Medical trainees’ knowledge and confidence in using HEEADSSS assessment tool

Abstract

Aims
To evaluate trainees’ knowledge and confidence in using the HEEADSSS psychosocial assessment tool and any training gaps, confidence using it when interviewing a young person in distress and attitude toward mental health disorders in adolescents.

Methods
An electronic anonymous survey link was sent to trainees from two different specialties within the Royal College of Physicians of Ireland (RCPI) using a Qualtrics questionnaires tool.

Results
A total of 65 trainees’ responses were recorded, 51 (78%) from Paediatrics and 14 (22%) from Obstetrics and Gynaecology. In total, 50 (77%) knew about the HEEADSSS assessment, but only 37 (57%) felt confident using it. Twenty-four (37%) report feeling uncomfortable when dealing with adolescent patients with behavioural or mental health disorders and 29 (44%) do not feel comfortable doing a psychosocial assessment in adolescents during times of emotional distress. Sixty-five (100%) of participants agreed on the fact that mental health knowledge is important in adolescent health care.

Discussion
This study reveals a significant gap between trainee awareness of the HEEADSSS psychosocial assessment tool and its clinical implementation. Despite high awareness, trainees reported low confidence and discomfort, particularly with adolescent mental health, indicating a clear need for enhanced training and structured support.