The DAST Test

Printable Version

Directions: The following questions concern information about your involvement with drugs.

Drug abuse refers to:

  1. The use of prescribed or “over-the-counter” drugs in excess of the directions
  2. Any non-medical use of drugs.

Consider the past year (12 months) and carefully read each statement. Then decide whether your answer is YES or NO and check the appropriate space.

Please be sure to answer every question. YES NO

1.    Have you used drugs other than those required for medical reasons?

___Yes ___No

2.    Have you abused prescription drugs?

___Yes ___No

3.    Do you abuse more than one drug at a time?

___Yes ___No

4.    Can you get through the week without using drugs (other than those required for medical reasons)?

___Yes ___No

5.    Are you always able to stop using drugs when you want to?

___Yes ___No

6.    Do you abuse drugs on a continuous The Drug Abuse Screening Test (DAST) basis?

___Yes ___No

7.    Do you try to limit your drug use to certain situations?

___Yes ___No

8.    Have you had “blackouts” or “flashbacks” as a result of drug use?

___Yes ___No

9.     Do you ever feel bad about your drug abuse?

___Yes ___No

10.  Does your spouse (or parents) ever complain about your involvement with drugs?

___Yes ___No

11.   Do your friends or relatives know or suspect you abuse drugs?

___Yes ___No

12.  Has drug abuse ever created problems between you and your spouse?

___Yes ___No

13.  Has any family member ever sought help for problems related to your drug use?

___Yes ___No

14.  Have you ever lost friends because of your use of drugs?

___Yes ___No

15.  Have you ever neglected your family or missed work because of your use of drugs?

___Yes ___No

16.  Have you ever been in trouble at work because of drug abuse?

___Yes ___No

17.  Have you ever lost a job because of drug abuse?

___Yes ___No

18.  Have you gotten into fights when under the influence of drugs?

___Yes ___No

19.  Have you ever been arrested because of unusual behavior while under the influence of drugs?

___Yes ___No

20. Have you ever been arrested for driving while under the influence of drugs?

___Yes ___No

21.  Have you engaged in illegal activities in order to obtain drug?

___Yes ___No

22.  Have you ever been arrested for possession of illegal drugs?

___Yes ___No

23.  Have you ever experienced withdrawal symptoms as a result of heavy drug intake?

___Yes ___No

24.  Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)?

___Yes ___No

25.  Have you ever gone to anyone for help for a drug problem?

___Yes ___No

26.  Have you ever been in a hospital for medical problems related to your drug use?

___Yes ___No

27. Have you ever been involved in a treatment program specifically related to drug use?

___Yes   ___No

28. Have you been treated as an outpatient for problems related to drug abuse?

___Yes ___No

 

Scoring and interpretation:

A score of “1” is given for each YES response, except for items 4,5, and 7, for which a NO response is given a score of “1.”

Based on data from a heterogeneous psychiatric patient population, cutoff scores of 6 through 11 are considered to be optimal for screening for substance use disorders.

Using a cutoff score of 6 has been found to provide excellent sensitivity for identifying patients with substance use disorders as well as satisfactory specificity (i.e., identification of patients who do not have substance use disorders).

Using a cutoff score of <11 somewhat reduces the sensitivity for identifying patients with substance use disorders, but more accurately identifies the patients who do not have a substance use disorders.

Over 12 is definitely a substance abuse problem. In a heterogeneous psychiatric patient population, most items have been shown to correlate at least moderately well with the total scale scores. The items that correlate poorly with the total scale scores appear to be items 4,7,16,20, and 22.