Name | Value |
---|---|
INSTRUMENT | I9+C-SSRS |
LAST UPDATE | 2022-04-08 09:17:21 |
ENTRY CHECKSUM | 862769709 |
ENTRY SPECIFICATION | {"name": "I9+C-SSRS", {"id": "q8004", "type": "ChoiceQuestion", "required": true, "inline": false, "text": "1. Over the past 2 weeks, how often have you had thoughts that you would be better off dead or of hurting yourself in some way?", "intro": "Provide the responses to the following questions for the time period designated.", "columns": 1, "choices":[ {"id": "c3913", "text": "0. Not at all", "quickKey": 0}, {"id": "c3914", "text": "1. Several days", "quickKey": 1}, {"id": "c3915", "text": "2. More than half the days", "quickKey": 2}, {"id": "c3916", "text": "3. Nearly every day", "quickKey": 3} "copyright": "Columbia-Suicide Severity Rating Scale (C-SSRS) 2016 The Columbia Lighthouse ]}, {"id": "q8005", "type": "ChoiceQuestion", "required": true, "inline": false, "text": "2. Over the past month, have you wished you were dead or wished you could go to sleep and not wake up?", "intro": "Provide the responses to the following questions for the time period designated.", "columns": 1, "choices":[ {"id": "c3917", "text": " Yes"}, {"id": "c3918", "text": " No"} ]}, Project. Scale may be reproduced without permission.", {"id": "q8006", "type": "ChoiceQuestion", "required": true, "inline": false, "text": "3. Over the past month, have you had any actual thoughts of killing yourself?", "intro": "Provide the responses to the following questions for the time period designated.", "columns": 1, "choices":[ {"id": "c3917", "text": " Yes"}, {"id": "c3918", "text": " No"} ]}, {"id": "q8007", "type": "ChoiceQuestion", "required": true, "inline": false, "text": "4. Over the past month, have you been thinking about how you might do this?", "restartDays": 2, "intro": "Provide the responses to the following questions for the time period designated.", "columns": 1, "choices":[ {"id": "c3917", "text": " Yes"}, {"id": "c3918", "text": " No"} ]}, {"id": "q8008", "type": "ChoiceQuestion", "required": true, "inline": false, "text": "5. Over the past month, have you had these thoughts and had some intention of acting on them? ", "intro": "Provide the responses to the following questions for the time period designated.", "printTitle": "PHQ-Item 9 + Columbia Suicide Severity Rating Scale (I9+C-SSRS)", "columns": 1, "choices":[ {"id": "c3917", "text": " Yes"}, {"id": "c3918", "text": " No"} ]}, {"id": "q8009", "type": "ChoiceQuestion", "required": true, "inline": false, "text": "6. Over the past month, have you started to work out or worked out the details of how to kill yourself?", "intro": "Provide the responses to the following questions for the time period designated.", "columns": 1, "content":[ "choices":[ {"id": "c3917", "text": " Yes"}, {"id": "c3918", "text": " No"} ]}, {"id": "q8010", "type": "ChoiceQuestion", "required": true, "inline": false, "text": "7. If yes, at any time in the past month did you intend to carry out this plan?", "intro": "Provide the responses to the following questions for the time period designated.", "columns": 1, "choices":[ {"id": "c3917", "text": " Yes"}, {"id": "i2379", "type": "IntroText", {"id": "c3918", "text": " No"} ]}, {"id": "q8011", "type": "ChoiceQuestion", "required": true, "inline": false, "text": "8. In your lifetime, have you ever done anything, started to do anything, or prepared to do anything to end your life (for example, collected pills, obtained a gun, gave away valuables, went to the roof but didn't jump)?", "intro": "Provide the responses to the following questions for the time period designated.", "columns": 1, "choices":[ {"id": "c3917", "text": " Yes"}, "text": "Provide the responses to the following questions for the time period designated." {"id": "c3918", "text": " No"} ]}, {"id": "q8012", "type": "ChoiceQuestion", "required": true, "inline": false, "text": "9. If YES, was this within the past 3 months?", "intro": "Provide the responses to the following questions for the time period designated.", "columns": 1, "choices":[ {"id": "c3917", "text": " Yes"}, {"id": "c3918", "text": " No"} ]}], }, "rules":[ {"question": "q8004", "operator": "EQ", "value": "c3913", "skips":["q8005","q8006","q8007","q8008","q8009","q8010","q8011","q8012"]}, {"question": "q8007", "operator": "EQ", "value": "c3918", "skips":["q8007","q8008","q8009","q8010"]}, {"question": "q8009", "operator": "EQ", "value": "c3918", "skips":["q8010"]}, {"question": "q8011", "operator": "EQ", "value": "c3918", "skips":["q8012"]}] } |