SELF-CHECK · ABOUT 3 MINUTES

Substance Use Risk Self-Check

A few questions to help you reflect on whether substance use is affecting daily life.

This educational self-check is not medical advice, a diagnosis, or a treatment recommendation and cannot replace professional assessment. If there is trouble breathing, loss of consciousness or inability to wake, seizure, hallucinations, or severe confusion, seek local emergency care immediately.

Before you begin

Answer based on your own experience. Questions 1–11 refer to the past 12 months; questions 12–15 refer to the past month. Questions 16–18 describe your current perspective and are not included in the risk total. Your responses are not automatically submitted or saved.

TIMEFRAMEQuestions 1–11: past 12 months

RECENT IMPACTQuestions 12–15: past month

YOUR RESULTA risk signal, not a diagnosis

01Have you often used more, or for longer, than you intended?

No Yes

02Have you wanted to cut down or stop but not been able to?

No Yes

03Have you spent a great deal of time getting, using, or recovering from the effects of a substance?

No Yes

04Have you had a strong craving, urge, or feeling that you had to use?

No Yes

05Has use affected work, study, caring for family, or other important responsibilities?

No Yes

06Have you continued to use despite problems with family, a partner, friends, or colleagues?

No Yes

07Have you reduced or given up important social, work, or recreational activities because of use?

No Yes

08Have you used in situations that could put you or others at risk, such as driving, working at height, operating equipment, or caring for a child?

No Yes

09Have you continued to use even though you knew it worsened a physical or mental-health problem?

No Yes

10Have you needed more to get the same effect, or found the same amount had less effect?

No Yes

11After stopping or reducing use, have you felt unwell and used again to relieve it?

No Yes

12In the past month, how much has use affected work, study, or daily plans?

None Some Marked

13In the past month, how much has use affected family or partner relationships, or meeting responsibilities?

None Some Marked

14In the past month, has use reduced your social contact, interests, or engagement with the outside world?

None Some Marked

15In the past month, has use affected sleep, eating, self-care, or a regular routine?

None Some Marked

16How serious do you think the current use problem is?

0 1 2 3 4 5 6 7 8 9 10

17How willing are you to reduce or stop use?

0 1 2 3 4 5 6 7 8 9 10

18How confident are you that you can reduce or stop use?

0 1 2 3 4 5 6 7 8 9 10

Please answer every question before viewing your result.

Your self-check result

If you answered “Yes” to question 8, avoid use when driving, operating equipment, caring for children, or in other safety-sensitive situations. If you answered “Yes” to question 11, do not stop abruptly without medical guidance; seek urgent care for confusion, seizures, hallucinations, severe vomiting, or marked palpitations.

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参考资料

National Institute on Drug Abuse (NIDA), Questions for Identification of Opioid Use Disorder based on DSM-5.
National Institute on Drug Abuse (NIDA), DSM-5 Substance Use Checklist.
SAMHSA, Screening, Brief Intervention, and Referral to Treatment (SBIRT).