Exam
Adolescent History
search
Adolescent History
, HEADSS Screening, HEADSS Psychosocial Interview, HEEADSSS Mnemonic
See Also
Health Maintenance in Adolescents
Adolescent Chemical Dependency
Adolescent Depression
CRAFFT Adolescent Chemical Dependency Screening
Adolescent Development
Social Media Use in Adolescents
Precautions
Target the history to the developmental stage of the patient
Adolescent and
Young Adult Health Maintenance
spans a broad swath of development
See
Adolescent Development
Approach
Mnemonic -HEEADSSS
Home environment
Education
Employment
Eating
Activities
Electronic Media Use in Children
(
Screen Time
and
Social Media
use)
Physical Activity
Best friend
Drugs
Sexuality (
Contraception
,
Sexually Transmitted Infection
)
Suicide
(and
Major Depression
)
Safety (and
Social Media Use in Adolescents
)
History
Home Life
Who do you live with?
Where do you live?
How many of you share the same bedroom?
Who can you talk to about things?
Do you get along with your family?
What would you change about your family?
Are there new people in your home?
Are you allowed to come and go as you want?
Have you ever been kicked out of your home?
Have you ever been in
Foster Care
?
Have you ever been arrested or been in jail or prison?
Have you ever runaway?
Have you moved recently?
History
Education
What grade are you in?
What are your favorite subjects?
What are your grades like?
How many different schools have you attended in the last 4 years?
Do you ever skip school?
Have you ever dropped out of school?
Have you had to repeat classes or repeat a year of school due to failing grades?
Have you ever been suspended or expelled from school?
What do you want to do when you are done with school?
Do you have a job?
How do you make money?
History
Activities
Tell me about a day in your life
What type of activities do you do each day?
What do you do for fun or for hobbies?
What do you do on weekends?
Do you have many friends?
Do you play sports?
How much television or online entertainment do you watch each day?
Do you wear
Seat Belt
s?
History
Drugs
Do you smoke
Cigarette
s, including
Electronic Cigarette
s?
Do you smoke
Marijuana
or weed?
Do you drink
Alcohol
?
How much?
Where do you get it?
Have you ever tried other drugs?
What type of drugs?
How did you pay for them?
Do you ever get sick, pass out or have a hangover from drugs or
Alcohol
?
Do you ever use drugs or
Alcohol
to escape from reality?
Have you ever done anything you did not want to do when you were high, drunk or passed out?
History
Suicide
and Safety
Do you ever feel lonely or sad
Have you ever had thoughts of
Suicide
?
Do you ever get in fights with friends or with a boyfriend or girlfriend?
What is it like when you fight?
Have you ever been abused physically or experienced
Violence
?
History
Sex
Do you have a boyfriend or girlfriend?
How old are they?
How did you meet?
How many people have you had sex with in your lifetime?
When was the last time you had sex?
Have you ever been pregnant?
Have you ever had a
Sexually Transmitted Infection
(e.g.
Chlamydia
,
Trichomonas
,
Gonorrhea
)?
Do you use protection (e.g.
Condom
s)?
Have you ever been pressured into doing things sexually you did not want to do?
Some people trade sex for money, clothes, drugs or housing. Do you know anyone who does this?
Has anyone ever asked you to do sexual things for money?
History
Social Media
See
Social Media Use in Adolescents
How many hours do you spend per day in front of a screen (e.g. computer, television, smartphone)?
Do you wish you spent less time on
Screen Time
?
Some of my patients spend most of the free time online. What types of things do you do online?
When was the last time you sent a text message while driving?
Have you messaged photos or texts that you later regretted?
Have any of your friends been harmed by their time spent online?
How often do you view pornography online (nude photos or videos)?
Have you ever sent unclothed pictures of yourself to anyone online?
Resources
Getting into Adolescent Heads
http://www.contemporarypediatrics.com/pediatrics/getting-adolescent-heads
Updated HEADSS Interview
https://www.contemporarypediatrics.com/modern-medicine-feature-articles/heeadsss-30-psychosocial-interview-adolescents-updated-new-century-fueled-media/page/0/1
References
Roszcynialski, Irvine and Walter (2018) Crit Dec Emerg Med 32(12): 3-10
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