PSS-3 2ND (97)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT PSS-3 2ND
LAST UPDATE 2022-04-08 09:11:41
ENTRY CHECKSUM 2999877596
ENTRY SPECIFICATION
{"name": "PSS-3 2ND", 
    }, 
   {"id": "q7849", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "1. Did the patient screen positive on both PSS items - active ideation with a
 past attempt? <br />Source: PSS screener completed by primary nurse, documented
 on chart.", 
    "intro": "This is a clinician rating, based on the PSS3 scoring, not designed for
 self-report.<br /> <br /> A \u0022yes\u0022 on any of the items below means the
 treating physician should consider consulting a mental health professional.", 
    "columns": 1, 
    "choices":[
 "copyright": "Copyright  2015, Boudreaux, E. Reproduced with permission", 
     {"id": "c106376", "text": " Yes"}, 
     {"id": "c106377", "text": " No"}, 
     {"id": "c106378", "text": " Refused"}, 
     {"id": "c106379", "text": " Patient unable to complete"}
   ]}, 
   {"id": "q7850", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "2. Has the individual begun a suicide plan? <br />Source: Use patient
 self-report, collateral information. <br />Suggested wording: Have you been
 thinking about how you might kill yourself?", 
    "intro": "This is a clinician rating, based on the PSS3 scoring, not designed for
 "restartDays": 2, 
 self-report.<br /> <br /> A \u0022yes\u0022 on any of the items below means the
 treating physician should consider consulting a mental health professional.", 
    "columns": 1, 
    "choices":[
     {"id": "c106376", "text": " Yes"}, 
     {"id": "c106377", "text": " No"}, 
     {"id": "c106378", "text": " Refused"}, 
     {"id": "c106379", "text": " Patient unable to complete"}
   ]}, 
   {"id": "q7851", "type": "ChoiceQuestion", "required": true, "inline": false, 
 "printTitle": "Patient Safety Secondary Screener: (PSS-3 2nd)",
    "text": "3. Has the individual recently had intent to act on his/her ideation? <br
 />Source: Use patient self-report, collateral information. <br />Suggested
 wording: Have you had some intention of acting on your thoughts?", 
    "intro": "This is a clinician rating, based on the PSS3 scoring, not designed for
 self-report.<br /> <br /> A \u0022yes\u0022 on any of the items below means the
 treating physician should consider consulting a mental health professional.", 
    "columns": 1, 
    "choices":[
     {"id": "c106376", "text": " Yes"}, 
     {"id": "c106377", "text": " No"}, 
 "content":[
     {"id": "c106378", "text": " Refused"}, 
     {"id": "c106379", "text": " Patient unable to complete"}
   ]}, 
   {"id": "q7852", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "4. Has the patient ever had a psychiatric hospitalization? <br />Source: Use
 patient self-report, collateral information, medical records review. <br
 />Suggested wording: Have you ever been hospitalized for a mental health or
 substance use problem?", 
    "intro": "This is a clinician rating, based on the PSS3 scoring, not designed for
 self-report.<br /> <br /> A \u0022yes\u0022 on any of the items below means the
   {"id": "i2363", "type": "IntroText", 
 treating physician should consider consulting a mental health professional.", 
    "columns": 1, 
    "choices":[
     {"id": "c106376", "text": " Yes"}, 
     {"id": "c106377", "text": " No"}, 
     {"id": "c106378", "text": " Refused"}, 
     {"id": "c106379", "text": " Patient unable to complete"}
   ]}, 
   {"id": "q7853", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "5. Does the patient have a pattern of excessive substance use? <br />Source: Use
    "text": "This is a clinician rating, based on the PSS3 scoring, not designed for
 patient self-report, collateral information, medical records review. <br
 />Suggested wording: Has drinking or drug abuse ever been a problem for you? Or
 administer CAGE or other standardized substance use screener.", 
    "intro": "This is a clinician rating, based on the PSS3 scoring, not designed for
 self-report.<br /> <br /> A \u0022yes\u0022 on any of the items below means the
 treating physician should consider consulting a mental health professional.", 
    "columns": 1, 
    "choices":[
     {"id": "c106376", "text": " Yes"}, 
     {"id": "c106377", "text": " No"}, 
 self-report.<br /> <br /> A \u0022yes\u0022 on any of the items below means the
     {"id": "c106378", "text": " Refused"}, 
     {"id": "c106379", "text": " Patient unable to complete"}
   ]}, 
   {"id": "q7854", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "6. Is the patient irritable, agitated, or aggressive? <br />Source: Use current
 observations, collateral information, medical records review.", 
    "intro": "This is a clinician rating, based on the PSS3 scoring, not designed for
 self-report.<br /> <br /> A \u0022yes\u0022 on any of the items below means the
 treating physician should consider consulting a mental health professional.", 
    "columns": 1, 
 treating physician should consider consulting a mental health professional."
    "choices":[
     {"id": "c106376", "text": " Yes"}, 
     {"id": "c106377", "text": " No"}, 
     {"id": "c106378", "text": " Refused"}, 
     {"id": "c106379", "text": " Patient unable to complete"}
   ]}]
}