SRCS (135)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT SRCS
LAST UPDATE 2022-04-08 13:44:26
ENTRY CHECKSUM 2164699085
ENTRY SPECIFICATION
{"name": "SRCS", 
    "text": "1. I have contact information for at least one health care professional (such as
    "text": "8. Seeking help from health care professionals is a good way to keep myself safe
 when I am feeling suicidal.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
 doctor or therapist) whom I can call during a suicidal crisis.", 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8622", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "9. I know it is important to limit access to weapons or other ways to hurt myself
 when I am feeling suicidal.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8623", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "10. Even if I am alone, there are things I can do to take mind off my suicidal
 feelings and thoughts for at least a while.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8624", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "11. I do not think there is anything that I can do to help myself when I am
    "columns": 1, 
 feeling suicidal.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5209", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5210", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5211", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5212", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5213", "text": "4. Strongly Agree", "quickKey": 4}
    "choices":[
   ]}, 
   {"id": "q8625", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "12. It is useless to talk to anyone about my suicidal thoughts.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5209", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5210", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5211", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5212", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5213", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8626", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "13. When I am suicidal, I know of things to do by myself that help me feel less
 suicidal.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8627", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "14. I can distract myself by doing other things or thinking about other things
 when I am feeling suicidal.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8628", "type": "ChoiceQuestion", "required": true, "inline": false, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
    "text": "15. If one way of trying to cope with suicidal feelings does not work, I have
 other ways to try.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
 "restartDays": 2, 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8629", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "16. I am at the mercy of my suicidal thoughts.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5209", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5210", "text": "1. Somewhat Disagree", "quickKey": 1}, 
   ]}, 
     {"id": "c5211", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5212", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5213", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8630", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "17. I feel that I have no one to turn to when I am feeling suicidal.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
   {"id": "q8615", "type": "ChoiceQuestion", "required": true, "inline": false, 
     {"id": "c5209", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5210", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5211", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5212", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5213", "text": "4. Strongly Agree", "quickKey": 4}
   ]}]
}
    "text": "2. I cannot do anything to control my suicidal thoughts.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5209", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5210", "text": "1. Somewhat Disagree", "quickKey": 1}, 
 "printTitle": "Suicide-Related Coping Scale",
     {"id": "c5211", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5212", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5213", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8616", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "3. I know which friends and/or family members to contact to help take my mind off
 my suicidal feelings.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
 "content":[
    "choices":[
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8617", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "4. I know the nearest hospital or urgent care facility where I can go if I cannot
 handle my suicidal feelings.", 
   {"id": "i2456", "type": "IntroText", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
    "text": "Please indicate how strongly you agree or disagree with each of the following
   {"id": "q8618", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "5. When I feel suicidal, there are places I can go (such as a coffee shop, the
 gym, place of worship, or shopping mall) to help me take my mind off my
 problems.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
 statements."
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8619", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "6. I have several things I can do to get through a suicidal crisis.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
 statements.", 
    "columns": 1, 
    "choices":[
    }, 
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8620", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "7. I am able to confide in someone, such as a friend, family member, supervisor,
 or spiritual advisor when I am experiencing a crisis.", 
    "intro": "Please indicate how strongly you agree or disagree with each of the following
   {"id": "q8614", "type": "ChoiceQuestion", "required": true, "inline": false, 
 statements.", 
    "columns": 1, 
    "choices":[
     {"id": "c5204", "text": "0. Strongly Disagree", "quickKey": 0}, 
     {"id": "c5205", "text": "1. Somewhat Disagree", "quickKey": 1}, 
     {"id": "c5206", "text": "2. Unsure", "quickKey": 2}, 
     {"id": "c5207", "text": "3. Somewhat Agree", "quickKey": 3}, 
     {"id": "c5208", "text": "4. Strongly Agree", "quickKey": 4}
   ]}, 
   {"id": "q8621", "type": "ChoiceQuestion", "required": true, "inline": false,