{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:30:17Z","timestamp":1792661417975,"version":"4.5.0"},"reference-count":29,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND AND OBJECTIVE:<\/jats:title>\n                    <jats:p>The American Academy of Pediatrics called for action for improved screening of mental health issues in the emergency department (ED). We developed the rapid screening tool home, education, activities\/peers, drugs\/alcohol, suicidality, emotions\/behavior, discharge resources (HEADS-ED), which is a modification of \u201cHEADS,\u201d a mnemonic widely used to obtain a psychosocial history in adolescents. The reliability and validity of the tool and its potential for use as a screening measure are presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>ED patients presenting with mental health concerns from March 1 to May 30, 2011 were included. Crisis intervention workers completed the HEADS-ED and the Child and Adolescent Needs and Strengths-Mental Health tool (CANS MH) and patients completed the Children\u2019s Depression Inventory (CDI). Interrater reliability was assessed by using a second HEADS-ED rater for 20% of the sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>A total of 313 patients were included, mean age was 14.3 (SD 2.63), and there were 182 females (58.1%). Interrater reliability was 0.785 (P &amp;lt; .001). Correlations were computed for each HEADS-ED category and items from the CANS MH and the CDI. Correlations ranged from r = 0.17, P &amp;lt; .05 to r = 0.89, P &amp;lt; .000. The HEADS-ED also predicted psychiatric consult and admission to inpatient psychiatry (sensitivity of 82% and a specificity of 87%; area under the receiver operator characteristic curve of 0.82, P &amp;lt; .01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>The results provide evidence to support the psychometric properties of the HEADS-ED. The study shows promising results for use in ED decision-making for pediatric patients with mental health concerns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2011-3798","type":"journal-article","created":{"date-parts":[[2012,7,23]],"date-time":"2012-07-23T20:35:16Z","timestamp":1343075716000},"page":"e321-e327","source":"Crossref","is-referenced-by-count":86,"title":["The HEADS-ED: A Rapid Mental Health Screening Tool for Pediatric Patients in the Emergency Department"],"prefix":"10.1542","volume":"130","author":[{"given":"Mario","family":"Cappelli","sequence":"first","affiliation":[{"name":"Departments of Mental Health and"},{"name":"Departments of Psychiatry,"},{"name":"Psychology, and"},{"name":"Pediatric Emergency Research Canada (PERC), Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Gray","sequence":"additional","affiliation":[{"name":"Departments of Mental Health and"},{"name":"Emergency, Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada;"},{"name":"Pediatrics, University of Ottawa, Ottawa, Canada; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Zemek","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Research Canada (PERC), Ottawa, Canada"},{"name":"Emergency, Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada;"},{"name":"Pediatrics, University of Ottawa, Ottawa, Canada; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Cloutier","sequence":"additional","affiliation":[{"name":"Departments of Mental Health and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Departments of Mental Health and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Glennie","sequence":"additional","affiliation":[{"name":"Departments of Mental Health and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Doucet","sequence":"additional","affiliation":[{"name":"Departments of Mental Health and"},{"name":"Emergency, Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John S.","family":"Lyons","sequence":"additional","affiliation":[{"name":"Departments of Mental Health and"},{"name":"Psychology, and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2012,8,1]]},"reference":[{"issue":"5","key":"2021120900194370700_B1","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1017\/S1481803500011647","article-title":"A 4-year review of pediatric mental health emergencies in Alberta.","volume":"11","author":"Newton","year":"2009","journal-title":"CJEM"},{"issue":"4","key":"2021120900194370700_B2","doi-asserted-by":"crossref","DOI":"10.1542\/peds.110.4.e40","article-title":"Summary statistics for pediatric psychiatric visits to US emergency departments.","volume":"110","author":"Sills","year":"2002","journal-title":"Pediatrics"},{"issue":"11","key":"2021120900194370700_B3","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1097\/PEC.0b013e3181bec82f","article-title":"Epidemiology of psychiatric-related visits to emergency departments in a multicenter collaborative research pediatric network.","volume":"25","author":"Mahajan","year":"2009","journal-title":"Pediatr Emerg Care"},{"issue":"1","key":"2021120900194370700_B4","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1177\/003335490712200108","article-title":"Trends in mental health and chronic condition visits by children presenting for care at U.S. emergency departments.","volume":"122","author":"Grupp-Phelan","year":"2007","journal-title":"Public Health Rep"},{"key":"2021120900194370700_B5","article-title":"Pediatric mental health emergencies in the emergency medical services system. 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Champlain LHIN: socio-economic indicators atlas. Ottawa, ON, Canada: Government of Ontario; 2006:26. Available at: www.champlainlhin.on.ca\/lhinresearch.aspx?kmensel=e2f22c9a_72_206_132_4. 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