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Alcohol Withdrawal Scales
Abbreviation Scale Name Brief Description Primary Use
ASSIST Alcohol, Smoking
and Substance
Involvement
Screening Test
8 items
Interview format
Alcohol use screen
AUDIT Alcohol Use
Disorder
Identification Test
10 items Alcohol use screen,
Risk of alcohol
withdrawal
AUDIT-PC AUDIT-Picinelli
Consumption
10 items
Range 0–19
Alcohol use screen,
Risk of alcohol
withdrawal
AWS Alcohol
Withdrawal Scale
11 items
Based on CIWA-A
In German
Risk of delirium
AWS -
Newcastle
Alcohol
Withdrawal Scale
10 items
Based on CIWA
Withdrawal
Severity
BAWS Brief Alcohol
Withdrawal Scale
5 items
Scored 0–3
Withdrawal
severity
CAM-ICU Confusion
Assessment
Method
XXX Confusion
CIWA-Ar Clinical Institute
Withdrawal
Assessment,
Revised
10 items Symptom
Assessment Scale
DDS Delirium Detection
Scale
Delirium Detection Scale Delirium
GMAWS Glasgow
Modified Alcohol
Withdrawal Scale
5 items
Scored 0–2 with max
score of 10
Withdrawal
severity
Flowcharts
