The present study is to assess the high risk behaviours in patients of alcohol dependence and to study the association between high risk behaviour and clinical variables like severity and duration of alcohol dependence of alcohol dependence. This is a cross-sectional study conducted from September2015 to August2016 among 242 patients admitted for treatment of alcohol dependence in Mamata Medical College and Hospital, Khammam, Telangana. Tools used are Severity of alcohol dependence questionnaire (SADQ), High risk behaviour questionnaire (HRBQ) and ICD-10 criteria for diagnosis, Sensation Seeking Scale (SSS), FORM V, Indian adaptation scale .Statistical analysis was done using SPSS 11 version. Road traffic accidents came out to be most frequent high risk behaviour. Severity and duration of alcohol dependence were significantly associated with high risk behaviours. The present study helps to target these high risk behaviours as part of treatment intervention to reduce mortality and morbidity in heavy drinkers.