When using the CAGE screening tool, how many affirmative answers indicate a high suspicion of alcoholism?

The CAGE screening tool is a simple yet effective method used to identify potential alcohol use disorders. It consists of four questions that address different aspects of drinking behavior. When a person answers these questions, each affirmative answer indicates a potential concern regarding alcohol consumption.

A high suspicion of alcoholism is typically indicated by three or more affirmative answers. This threshold is established through research and clinical practice, which suggests that individuals who answer affirmatively to three or all four questions are at a significantly higher risk for alcohol dependence. This approach allows healthcare providers to efficiently screen individuals and identify those who may benefit from further assessment or intervention regarding their alcohol use.

In contrast, fewer affirmative answers do not provide enough evidence to raise a strong suspicion of alcoholism, which is why lower counts like one, two, or even no affirmative answers are not indicative of a high risk. Understanding this threshold assists practitioners in making appropriate decisions regarding further evaluation or referral for treatment.