Document ID: chunk:federal_register_of_legislation:F2018C00652:reg:7
Version: federal_register_of_legislation:F2018C00652
Segment Type: reg
Provision Reference: reg 7
Character Range: 3752–6553

7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about alcohol use disorder and death from alcohol use disorder.
Meaning of alcohol use disorder
(2)          For the purposes of this Statement of Principles, alcohol use disorder means a disorder of mental health meeting the following diagnostic criteria (derived from DSM-5):
          A problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by at least four of the following, occurring within a 12-month period:
              1. Alcohol is often taken in larger amounts or over a longer period than was intended.
               2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
               3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
              4. Craving, or a strong desire or urge to use alcohol.
               5. Recurrent alcohol use resulting in a failure to fulfil major role obligations at work, school, or home.
               6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.
              7. Important social, occupational or recreational activities are given up or reduced because of alcohol use.
              8. Recurrent alcohol use in situations in which it is physically hazardous.
              9. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol.
             10. Tolerance, as defined by either of the following:
                (i)       a need for markedly increased amounts of alcohol to achieve intoxication or desired effect; or
                (ii)     a markedly diminished effect with continued use of the same amount of alcohol.
             K.            Withdrawal, as manifested by either of the following:
                (i)       the characteristic withdrawal syndrome for alcohol; or
                (ii)     alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve or avoid withdrawal symptoms.
          The definition of alcohol use disorder excludes acute alcohol intoxication in the absence of alcohol use disorder.

Note: DSM-5 is defined in the Schedule 1 – Dictionary.
Death from alcohol use disorder
(3)          For the purposes of this Statement of Principles, alcohol use disorder, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's alcohol use disorder.
Note: terminal event is defined in the Schedule 1 – Dictionary.