The Cardiovascular
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HEADS-ED

Rapid psychosocial screen for children and adolescents in the emergency department.

HEADS-ED
Home
Education
Activities and peers
Drugs and alcohol
Suicidality
Emotions and behaviour
Discharge resources
Result0 points

Score suggests psychiatric consultation is not immediately indicated on this screen alone; use clinical judgement.

Total score
0 of 14
Suicidality sub-score
0

When to use

  • Rapid triage of psychosocial and mental-health risk in children and adolescents presenting to the emergency department, to help standardise handoff and disposition discussions with mental health services.

Formula

Seven domains (Home, Education, Activities/peers, Drugs/alcohol, Suicidality, Emotions/behaviour, Discharge resources), each scored 0 (no concern) to 2 (severe/urgent concern). Total range 0-14.

Pearls and pitfalls

  • A total score ≥8, or a Suicidality sub-score of 2, has been associated with need for psychiatric consultation or admission in validation work.
  • Designed to be completed quickly by non-mental-health-trained emergency staff, not as a diagnostic instrument.

References

  1. Cappelli M, Gray C, Zemek R, et al. Pediatrics. 2012;130(2):e321-7.