HEADSS is an acronym for the topics that the physician wants to be sure to cover: home, education (ie, school), activities/employment, drugs, suicidality, and sex. Recently the HEADSS assessment was expanded to HEEADSSS to include questions about eating and safety.
What is the HEADSS mnemonic?
The HEADSS mnemonic forms the basis for an assessment that provides a ‘psychosocial biopsy’, an opportunity to facilitate rapport, risk assessment and a guide to any interventions which may be necessary.
What is the heeadsss assessment?
Recently the HEADSS assessment was expanded to HEEADSSS [2] to include questions about eating and safety. I integrate safety into the other categories of the assessment, and I like to talk about eating and body image in the context of activities and exercise.
When interviewing adolescents What are key categories given in the Heeadsss method?
This essential psychosocial history can be obtained using the HEEADSSS method of interviewing adolescents. The HEEADSSS interview focuses on assessment of the Home environment, Education and employment, Eating, peer-related Activities, Drugs, Sexuality, Suicide/depression, and Safety from injury and violence (Table 1).
What is the meaning of Headss?
The approach is known as the acronym HEADSS (Home, Education/employment, peer group Activities, Drugs, Sexuallity, and Suicide/depression).
What is the Headss assessment?
Background: The HEADSS (Home, Education, Activities, Drugs, Sex, Suicide) assessment is a psychosocial screening tool designed for the adolescent population. The American Academy of Pediatrics (AAP) and other organizations recommend using this assessment in order to address risk behaviors.
When should I start my heads exam?
This generally occurs at about 10 years of age in young women and 11 years in young men, but assess each case individually and err on the side of starting early, particularly in the case of young women.
What is the Heeadsss assessment tool?
The HEEADSSS screening tool allows you to conduct a comprehensive psychosocial assess ment of the young person (Goldenring and Rosen 2004; Klein, Goldenring and Adelman 2014). It helps you elicit relevant information about the young person's functioning in key areas of their life in a systematic and engaging way.
Why is Heeadsss important?
The HEEADSSS review of systems is a tool to understand adolescent behavior and assess risk-taking behaviors to provide appropriate interventions. Using the HEEADSSS review of systems is an effective way to engage in dialogue with teens and address many of the challenges faced by this age group.
Who developed Headss?
Cohen, E, MacKenzie, R.G., Yates, G.L. (1991). HEADSS, a psychosocial risk assessment instrument: Implications for designing effective intervention programs for runaway youth. Journal of Adolescent Health 12 (7): 539-544.
What is rapid Headss?
A psychosocial interview guide for young people aged 10-24 years, with questions on home, education, employment, activities, substance use, and reproductive health.
How would you describe adolescence?
What is adolescence? Adolescence is the period of transition between childhood and adulthood. Children who are entering adolescence are going through many changes (physical, intellectual, personality and social developmental). Adolescence begins at puberty, which now occurs earlier, on average, than in the past.
How do you interview a teen?
SUGGESTIONS FOR INTERVIEWING TEENAGERSFollow the adolescent's lead. Encourage the young person to tell his/her own story without interruption. ... Recognize the young person's strengths. ... Do not take the teenager's behavior personally. ... Listen to the young person's interests.
Home
Where do you live? How long have you lived there? Who lives at home with you? Do you have any pets? Do you feel safe at home? Do you feel safe in your neighborhood? Are there any guns or other weapons at home? How are they stored? Do you have access to them?
Suicidality
Have you ever been so sad you thought about hurting yourself? Have you ever tried? Do you feel sad now? Have you ever run away from home? Have you ever cut yourself intentionally?
Author Information
Rachel Katzenellenbogen, MD is a third-year fellow in adolescent medicine/STD research at the University of Washington in Seattle. She is currently conducting research on human papillomavirus with D. Denise Galloway at the Fred Hutchinson Cancer Research Center.

Home
Education
- (Note: Often teens are more comfortable answering questions about school than their home life, so you may choose to begin with these questions in your HEADSS assessment.) Where do you go to school? Have you changed schools recently? What grade are you in? What do you like or not like about school? What is your favorite or least favorite class? Do you feel safe at school? Wha…
Activities/Employment
- What do you do for fun? What do you and your friends do together? Do you have a best friend? Are you in any clubs or teams? Do you have a job? What is your workplace environment like? Do you drive? Do you exercise? Do you feel comfortable with your body or weight? Do you feel comfortable with your eating habits? Do you ever think about ways to lose weight? Do you ever e…
Drugs
- (Note: Often teens are more willing to talk about their friends than themselves, so it can be helpful to start with those.) Do any of your friends smoke or drink? Do you know anyone who smokes or drinks? Have you ever tried? Have you ever used other drugs (cocaine, methamphetamine, ecstasy, heroin)? Have you ever used needles? How often do you drink or use drugs? Have you e…
Suicidality
- Have you ever been so sad you thought about hurting yourself? Have you ever tried? Do you feel sad now?Have you ever run away from home? Have you ever cut yourself intentionally?
Sex
- Have you ever dated anyone? Boys, girls, or both? Have you ever kissed anyone? Have you ever had sex? Oral sex? Anal sex? How many sexual partners have you had? How old were you when you first had sex? Has anyone ever touched you in a way you did not want to be touched or forced you to do something you did not want to do sexually? Are you dating anyone now? How old is h…