<![CDATA[The lack of culturally sensitive screening tools limits the effectiveness of early identification and intervention efforts in response to the increasing prevalence of online gambling among Indonesian adolescents. Therefore, this study aimed to develop Skrining Judi Online Remaja (SIJORA) by adapting South Oaks Gambling Screen—Revised for Adolescents (SOGS-RA) through a rigorous qualitative validation framework. A critical iatrogenic risk was identified beyond establishing content and response process validity through cognitive interviews and expert reviews. In this context, traditional single-stage screening triggered negative reactance among non-gambling youth. A primary universal filter followed by a targeted clinical severity assessment was proposed as a novel Two-Stage Screening Protocol. This dual-layered design maximized diagnostic sensitivity while upholding the ethical principle of “do no harm” in school-based settings. The results showed that SIJORA provided a strategic roadmap for the consequential validity of behavioral addiction screenings in Global South.]]>
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