C-SSRS (99)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT C-SSRS
LAST UPDATE 2022-04-08 09:12:12
ENTRY CHECKSUM 2209829222
ENTRY SPECIFICATION
{"name": "C-SSRS", 
   {"id": "q7801", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "1. 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": "c3650", "text": " Yes"}, 
     {"id": "c3651", "text": " No"}
   ]}, 
   {"id": "q7802", "type": "ChoiceQuestion", "required": true, "inline": false, 
 "copyright": "Columbia-Suicide Severity Rating Scale (C-SSRS)  2016 The Columbia Lighthouse
    "text": "2. 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": "c3650", "text": " Yes"}, 
     {"id": "c3651", "text": " No"}
   ]}, 
   {"id": "q7803", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "3. Over the past month, have you been thinking about how you might do this? ", 
    "intro": "Provide the responses to the following questions for the time period designated.", 
 Project. Scale may be reproduced without permission.", 
    "columns": 1, 
    "choices":[
     {"id": "c3650", "text": " Yes"}, 
     {"id": "c3651", "text": " No"}
   ]}, 
   {"id": "q7804", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "4. 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.", 
    "columns": 1, 
 "restartDays": 0, 
    "choices":[
     {"id": "c3650", "text": " Yes"}, 
     {"id": "c3651", "text": " No"}
   ]}, 
   {"id": "q7805", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "5. 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, 
    "choices":[
 "printTitle": "Columbia Suicide Severity Rating Scale (C-SSRS)",
     {"id": "c3650", "text": " Yes"}, 
     {"id": "c3651", "text": " No"}
   ]}, 
   {"id": "q7806", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "6. 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": "c3650", "text": " Yes"}, 
     {"id": "c3651", "text": " No"}
 "content":[
   ]}, 
   {"id": "q7807", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "7. 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": "c3650", "text": " Yes"}, 
     {"id": "c3651", "text": " No"}
   {"id": "i2354", "type": "IntroText", 
   ]}, 
   {"id": "q7808", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "8. 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": "c3650", "text": " Yes"}, 
     {"id": "c3651", "text": " No"}
   ]}], 
 "rules":[
    "text": "Provide the responses to the following questions for the time period designated."
   {"question": "q7802", "operator": "EQ", "value": "c3651", 
    "skips":["q7803","q7804","q7805","q7806"]}, 
   {"question": "q7805", "operator": "EQ", "value": "c3651", 
    "skips":["q7806"]}, 
   {"question": "q7807", "operator": "EQ", "value": "c3651", 
    "skips":["q7808"]}]
}
    },