Brief report: Accuracy of a 16-item questionnaire based on the HEADSS approach (QBH-16) in the screening of mental disorders in adolescents with behavioral problems in secondary care

ObjectiveCompare a questionnaire based on the HEADSS approach (QBH-16) and the Child Behavior Checklist (CBCL) in the screening of mental disorder in adolescents with behavioral problems.MethodsAdolescents from both genders 12–17 years-old presenting behavioral problems without a previous diagnosis of mental disorder were referred from primary services to a specialized outpatient program for adolescent behavioral problems and evaluated with the QBH-16, CBCL, and the Wechsler Intelligence Scale for Children. This program is located in a secondary and tertiary university hospital, Hospital de Clínicas de Porto Alegre, in the capital city of the southernmost state of Brazil.Results98 adolescents and their families were interviewed. Scores ≥9 in the QBH-16 had a likelihood ratio (LR) >5.5 and scores under 6 had a LR of 0.13, identifying adequately 62 patients (71%) according to the CBCL. Cognitive performance was similar among all patients.DiscussionOur findings suggest the QBH-16 has a good accuracy for screening mental disorders and may help prioritize or choose which patients will benefit from psychiatric services.