Evidence map›Paper›PMID 42463297›Full record

ArticleBritish journal of sports medicine2026

International Olympic Committee Sport Mental Health Assessment Tool 2 (IOC SMHAT2): development, content validity and feasibility.

Vincent Gouttebarge, Abhinav Bindra, Cheri Blauwet, Alan Currie, Brian Hainline, Emily Kroshus-Havril, David McDuff, Rosemary Purcell, Margot Putukian, Claudia L Reardon and 4 more

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Article in British journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Vincent GouttebargeSection Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa v.gouttebarge@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-0126-4177
Abhinav BindraAthletes' Commission, International Olympic Committee, Lausanne, Switzerland.
Cheri BlauwetDepartment of Physical Medicine and Rehabilitation, Shirley Ryan AbilityLab, Chicago, Illinois, USA.
Alan CurrieAthlete Health, UK Sports Institute, Manchester, UK.
Brian HainlineDepartment of Neurology, NYU Grossman School of Medicine, New York, New York, USA.ORCID http://orcid.org/0000-0002-0233-2434
Emily Kroshus-HavrilDepartment of Pediatrics, University of Washington, Seattle, Washington, USA.ORCID http://orcid.org/0000-0002-7484-2601
David McDuffDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0003-4088-3920
Rosemary PurcellElite Sport and Mental Health, Orygen The National Centre of Excellence in Youth Mental Health, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0002-7912-6073
Margot PutukianUS Soccer Federation, Princeton University, Princeton, New Jersey, USA.ORCID http://orcid.org/0000-0002-1478-8068
Claudia L ReardonDepartment of Psychiatry, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
Simon M RiceResearch and Translation, Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-4045-8553
Scott SloanHealth, Medicine and Science, International Olympic Committee, Lausanne, Switzerland.ORCID http://orcid.org/0009-0001-0255-0271
Jane ThorntonHealth, Medicine and Science, International Olympic Committee, Lausanne, Switzerland.
Margo MountjoyDepartment of Family Medicine-Sport, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0001-8604-2014

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the evidence- and practice-based processes that led to the International Olympic Committee Sport Mental Health Assessment Tool 2 (IOC SMHAT2).

methodsSeven stages were conducted including: (1) reviewing the scientific literature related to the use (eg, uptake by physicians) of the IOC SMHAT-1; (2) gathering the view (eg, experience with the tool, advice for improvements) of IOC SMHAT-1 users; (3) exploring the misclassification and measurement properties of the IOC SMHAT-1; (4) performing misclassification analysis of available IOC SMHAT-1 data; (5) designing the initial IOC SMHAT2; (6) evaluating the content validity and feasibility of the initial IOC SMHAT2; and (7) finalising the IOC SMHAT2.

resultsThe IOC SMHAT2 was developed for sports medicine physicians and other licensed/registered health professionals with the objective of identifying elite athletes (defined as professional, Olympic, Paralympic or collegiate level; 16 years of age and older) potentially experiencing mental health symptoms and disorders. The IOC SMHAT2 is comprised of a three-step approach: (1) universal screening as step 1, including five disorder-specific screening questionnaires and two single questions; (2) conditional screening as step 2, including two disorder-specific screening questionnaires; and (3) an aid to clinical assessment and treatment as step 3 that should be conducted by sports medicine physicians or licensed/registered mental health professionals.

conclusionBased on scientific and anecdotal reflections on its first version, we developed the IOC SMHAT2 as a second updated version of the tool to identify elite athletes potentially experiencing mental health symptoms and disorders.

Indexed as

AthletesMental DisordersMental HealthSportsSports MedicineFeasibility StudiesHumansReproducibility of ResultsPsychologySportsSports medicine

Identifiers

PMID42463297
PMCPMC13479680

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.