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Medical trainees' knowledge and confidence in using HEEADSSS assessment tool
Irish Medical Journal
|May 25, 2026
Summary
Many trainees know about the HEEADSSS psychosocial assessment but lack confidence and feel uncomfortable addressing adolescent mental health issues, highlighting a need for better training.
Area of Science:
- Medical Education
- Adolescent Health
- Psychosocial Assessment
Background:
- The HEEADSSS (Head, Eyes, Education, Activities, Drugs, Adults, Dangers, Self-esteem) tool is crucial for adolescent psychosocial assessment.
- Gaps in trainee knowledge and confidence can impact effective adolescent mental healthcare delivery.
Purpose of the Study:
- To assess trainee knowledge and confidence in using the HEEADSSS tool.
- To identify training gaps related to adolescent mental health and psychosocial assessments.
- To evaluate trainee attitudes towards adolescent mental health disorders.
Main Methods:
- An anonymous electronic survey was distributed to trainees in Paediatrics and Obstetrics and Gynaecology at the Royal College of Physicians of Ireland.
- Qualtrics questionnaire tool was utilized for data collection.
Main Results:
- Out of 65 respondents, 77% knew about HEEADSSS, but only 57% felt confident using it.
- 37% reported discomfort with adolescent behavioral/mental health issues, and 44% felt uncomfortable performing psychosocial assessments during distress.
- 100% agreed on the importance of mental health knowledge in adolescent care.
Conclusions:
- A significant disparity exists between trainee awareness of HEEADSSS and its practical application.
- Low confidence and discomfort highlight a need for improved training and support in adolescent mental health.
- Enhanced training is essential to bridge the gap between HEEADSSS awareness and clinical implementation.

