerned about your drinking?
9. Have you ever made rules to manage your drinking?
10. When you feel lonely, does having a drink help?
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