| 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"]}]
}
},
|
