HEADSS Risk Assessment
· Gives an overview of this individuals risk and resiliency
· If you don‟t ask they won‟t tell you
· Do ask, even if you think you know the answer
o Where do you live and whom do you live with?
o Who do you get on with, who would you talk to if you had a problem?
o What‟s good about home? What‟s not so good?
o Who makes the rules and what happens if they‟re broken?
o Is there ever any violence at home?
o What do you enjoy most about school?
o What subjects do you like?
o How are you getting on at school?
o Do you get into any trouble?
o How do you get on with your teachers/friends
o What do you do after school/in the weekends?
o What do your mates do? (Get an idea of peer relationships)
o What did you do last weekend that you enjoyed?
o „I check with all young people – not picking on you. Remember it‟s confidential. You don‟t have to answer if you don‟t want to‟
o Lot‟s of people your age smoke/take drugs/drink. Is it like that at your school?
o What do you think about that?
o What have your friends tried? What about you?
o If no, make it positive „that‟s fantastic - how come you don‟t and lots of others do?
o Most young people have become interested in sex at your age. Have you had sex education at school? What was it about – body changes, infection, preventing pregnancy, relationships?
o Do you talk with anyone in your family about sex
o Have you had a sexual relationship with anyone?
o Do you have sexual feelings to boys or girls? Ever had sexual experiences with someone your own sex? If this is confusing or frightening for them then need to talk further.
o Want to help you stay healthy…ask about safe sex
o If not active – encourage them. But also check they can get condoms, etc: „if you ever were to, where would you go for information or contraceptives (tie them down to specifics)
· Suicide risk and Depression:
o „Everyone has good days and bad days. Do you ever have really good days? Really bad days?‟
o „Often adolescents see me because they‟ve been feeling down. How have you been?‟
o „Have you been happy with the way things are going? How would you rate yourself over the last couple of weeks if 1 was foul and 10 was brilliant?‟
o „Do you ever feel like you want to end it all?‟
o „Do you have a plan to hurt/kill yourself?‟
o „How do you plan to?‟
· Determining the degree of risk:
o Well adjusted
o Out of control