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Adolescent Alcohol ED Assessment — RACP Paediatrics MCQ

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ModerateAdolescent MedicineAdolescent Alcohol ED AssessmentRACP Paediatrics

A 14-year-old girl is found to have a blood alcohol level of 0.15% after being brought to the ED by ambulance. She is drowsy. After medical stabilisation, what assessment is essential?

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Correct answer: C — Comprehensive psychosocial assessment (HEADSS) including mental health, substance use patterns, and safety before discharge

Adolescent alcohol intoxication requiring ED presentation warrants a comprehensive HEADSS assessment (Home, Education, Activities, Drugs, Sexuality, Safety/Suicidality) to identify underlying psychosocial issues, substance use patterns, and risk factors for self-harm. A safety plan and appropriate referrals (CAMHS, youth AOD services) should be arranged.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Adolescent Substance Use