In the SCOFF eating disorder assessment, how many positive answers indicate a potential eating disorder?

In the SCOFF assessment tool designed for identifying potential eating disorders, a response of two or more positive answers suggests a higher likelihood of an eating disorder. The SCOFF acronym consists of five specific questions, each targeting different symptoms commonly associated with eating disorders, such as behaviors around food intake, concerns about body image, and experiences of loss of control.

The rationale behind the threshold of two positive responses stems from the need to establish a significant indication of potential issues. A single positive answer does not provide enough evidence to confirm a potential eating disorder, and therefore, more than one positive response reflects a stronger correlation with the characteristics of eating disorders. Identifying two or more affirmative responses enables healthcare providers or counselors to consider further evaluation and possibly intervene to support the individual appropriately.