Non-gambling specialist services, such as primary care, alcohol and other drug use, and mental health services, are well placed to enhance the identification of people with gambling problems and offer appropriate generalist first level interventions or referral. Given time and resource demands, many of these clinical services may only have the capacity to administer very short screening instruments. This systematic review was conducted to provide a resource for health service providers and researchers in identifying the most accurate brief (1–5 item) screening instruments to identify problem and at-risk gambling for their specific purposes and populations. A systematic search of peer-reviewed and grey literature from 1990 to 2019 identified 25 articles for inclusion. Meta-analysis revealed five of the 20 available instruments met criteria for satisfactory diagnostic accuracy in detecting both problem and at-risk gambling: Brief Problem Gambling Screen (BPGS-2), NODS-CLiP, Problem Gambling Severity Index-Short Form (PGSI-SF), NODS-PERC, and NODS-CLiP2. Of these, the NODS-CLiP and NODS-PERC have the largest volume of diagnostic data. The Lie/Bet Questionnaire and One-Item Screen are also promising shorter options. Because these conclusions are drawn from a relatively limited evidence base, future studies evaluating the diagnostic accuracy of existing brief instruments across settings, age groups, and timeframes are needed.

非赌博专业服务，例如初级保健，饮酒和其他毒品使用以及精神健康服务，可以很好地帮助人们识别有赌博问题的人，并提供适当的通才一级干预或转诊服务。给定时间和资源需求，这些临床服务中的许多服务可能仅具有管理非常短的筛查仪器的能力。进行了这项系统的审查，旨在为医疗服务提供者和研究人员提供资源，以识别最准确的简短（1-5项）筛查工具，以针对特定目的和人群识别问题和高风险赌博。对1990年至2019年经过同行评审和灰色文献的系统搜索，确定了25篇文章被收录。荟萃分析显示，在可用于检测问题和高风险赌博的20种可用工具中，有五种符合令人满意的诊断准确性标准：简短问题赌博屏幕（BPGS-2），NODS-CLiP，问题赌博严重性指数-短表格（PGSI- SF），NODS-PERC和NODS-CLiP2。其中，NODS-CLiP和NODS-PERC具有最大量的诊断数据。谎言/赌注调查表和单项屏幕也有望成为更短的选择。由于这些结论是从相对有限的证据基础中得出的，因此需要对跨环境，不同年龄组和不同时间范围的现有简要仪器的诊断准确性进行评估的未来研究。和NODS-CLiP2。其中，NODS-CLiP和NODS-PERC具有最大量的诊断数据。谎言/赌注调查表和单项屏幕也有望成为更短的选择。由于这些结论是从相对有限的证据基础中得出的，因此需要对跨环境，不同年龄组和不同时间范围的现有简要仪器的诊断准确性进行评估的未来研究。和NODS-CLiP2。其中，NODS-CLiP和NODS-PERC具有最大量的诊断数据。谎言/赌注调查表和单项屏幕也有望成为更短的选择。由于这些结论是从相对有限的证据基础中得出的，因此需要对跨环境，不同年龄组和不同时间范围的现有简要仪器的诊断准确性进行评估的未来研究。