Two hundred and forty new medical inpatients received Alcohol Use Disorders Identification Test (AUDIT), CAGE and brief Michigan Alcoholism Screening Test (brief MAST) questionnaires. Sensitivities when identifying weekly drinkers of > 14 units (women) or > 21 units (men) were 93, 79 and 35%, respectively (P < 0.001). Sensitivities to > 21 units (women) or > 28 units (men were 100%, 94% and 47%. Routine screening of medical admissions with the AUDIT (cut-off score 8) is recommended.

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A 32-year-old chronically relapsing depressed male patient with a mild mental handicap had tried different forms of pharmacotherapy which were either not tolerated or failed to prevent recurrences of episodes of psychotic depression. The use of maintenance ECT as the mainstay of the therapeutic regime led to a marked consistent clinical improvement.

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