This screening tool consists of frequency of use questions to categorize substance use by adolescent patients into different risk categories. The accompanying resources assist clinicians in providing patient feedback and resources for follow-up.
S2BI asks a single frequency question for past year’s use of the three substances most commonly used by adolescents: tobacco, alcohol, and marijuana. An affirmative response prompts questions about additional types of substances used. For each substance, responses can be categorized into levels of risk. Each risk level maps onto suggested clinical actions summarized on the results screen.
| S2BI Response | Risk Category |
|---|---|
| Never | No Reported Use |
| Once or twice | Lower Risk |
| Monthly+ | Higher Risk |
Tool Validation:
Psychometric properties for the S2BI tool were first described by Levy et al. in 2014.1 S2BI was originally validated in a relatively small study in pediatric medical settings. In a recent study (2023) by Levy and colleagues found a high agreement between S2BI screening results and the criterion standard measure demonstrating additional psychometric validation.2 The findings from this research are consistent with similar research in adults and support the principle of frequency-based screening as a good mechanism for detecting adolescents that are at high risk for substance use disorders.
Developer's JSON Application Programming Interface Available Here. For additional information on how to use this feed and example code, use this form to talk with our development team.
1. Levy, S., Weiss, R., Sherritt, L., Ziemnik, R., Spalding, A., Van Hook, S., & Shrier, L. A. (2014). An electronic screen for triaging adolescent substance use by risk levels. JAMA Pediatrics. 168(9), 822-828. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4270364/
2. Levy S, Brogna M, Minegishi M, Subramaniam G, McCormack J, Kline M, Menzin E, Allende-Richter S, Fuller A, Lewis M, Collins J, Hubbard Z, Mitchell SG, Weiss R, Weitzman E. Assessment of Screening Tools to Identify Substance Use Disorders Among Adolescents. JAMA Netw Open. 2023 May 1;6(5):e2314422. doi: 10.1001/jamanetworkopen.2023.14422. PMID: 37213103; PMCID: PMC10203888.
Intended use: This screening tool is meant to be used under a medical provider’s supervision and is not intended to guide self-assessment or take the place of a healthcare provider’s clinical judgment.
This tool may be administered by either the patient or the clinician. Please indicate the mode of administration:
