{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T18:05:54Z","timestamp":1783965954757,"version":"3.55.0"},"reference-count":19,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["PJT-175038"],"award-info":[{"award-number":["PJT-175038"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Given the high prevalence of mental health struggles and long wait times for psychological assessment, validated digital self-assessment screening tools can help to address the gap. Our previously validated tool for ages 6\u201317, MyHEARTSMAP, was adapted to focus on the transition to university. This new tool, HEARTSMAP-U, captures the issues of older youth, addresses student-specific psychosocial needs, and recommends resources matching the type and urgency of their reported needs. Prior to widespread use in the public domain, we aim to validate the psychometric properties of HEARTSMAP-U as compared to a standard mental health intake assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a prospective validation study of students at a Canadian university aged 17\u201329. Participants completed psychosocial self-assessments using HEARTSMAP-U, which were then directly compared to equivalent, standardized assessments conducted by clinical counselors. We reported the sensitivity and specificity of the participant self-assessments against that of a clinician\u2019s intake evaluation. This considered each respondent\u2019s degree of unmet needs, and through this, each person was provided with a catered list of local supports for each psychosocial domain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>Of the 619 eligible participants, 536 completed baseline evaluations for analysis. Using HEARTSMAP-U, post-secondary students\u2019 sensitivity of self-identifying any degree of psychiatric concern was 90% (95% CI 83\u201394%). When clinicians identified no psychiatric concerns, HEARTSMAP-U self-assessments similarly identified either no or mild concern in 70% (95% CI 65\u201374%) of these participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Psychosocial screening with HEARTSMAP-U can be reliably implemented in a post-secondary population as compared to a clinical clinician evaluation. Interestingly, a large cohort of respondents (10%) were deemed to have no psychiatric concerns by clinician evaluation, but severe concerns based on HEARTSMAP-U self-assessment. This specific population may represent a target group for future screening interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0353390","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T17:32:51Z","timestamp":1783963971000},"page":"e0353390","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utility of HEARTSMAP-U for psychosocial screening and mental health resource navigation in the young adult population"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0946-1917","authenticated-orcid":true,"given":"Shane","family":"Murphy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delnaz","family":"Dadkhah Tirani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jillian","family":"Wagg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karly","family":"Stillwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quynh","family":"Doan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"issue":"1","key":"pone.0353390.ref001","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1176\/appi.ps.201800332","article-title":"Increased rates of mental health service utilization by U.S. college students: 10-year population-level trends (2007-2017)","volume":"70","author":"SK Lipson","year":"2019","journal-title":"Psychiatr Serv"},{"issue":"1","key":"pone.0353390.ref002","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1186\/s12889-021-10622-1","article-title":"Cross-sectional trend analysis of the NCHA II survey data on Canadian post-secondary student mental health and wellbeing from 2013 to 2019","volume":"21","author":"B Linden","year":"2021","journal-title":"BMC Public Health"},{"issue":"6","key":"pone.0353390.ref003","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1007\/s00787-016-0930-6","article-title":"What do parents perceive are the barriers and facilitators to accessing psychological treatment for mental health problems in children and adolescents? A systematic review of qualitative and quantitative studies","volume":"26","author":"T Reardon","year":"2017","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"pone.0353390.ref004","volume-title":"Mental health and well-being for post-secondary students: National standard of Canada (CSA Z2003-20)","author":"Mental Health Commission of Canada","year":"2020"},{"issue":"7","key":"pone.0353390.ref005","doi-asserted-by":"crossref","DOI":"10.2196\/12869","article-title":"Digital mental health interventions for depression, anxiety, and enhancement of psychological well-being among college students: systematic review","volume":"21","author":"EG Lattie","year":"2019","journal-title":"J Med Internet Res"},{"issue":"1","key":"pone.0353390.ref006","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1186\/s12888-020-02659-0","article-title":"What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review","volume":"20","author":"A Aguirre Velasco","year":"2020","journal-title":"BMC Psychiatry"},{"issue":"2","key":"pone.0353390.ref007","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1007\/s10488-021-01163-1","article-title":"Enhancing racial\/ethnic equity in college student mental health through innovative screening and treatment","volume":"49","author":"T Kodish","year":"2022","journal-title":"Adm Policy Ment Health"},{"issue":"5","key":"pone.0353390.ref008","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.1002\/cpp.2070","article-title":"The Counseling Center Assessment of Psychological Symptoms (CCAPS-62): acceptance, feasibility, and initial psychometric properties in a UK student population","volume":"24","author":"E Broglia","year":"2017","journal-title":"Clin Psychol Psychother"},{"issue":"15","key":"pone.0353390.ref009","doi-asserted-by":"crossref","first-page":"1534","DOI":"10.1001\/jama.2022.16946","article-title":"Screening for depression and suicide risk in children and adolescents: US preventive services task force recommendation statement","volume":"328","author":"US Preventive Services Task Force","year":"2022","journal-title":"JAMA"},{"key":"pone.0353390.ref010","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpeds.2019.12.046","article-title":"Utility of MyHEARTSMAP for universal psychosocial screening in the emergency department","volume":"219","author":"Q Doan","year":"2020","journal-title":"J Pediatr"},{"issue":"8","key":"pone.0353390.ref011","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/j.jclinepi.2004.12.009","article-title":"Sample size calculation should be performed for design accuracy in diagnostic test studies","volume":"58","author":"A Flahault","year":"2005","journal-title":"J Clin Epidemiol"},{"key":"pone.0353390.ref012","doi-asserted-by":"crossref","first-page":"812965","DOI":"10.3389\/fpsyt.2022.812965","article-title":"HEARTSMAP-U: adapting a psychosocial self-screening and resource navigation support tool for use by post-secondary students","volume":"13","author":"P Virk","year":"2022","journal-title":"Front Psychiatry"},{"key":"pone.0353390.ref013","volume-title":"Student demographics 2023","author":"University of British Columbia Planning, Analytics & Institutional Research (PAIR) Office","year":"2023"},{"issue":"5","key":"pone.0353390.ref014","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1007\/s10826-014-9929-0","article-title":"Young people\u2019s views on electronic mental health assessment: prefer to type than talk?","volume":"24","author":"S Bradford","year":"2015","journal-title":"J Child Fam Stud"},{"key":"pone.0353390.ref015","author":"Government of Canada, Statistics Canada","year":"2023"},{"issue":"1","key":"pone.0353390.ref016","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s12888-021-03636-x","article-title":"Non-disclosing youth: a cross sectional study to understand why young people do not disclose suicidal thoughts to their mental health professional","volume":"22","author":"L McGillivray","year":"2022","journal-title":"BMC Psychiatry"},{"issue":"2","key":"pone.0353390.ref017","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1037\/prj0000552","article-title":"The relationship between mental illness stigma and self-labeling","volume":"46","author":"AB Fox","year":"2023","journal-title":"Psychiatr Rehabil J"},{"key":"pone.0353390.ref018","doi-asserted-by":"crossref","first-page":"691815","DOI":"10.3389\/fpsyt.2021.691815","article-title":"A local review on the use of a bio-psycho-social model in school-based mental health promotion","volume":"12","author":"A Wong","year":"2021","journal-title":"Front Psychiatry"},{"key":"pone.0353390.ref019","author":"S Murphy","year":"2026"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0353390","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T17:32:56Z","timestamp":1783963976000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0353390"}},"subtitle":[],"editor":[{"given":"Souparno","family":"Mitra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":19,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0353390","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]}}}