AIMS: To evaluate trainees' knowledge and confidence in using the HEEADSSS psychosocial assessment tool and any training gaps, confidence using it when interviewing a young person in distress and attitude toward mental health disorders in adolescents.

METHODS: An electronic anonymous survey link was sent to trainees from two different specialties within the Royal College of Physicians of Ireland (RCPI) using a Qualtrics questionnaires tool.

RESULTS: A total of 65 trainees' responses were recorded, 51 (78%) from Paediatrics and 14 (22%) from Obstetrics and Gynaecology. In total, 50 (77%) knew about the HEEADSSS assessment, but only 37 (57%) felt confident using it. Twenty-four (37%) report feeling uncomfortable when dealing with adolescent patients with behavioural or mental health disorders and 29 (44%) do not feel comfortable doing a psychosocial assessment in adolescents during times of emotional distress. Sixty-five (100%) of participants agreed on the fact that mental health knowledge is important in adolescent health care.

DISCUSSION: This study reveals a significant gap between trainee awareness of the HEEADSSS psychosocial assessment tool and its clinical implementation. Despite high awareness, trainees reported low confidence and discomfort, particularly with adolescent mental health, indicating a clear need for enhanced training and structured support.