Paeds Cases · mental-behavioural-and-psychosomatic
Paediatric mental state examination OSCE — observing, interviewing alone, and a same-visit safety assessment
Observed structured encounter testing observation of the domains, securing time alone with an adolescent, integrating a brief screen, and delivering a same-visit response to a positive mood and suicide-risk finding.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a 15-year-old in clinic with a parent who expects to stay, where the candidate must secure time alone and run the domains. Station B is a private disclosure of low mood with a positive screen and passive thoughts of death, requiring a same-visit risk assessment and plan.
Station objectives
- Set the conditions for a mental state examination and observe before interviewing. [7] [8]
- Secure time alone with an adolescent and state conditional confidentiality. [8]
- Walk the seven domains and integrate a brief validated screen. [1] [2] [5]
- Deliver a same-visit suicide-risk assessment and a disposition matched to risk. [5] [6]
References8ShowHide
- [1]Goodman R Psychometric properties of the strengths and difficulties questionnaire. Journal of the American Academy of Child and Adolescent Psychiatry, 2001.PMID 11699809
- [2]Kroenke K, Spitzer RL The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 2001.PMID 11556941
- [3]Spitzer RL, Kroenke K, Williams JB, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 2006.PMID 16717171
- [4]Knight JR, Sherritt L, Shrier LA, Harris SK, Chang G Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Archives of Pediatrics & Adolescent Medicine, 2002.PMID 12038895
- [5]Mangione CM, Barry MJ, Nicholson WK, et al. Screening for Depression and Suicide Risk in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA, 2022.PMID 36219440
- [6]Shain B Suicide and Suicide Attempts in Adolescents. Pediatrics, 2016.PMID 27354459
- [7]Birmaher B, Brent D, Bernet W, et al. Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 2007.PMID 18049300
- [8]Cohen E, MacKenzie RG, Yates GL HEADSS, a psychosocial risk assessment instrument: implications for designing effective intervention programs for runaway youth. Journal of Adolescent Health, 1991.PMID 1772892