| 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"]}]
}
|
