[Early detection of alcohol use: discuss alcohol use to prevent damage]

Health professionals do not routinely ask patients about alcohol use, although it is associated with a range of somatic and psychological problems. Therefore, alcohol use may not be recognized as the cause of a health problem, which may result in worsening of the situation, incorrect diagnosis or incorrect treatment. This is illustrated by three cases from different clinical practices: the emergency department, the hospital ward and the general practice.

Several factors, such as time limitations and provider beliefs, can hinder asking about and discussing alcohol use.

By discussing alcohol use, patients with alcohol-related problems can receive information and guidance to prevent further harm. Motivational interventions can be effective, but shorter interventions, such as a short feedback conversation, can also contribute to awareness and change in alcohol consumption. Adequate registration and hand-over, and referral and follow up agreements between institutions can improve continuity of care.