ASSIST Screening Test (WHO) – Alcohol, Smoking and Substance Involvement | PsychKit

ASSIST Screening Test (WHO) – Alcohol, Smoking and Substance Involvement | PsychKit

ASSIST Screening Test (WHO)

Alcohol, Smoking and Substance Involvement. Instant per‑substance risk with color bands. Private, free, autosave, and shareable link.

If you or someone is in immediate danger, contact local emergency services now.

Numbers can change. Please verify before calling. More countries at Get Support. Use the button above to open numbers for major English speaking countries plus India, Singapore, Canada, and Ireland.

How it works

  1. Step 1 – mark any substances you have ever used.
  2. Step 2 – for each one, answer past 3 months questions. If “Never” in past 3 months, you still answer the concern and cut‑down questions.
  3. Step 3 – tap “Score now” to see your risk by substance. Alcohol has different cutoffs. Injecting is highlighted but not counted in the score.

Scoring follows WHO ASSIST v3.0. Alcohol: low 0‑10, moderate 11‑26, high 27+. Others including tobacco: low 0‑3, moderate 4‑26, high 27+. Tobacco excludes the “failed to do what was expected” item from the score.

Step 1 – Lifetime use

In your life, which of the following substances have you ever used? (NON-MEDICAL USE ONLY). Check all that apply. If none, you can still scroll down to learn and find help.

About ASSIST

The Alcohol, Smoking and Substance Involvement Screening Test was developed by the World Health Organization to identify risky or harmful substance use and possible substance use disorders in primary care and other settings. ASSIST asks about lifetime use and past 3 months patterns across tobacco, alcohol, cannabis, cocaine, amphetamine‑type stimulants, inhalants, sedatives, hallucinogens, opioids, and other drugs. Each substance gets a score that falls into low, moderate, or high risk. Alcohol uses a different low‑risk range than other substances.

FAQ

What do the risk levels mean?
Low risk means general advice and monitoring. Moderate risk suggests a brief conversation with a clinician to plan changes. High risk suggests you should consider a referral to specialist care.
Why is alcohol scored differently?
The WHO manual uses 0‑10 for low risk alcohol and 11‑26 for moderate. All other substances including tobacco use 0‑3 for low and 4‑26 for moderate. 27+ is high for any substance.
Do I answer all questions for tobacco?
Tobacco skips the “failed to do what was expected” item in scoring. The form shows this automatically.
Are my answers stored?
No. Everything runs in your browser. Your choices auto save to your device. The shareable link encodes your data in the URL hash. Our servers do not store it.
Can this diagnose addiction?
No. ASSIST is a screen. If you have concerns, talk with a licensed clinician.
What if I used a substance long ago but not lately?
You still answer the concern and cut‑down questions for substances you ever used. The tool handles the skip logic for other items.

Privacy and disclaimer

  • Everything runs in your browser. Inputs auto save to your device. We do not collect or store your answers. You can save the link to your results.
  • Test is provided for educational and entertainment use only. It is not psychological advice and comes with no guarantee of accuracy or validity. Assessment is free and anonymous.
  • Any damages by use of tests we (PsychKit, Joyful Psych and subsidiaries) are not accountable to. The tools are for screening and not for diagnosis and it can only be done by a licensed clinical psychologist or psychologist licensed to practice in your country, state, or province.
  • If you need support, visit Get Support.

References and credits

  • World Health Organization. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): Manual for use in primary care, v3.0. © WHO. Used with credit. See WHO page for licensing and permissions.
  • WHO ASSIST response and feedback cards v3.0. Scoring thresholds by substance and skip rules for tobacco are drawn from the official materials.
  • Validation studies support reliability and validity across settings and age groups. See peer‑reviewed work by the WHO ASSIST Working Group and others.
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Emergency and crisis numbers

If you or someone is in immediate danger, contact local emergency services. Numbers can change. Please verify. More countries: Get Support.

India

14416 Tele‑MANAS

Singapore

1767 Samaritans of Singapore

National mindline 1771

Canada

9‑8‑8 Suicide Crisis Helpline

Ireland

116 123 Samaritans

1800 247 247 Pieta

United States

988 Suicide and Crisis Lifeline

United Kingdom

116 123 Samaritans

NHS 111 for urgent mental health

Australia

13 11 14 Lifeline

New Zealand

1737 Call or text