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Protocol - Classification of Suicidal Ideation and Suicidal Behavior - Adolescent - Epidemiology

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Description:

The Suicidality module of the World Mental Health Composite International Diagnostic Interview includes 14 interviewer-administered questions that address adolescent suicidal ideation, plans, attempts, intent, lethality, and method. The protocol includes parallel questions for those who can and cannot read.

Protocol:

1. INTERVIEWER CHECKPOINT:

[ ] 1 RESPONDENT IS ABLE TO READ

[ ] 2 ALL OTHERS GO TO 15

2. Three experiences are listed in your booklet on page 20 labeled A, B, and C. Did Experience A ever happen to you?

INTERVIEWER: EXPERIENCE A IS "YOU SERIOUSLY THOUGHT ABOUT KILLING YOURSELF"

[ ] 1 YES

[ ] 5 NO - GO TO NEXT SECTION

[ ] 8 DON’T KNOW - GO TO NEXT SECTION

[ ] 9 REFUSED - GO TO NEXT SECTION

2a. How old were you the first time this happened?

__________ YEARS OLD

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

3. Did Experience A happen to you at any time in the past 12 months?

[ ] 1 YES - GO TO 4

[ ] 5 NO

[ ] 8 DON’T KNOW - GO TO NEXT SECTION

[ ] 9 REFUSED - GO TO NEXT SECTION

3a. How old were you the last time this experience happened to you?

__________ YEARS OLD

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

4. Now look at the second of the three experiences on the list, Experience B. Did Experience B ever happen to you?

INTERVIEWER: EXPERIENCE B IS "YOU MADE A PLAN FOR KILLING YOURSELF"

[ ] 1 YES

[ ] 5 NO - GO TO 6

[ ] 8 DON’T KNOW - GO TO 6

[ ] 9 REFUSED - GO TO 6

4a. How old were you the first time this happened?

__________ YEARS OLD

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

4.1. INTERVIEWER INSTRUCTION: CIRCLE LETTER "J" IN LONG/SHORT GROUP ON REFERENCE CARD (SIDE TWO). THEN GO TO 5.

5. Did Experience B happen to you at any time in the past 12 months?

[ ] 1 YES - GO TO 6

[ ] 5 NO

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

5a. How old were you the last time this experience happened to you?

__________ YEARS OLD

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

6. Now look at the third of the three experiences on the list, Experience C. Did experience C ever happen to you?

INTERVIEWER: EXPERIENCE C IS "YOU TRIED TO KILL YOURSELF"

[ ] 1 YES

[ ] 5 NO - GO TO NEXT SECTION

[ ] 8 DON’T KNOW - GO TO NEXT SECTION

[ ] 9 REFUSED - GO TO NEXT SECTION

6a. How many times did Experience C ever happen to you in your lifetime?

________ NUMBER OF TIMES

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

6.1. INTERVIEWER INSTRUCTION: CIRCLE LETTER "K" IN LONG/SHORT GROUP ON REFERENCE CARD (SIDE TWO). THEN GO TO 7.

7. INTERVIEWER CHECKPOINT: (SEE 6a)

6a CODED "1" ................................................. 1 GO TO 10

ALL OTHERS ......................................................... 2

8. How old were you the first time?

__________ YEARS OLD

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

9. (RB, PG 20) There are three statements numbered 1, 2, and 3 on page 21 in your booklet. Which of these three statements best describes your situation when Experience C happened to you the first time-1, 2, or 3?

[ ] 1 I MADE A SERIOUS ATTEMPT TO KILL MYSELF AND IT WAS ONLY LUCK THAT I DID NOT SUCCEED

[ ] 2 I TRIED TO KILL MYSELF, BUT KNEW THAT THE METHOD MAY NOT WORK

[ ] 3 MY ATTEMPT WAS A CRY FOR HELP. I DID NOT INTEND TO DIE

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

10. Did Experience C happen to you in the past 12 months?

[ ] 1 YES - GO TO 11

[ ] 5 NO

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

10a. How old were you (when/the last time) Experience C happened to you?

__________ YEARS OLD - GO TO 14

[ ] 998 DON’T KNOW - GO TO 14

[ ] 999 REFUSED - GO TO 14

11. Did it result in an injury or poisoning?

[ ] 1 YES

[ ] 5 NO - GO TO 14

[ ] 8 DON’T KNOW - GO TO 14

[ ] 9 REFUSED - GO TO 14

12. Did it require medical attention?

[ ] 1 YES

[ ] 5 NO - GO TO 14

[ ] 8 DON’T KNOW - GO TO 14

[ ] 9 REFUSED - GO TO 14

13. Did it require overnight hospitalization?

[ ] 1 YES

[ ] 5 NO

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

14. (RB, PG 20) Looking at page 20 in your booklet, which of the three statements best describes your situation when Experience C happened to you (the last time) - 1, 2, or 3?

[ ] 1 I MADE A SERIOUS ATTEMPT TO KILL MYSELF AND IT WAS ONLY LUCK THAT I DID NOT SUCCEED

[ ] 2 I TRIED TO KILL MYSELF, BUT KNEW THAT THE METHOD MAY NOT WORK

[ ] 3 MY ATTEMPT WAS A CRY FOR HELP. I DID NOT INTEND TO DIE

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

14.1 INTERVIEWER CHECKPOINT: (SEE 10)

10 CODED "1" ................................................. 1

ALL OTHERS ......................................................... 2 GO TO NEXT SECTION

14.2 (RB, PG 21) What method did you use? (Just give me the letter.)

A. GUN .............................................................1

B. RAZOR, KNIFE OR OTHER SHARP INSTRUMENT ..........................2

C. OVERDOSE OF PRESCRIPTION MEDICATIONS ............................3

D. OVERDOSE OF OVER-THE-COUNTER MEDICATIONS ........................4

E. OVERDOSE OF OTHER DRUG (E.G. HEROIN, CRACK, ALCOHOL) ............5

F. POISONING (E.G. CARBON MONOXIDE, RAT POISON) ....................6

G. HANGING, STRANGULATION, SUFFOCATI................................7

H. DROWNING ........................................................8

I. JUMPING FROM HIGH PLACES ........................................9

J. MOTOR VEHICLE CRASH ............................................10

K. OTHER (PLEASE DESCRIBE) ........................................11

14.2 Oth. __________________________________________________________

DON’T KNOW..................................................98

REFUSED ..........................................................99

GO TO NEXT SECTION

15. The next few questions are about thoughts of hurting yourself. Have you ever seriously thought about killing yourself?

[ ] 1 YES

[ ] 5 NO - GO TO NEXT SECTION

[ ] 8 DON’T KNOW - GO TO NEXT SECTION

[ ] 9 REFUSED - GO TO NEXT SECTION

15a. How old were you the first time this happened?

__________ YEARS OLD

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

16. Have you seriously thought about killing yourself at any time in the past 12 months?

[ ] 1 YES - GO TO 17

[ ] 5 NO

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

16a. How old were you the last time this experience happened to you?

__________ YEARS OLD

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

17. Have you ever made a plan to kill yourself?

[ ] 1 YES

[ ] 5 NO - GO TO 19

[ ] 8 DON’T KNOW - GO TO 19

[ ] 9 REFUSED - GO TO 19

17a. How old were you the first time this happened?

__________ YEARS OLD

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

18. Did you make a plan to kill yourself at any time in the past 12 months?

[ ] 1 YES - GO TO 19

[ ] 5 NO

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

18a. How old were you the last time this experience happened to you?

__________ YEARS OLD

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

19. Have you ever tried to kill yourself?

[ ] 1 YES

[ ] 5 NO - GO TO NEXT SECTION

[ ] 8 DON’T KNOW - GO TO NEXT SECTION

[ ] 9 REFUSED - GO TO NEXT SECTION

19a. How many times did you try to kill yourself in your lifetime?

________ NUMBER OF TIMES

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

19.1. INTERVIEWER INSTRUCTION: CIRCLE LETTER "M" IN LONG/SHORT GROUP ON REFERENCE CARD (SIDE TWO). THEN GO TO 20.

20. INTERVIEWER CHECKPOINT (SEE 19a):

19a CODED "1" ...............................................1 GO TO 23

ALL OTHERS.................................................2

21. How old were you the first time?

__________ YEARS OLD

[ ] 998 DON’T KNOW

[ ] 999 REFUSED

22. There are three statements I will read out loud. Please tell me which of these three statements best describes your situation when you tried to kill yourself the first time-one, two, or three?

"One, I made a serious attempt to kill myself and it was only luck that I did not succeed."

"Two, I tried to kill myself, but knew that the method was not foolproof."

"Three, my attempt was a cry for help, I did not intend to die."

[ ] 1 I MADE A SERIOUS ATTEMPT TO KILL MYSELF AND IT WAS ONLY LUCK THAT I DID NOT SUCCEED

[ ] 2 I TRIED TO KILL MYSELF, BUT KNEW THAT THE METHOD WAS NOT FOOLPROOF

[ ] 3 MY ATTEMPT WAS A CRY FOR HELP. I DID NOT INTEND TO DIE

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

23. Did you try to kill yourself in the past 12 months?

[ ] 1 YES - GO TO 24

[ ] 5 NO

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

23a. How old were you (when/the last time) you tried to kill yourself?

__________ YEARS OLD GO TO 27

[ ] 998 DON’T KNOW - GO TO 27

[ ] 999 REFUSED - GO TO 27

24. Did it result in an injury or poisoning?

[ ] 1 YES

[ ] 2 NO - GO TO 27

[ ] 998 DON’T KNOW - GO TO 27

[ ] 999 REFUSED - GO TO 27

25. Did it require medical attention?

[ ] 1 YES

[ ] 2 NO - GO TO 27

[ ] 8 DON’T KNOW - GO TO 27

[ ] 9 REFUSED - GO TO 27

26. Did it require overnight hospitalization?

[ ] 1 YES

[ ] 2 NO

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

27. There are three statements I will read out loud. Please tell me which of these three statements best describes your situation when you tried to kill yourself (the last time)-one, two, or three?

"One, I made a serious attempt to kill myself and it was only luck that I did not succeed."

"Two, I tried to kill myself, but knew that the method was not foolproof."

"Three, my attempt was a cry for help, I did not intend to die."

[ ] 1 I MADE A SERIOUS ATTEMPT TO KILL MYSELF AND IT WAS ONLY LUCK THAT I DID NOT SUCCEED

[ ] 2 I TRIED TO KILL MYSELF, BUT KNEW THAT THE METHOD WAS NOT FOOLPROOF

[ ] 3 MY ATTEMPT WAS A CRY FOR HELP. I DID NOT INTEND TO DIE

[ ] 8 DON’T KNOW

[ ] 9 REFUSED

28. INTERVIEWER CHECKPOINT: (SEE 23)

23 CODED "1" .................................................1

ALL OTHERS .................................................2 GO TO NEXT SECTION

29. What method did you use?

RECORD ALL MENTIONS

A. GUN .............................................................1

B. RAZOR, KNIFE OR OTHER SHARP INSTRUMENT ..........................2

C. OVERDOSE OF PRESCRIPTION MEDICATIONS ............................3

D. OVERDOSE OF OVER-THE-COUNTER MEDICATIONS ........................4

E. OVERDOSE OF OTHER DRUG (E.G. HEROIN, CRACK, ALCOHOL) ............5

F. POISONING (E.G. CARBON MONOXIDE, RAT POISON) ....................6

G. HANGING, STRANGULATION, SUFFOCATI................................7

H. DROWNING ........................................................8

I. JUMPING FROM HIGH PLACES ........................................9

J. MOTOR VEHICLE CRASH ............................................10

K. OTHER (PLEASE DESCRIBE) ........................................11

29. Oth. ___________________________________________________________

DON’T KNOW..................................................98

REFUSED ..........................................................99

GO TO NEXT SECTION

Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Personnel and Training Required

Training in the use of the World Health Organization (WHO) World Mental Health Composite International Diagnostic Interview (WMH-CIDI) must be obtained at a WHO-authorized CIDI Training and Reference Center (TRC). These TRCs offer training and support for use of the WHO WMH-CIDI.

The WHO WMH-CIDI training course is appropriate for principal investigators who plan to use the WHO WMH-CIDI in research projects, study managers who will be in charge of implementing research projects, data analysts who will be working with data generated from WHO WMH-CIDI studies, and interviewers. The training addresses issues in data collection, editing, coding and data cleaning and provides hands-on experience in the administration of the WHO WMH-CIDI.

Equipment Needs

The PhenX Working Group acknowledges these questions can be administered in a computerized or noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Life Stage:

Adolescent

Participants:

Adolescents, ages 12-18

Specific Instructions:

This protocol includes questions that can potentially identify respondents who are at risk of suicide. Investigators implementing this protocol should consider developing a risk management plan specific to their study to ensure the safety of participants. The following links provide additional information and guidelines for suicide-related research:

ora.research.ucla.edu/OHRPP/Documents/Policy/8/Risk_of_Suicide.pdf

www.nimh.nih.gov/health/topics/suicide-prevention/issues-to-consider-in-intervention-research-with-persons-at-high-risk-for-suicidality.shtml

Selection Rationale

The Suicidality module of the World Mental Health Composite International Diagnostic Interview is a brief, low-burden interviewer administered questionnaire that is widely used in large-scale, nationally representative surveys. Additionally, the measured elements correspond to definitions for suicidal ideation and suicidal behavior endorsed by the Centers for Disease Control and Prevention (Crosby et al., 2011) and the US Food and Drug Administration (FDA -Guidance for Industry Suicidal Ideation and Behavior: Prospective Assessment of Occurrence in Clinical Trials Office of Communications, Division of Drug Information Center for Drug Evaluation and Research Food and Drug Administration, 2012).

Language

Arabic, Dutch, English, Mandarin Chinese, Spanish

Standards
StandardNameIDSource
Common Data Elements (CDE) Adolescent Epidemiology Suicidal Ideation Behavior Classification Questionnaire Score 4588756 CDE Browser
Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

Kessler, R. C., & Ustun, T. B. (2004). The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13(2), 93-121.

General References

Borges, G., Orozco, R., Rafful, C., Miller, E., & Breslau, J. (2012). Suicidality, ethnicity and immigration in the USA. Psychological Medicine, 42(6), 1175-1184.

Center for Drug Evaluation and Research (CDER). (2012). Guidance for industry suicidal ideation and behavior: Prospective assessment of occurrence in clinical trials. Rockville, MD: U.S. Department of Health and Human Services, U.S. Food and Drug Administration.

Crosby, A. E., Ortega, L., & Melanson, C. (2011). Self-directed Violence Surveillance: Uniform definitions and recommended data elements, Version 1.0. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control.

Joe, S., Ford, B. C., Taylor, R. J., & Chatters, L. M. (2014). Prevalence of suicidal ideation and attempts among Black Americans in later life. Transcultural Psychiatry, 51(2), 190-208.

Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates and treatment of lifetime suicidal behavior among adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). JAMA Psychiatry, 70(3), 300-310.

Wunderlich, U., Bronisch, T., Wittchen, H. U., & Carter, R. (2001). Gender differences in adolescents and young adults with suicidal behaviour. Acta Psychiatrica Scandinavica, 104(5), 332-339.

Protocol ID:

640104

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX640104_Interviewer_Checkpoint_Can_Respondent_Read PX640104010000 INTERVIEWER CHECKPOINT: 4 N/A
PX640104_PlanTo_KillYourself_AbleToRead PX640104040000 Now look at the second of the three experiences on the list, Experience B. Did Experience B ever happen to you? INTERVIEWER: EXPERIENCE B IS "YOU MADE A PLAN FOR KILLING YOURSELF" 4 N/A
PX640104_PlanTo_KillYourself_FirstTimeAgeCoded_AbleToRead PX640104040200 How old were you the first time this happened? INTERVIEWER: EXPERIENCE B IS "YOU MADE A PLAN FOR KILLING YOURSELF" Don't Know/Refused 4 N/A
PX640104_PlanTo_KillYourself_FirstTimeAgeCoded_UnableToRead PX640104180200 How old were you the first time this happened? Don't Know/Refused 4 N/A
PX640104_PlanTo_KillYourself_FirstTimeAge_AbleToRead PX640104040100 How old were you the first time this happened? INTERVIEWER: EXPERIENCE B IS "YOU MADE A PLAN FOR KILLING YOURSELF" 4 N/A
PX640104_PlanTo_KillYourself_FirstTimeAge_UnableToRead PX640104180100 How old were you the first time this happened? 4 N/A
PX640104_PlanTo_KillYourself_LastTimeAgeCoded_AbleToRead PX640104050200 How old were you the last time this experience happened to you? INTERVIEWER: EXPERIENCE B IS "YOU MADE A PLAN FOR KILLING YOURSELF" Don't Know/Refused 4 N/A
PX640104_PlanTo_KillYourself_LastTimeAgeCoded_UnableToRead PX640104190200 How old were you the last time this experience happened to you? Don't Know/Refused 4 N/A
PX640104_PlanTo_KillYourself_LastTimeAge_AbleToRead PX640104050100 How old were you the last time this experience happened to you? INTERVIEWER: EXPERIENCE B IS "YOU MADE A PLAN FOR KILLING YOURSELF" 4 N/A
PX640104_PlanTo_KillYourself_LastTimeAge_UnableToRead PX640104190100 How old were you the last time this experience happened to you? 4 N/A
PX640104_PlanTo_KillYourself_PastYear_AbleToRead PX640104050000 Did Experience B happen to you at any time in the past 12 months? INTERVIEWER: EXPERIENCE B IS "YOU MADE A PLAN FOR KILLING YOURSELF" 4 N/A
PX640104_PlanTo_KillYourself_PastYear_UnableToRead PX640104190000 Did you make a plan to kill yourself at any time in the past 12 months? 4 N/A
PX640104_PlanTo_KillYourself_UnableToRead PX640104180000 Have you ever made a plan to kill yourself? 4 N/A
PX640104_ThoughtAbout_KillingYourself_AbleToRead PX640104020000 Three experiences are listed in your booklet on page 20 labeled A, B, and C. Did Experience A ever happen to you? INTERVIEWER: EXPERIENCE A IS "YOU SERIOUSLY THOUGHT ABOUT KILLING YOURSELF" 4 N/A
PX640104_ThoughtAbout_KillingYourself_FirstAgeCoded_UnableToRead PX640104160200 How old were you the first time this happened? Don't Know/Refused 4 N/A
PX640104_ThoughtAbout_KillingYourself_FirstAge_UnableToRead PX640104160100 How old were you the first time this happened? 4 N/A
PX640104_ThoughtAbout_KillingYourself_FirstTimeAgeCoded_AbleToRead PX640104020200 How old were you the first time this happened? INTERVIEWER: EXPERIENCE A IS "YOU SERIOUSLY THOUGHT ABOUT KILLING YOURSELF" Don't Know/Refused 4 N/A
PX640104_ThoughtAbout_KillingYourself_FirstTimeAge_AbleToRead PX640104020100 How old were you the first time this happened? INTERVIEWER: EXPERIENCE A IS "YOU SERIOUSLY THOUGHT ABOUT KILLING YOURSELF" 4 N/A
PX640104_ThoughtAbout_KillingYourself_LastAgeCoded_UnableToRead PX640104170200 How old were you the last time this experience happened to you? Don't Know/Refused 4 N/A
PX640104_ThoughtAbout_KillingYourself_LastAge_UnableToRead PX640104170100 How old were you the last time this experience happened to you? 4 N/A
PX640104_ThoughtAbout_KillingYourself_LastTimeAgeCoded_AbleToRead PX640104030200 How old were you the last time this experience happened to you? INTERVIEWER: EXPERIENCE A IS "YOU SERIOUSLY THOUGHT ABOUT KILLING YOURSELF" Don't Know/Refused 4 N/A
PX640104_ThoughtAbout_KillingYourself_LastTimeAge_AbleToRead PX640104030100 How old were you the last time this experience happened to you? INTERVIEWER: EXPERIENCE A IS "YOU SERIOUSLY THOUGHT ABOUT KILLING YOURSELF" 4 N/A
PX640104_ThoughtAbout_KillingYourself_PastYear_AbleToRead PX640104030000 Did Experience A happen to you at any time in the past 12 months? INTERVIEWER: EXPERIENCE A IS "YOU SERIOUSLY THOUGHT ABOUT KILLING YOURSELF" 4 N/A
PX640104_ThoughtAbout_KillingYourself_PastYear_UnableToRead PX640104170000 Have you seriously thought about killing yourself at any time in the past 12 months? 4 N/A
PX640104_ThoughtAbout_KillingYourself_UnableToRead PX640104160000 The next few questions are about thoughts of hurting yourself. Have you ever seriously thought about killing yourself? 4 N/A
PX640104_TriedTo_KillYourself_AbleToRead PX640104060000 Now look at the third of the three experiences on the list, Experience C. Did experience C ever happen to you? INTERVIEWER: EXPERIENCE C IS "YOU TRIED TO KILL YOURSELF" 4 N/A
PX640104_TriedTo_KillYourself_FirstAgeCoded_AbleToRead PX640104070100 How old were you the first time? INTERVIEWER: EXPERIENCE C IS "YOU TRIED TO KILL YOURSELF" Don't Know/Refused 4 N/A
PX640104_TriedTo_KillYourself_FirstAge_AbleToRead PX640104070000 How old were you the first time? INTERVIEWER: EXPERIENCE C IS "YOU TRIED TO KILL YOURSELF" 4 N/A
PX640104_TriedTo_KillYourself_FirstTimeAgeCoded_UnableToRead PX640104220100 How old were you the first time? Don't Know/Refused 4 N/A
PX640104_TriedTo_KillYourself_FirstTimeAge_UnableToRead PX640104220000 How old were you the first time? 4 N/A
PX640104_TriedTo_KillYourself_LastTimeAgeCoded_AbleToRead PX640104101000 How old were you (when/the last time) Experience C happened to you? INTERVIEWER: EXPERIENCE C IS "YOU TRIED TO KILL YOURSELF" Don't Know/Refused 4 N/A
PX640104_TriedTo_KillYourself_LastTimeAgeCoded_UnableToRead PX640104251000 How old were you (when/the last time) you tried to kill yourself? Don't Know/Refused 4 N/A
PX640104_TriedTo_KillYourself_LastTimeAge_AbleToRead PX640104100000 How old were you (when/the last time) Experience C happened to you? INTERVIEWER: EXPERIENCE C IS "YOU TRIED TO KILL YOURSELF" 4 N/A
PX640104_TriedTo_KillYourself_LastTimeAge_UnableToRead PX640104250000 How old were you (when/the last time) you tried to kill yourself? 4 N/A
PX640104_TriedTo_KillYourself_LastTimeHospitalization_AbleToRead PX640104130000 Did it require overnight hospitalization? 4 N/A
PX640104_TriedTo_KillYourself_LastTimeHospitalization_UnableToRead PX640104280000 Did it require overnight hospitalization? 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMedicalAttention_AbleToRead PX640104120000 Did it require medical attention? 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMedicalAttention_UnableToRead PX640104270000 Did it require medical attention? 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_DontKnow_AbleToRead PX640104151100 What method did you use? DON'T KNOW 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_DontKnow_UnableToRead PX640104301100 What method did you use? DON'T KNOW 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Drowning_AbleToRead PX640104150800 What method did you use? DROWNING 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Drowning_UnableToRead PX640104300800 What method did you use? DROWNING 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Gun_AbleToRead PX640104150100 What method did you use? Gun 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Gun_UnableToRead PX640104300100 What method did you use? Gun 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Hanging_AbleToRead PX640104150700 What method did you use? HANGING, STRANGULATION, SUFFOCATION 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Hanging_UnableToRead PX640104300700 What method did you use? HANGING, STRANGULATION, SUFFOCATION 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Jumping_AbleToRead PX640104150900 What method did you use? JUMPING FROM HIGH PLACES 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Jumping_UnableToRead PX640104300900 What method did you use? JUMPING FROM HIGH PLACES 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_MotorVehicle_AbleToRead PX640104151000 What method did you use? MOTOR VEHICLE CRASH 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_MotorVehicle_UnableToRead PX640104301000 What method did you use? MOTOR VEHICLE CRASH 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_OTCMedAbleToRead PX640104150400 What method did you use? OVERDOSE OF OVER-THE-COUNTER MEDICATIONS 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_OTCMed_UnableToRead PX640104300400 What method did you use? OVERDOSE OF OVER-THE-COUNTER MEDICATIONS 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_OtherDrug_AbleToRead PX640104150500 What method did you use? OVERDOSE OF OTHER DRUG (E.G., HEROIN, CRACK, ALCOHOL) 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_OtherDrug_UnableToRead PX640104300500 What method did you use? OVERDOSE OF OTHER DRUG (E.G., HEROIN, CRACK, ALCOHOL) 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Other_AbleToRead PX640104151300 What method did you use? OTHER (PLEASE DESCRIBE) 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Other_UnableToRead PX640104301300 What method did you use? OTHER (PLEASE DESCRIBE) 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Poisoning_AbleToRead PX640104150600 What method did you use? POISONING (E.G., CARBON MONOXIDE, RAT POISON) 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Poisoning_UnableToRead PX640104300600 What method did you use? POISONING (E.G., CARBON MONOXIDE, RAT POISON) 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_PrescriptionMed_AbleToRead PX640104150300 What method did you use? OVERDOSE OF PRESCRIPTION MEDICATIONS 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_PrescriptionMed_UnableToRead PX640104300300 What method did you use? OVERDOSE OF PRESCRIPTION MEDICATIONS 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_RazorKnife_AbleToRead PX640104150200 What method did you use? RAZOR, KNIFE, OR OTHER SHARP INSTRUMENT 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_RazorKnife_UnableToRead PX640104300200 What method did you use? RAZOR, KNIFE, OR OTHER SHARP INSTRUMENT 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Refused_AbleToRead PX640104151200 What method did you use? REFUSED 4 N/A
PX640104_TriedTo_KillYourself_LastTimeMethod_Refused_UnableToRead PX640104301200 What method did you use? REFUSED 4 N/A
PX640104_TriedTo_KillYourself_LastTimeResult_AbleToRead PX640104110000 Did it result in an injury or poisoning? 4 N/A
PX640104_TriedTo_KillYourself_LastTimeResult_UnableToRead PX640104260000 Did it result in an injury or poisoning? 4 N/A
PX640104_TriedTo_KillYourself_LastTimeSituation_AbleToRead PX640104140000 Looking at page 20 in your booklet, which of the three statements best describes your situation when Experience C happened to you (the last time) - 1, 2, or 3? INTERVIEWER: EXPERIENCE C IS "YOU TRIED TO KILL YOURSELF" 4 N/A
PX640104_TriedTo_KillYourself_LastTimeSituation_UnableToRead PX640104290000 There are three statements I will read out loud. Please tell me which of these three statements best describes your situation when you tried to kill yourself (the last time)-one, two, or three? "One, I made a serious attempt to kill myself and it was only luck that I did not succeed." "Two, I tried to kill myself, but knew that the method was not foolproof." "Three, my attempt was a cry for help, I did not intend to die." 4 N/A
PX640104_TriedTo_KillYourself_LifetimeNumberCoded_AbleToRead PX640104060200 How many times did Experience C ever happen to you in your lifetime? INTERVIEWER: EXPERIENCE C IS "YOU TRIED TO KILL YOURSELF" Don't Know/Refused 4 N/A
PX640104_TriedTo_KillYourself_LifetimeNumber_AbleToRead PX640104060100 How many times did Experience C ever happen to you in your lifetime? INTERVIEWER: EXPERIENCE C IS "YOU TRIED TO KILL YOURSELF" 4 N/A
PX640104_TriedTo_KillYourself_NumberCoded_UnableToRead PX640104210200 How many times did you try to kill yourself in your lifetime? Don't Know/Refused 4 N/A
PX640104_TriedTo_KillYourself_Number_UnableToRead PX640104210100 How many times did you try to kill yourself in your lifetime? 4 N/A
PX640104_TriedTo_KillYourself_PastYear_AbleToRead PX640104090000 Did Experience C happen to you in the past 12 months? INTERVIEWER: EXPERIENCE C IS "YOU TRIED TO KILL YOURSELF" 4 N/A
PX640104_TriedTo_KillYourself_PastYear_UnableToRead PX640104240000 Did you try to kill yourself in the past 12 months? 4 N/A
PX640104_TriedTo_KillYourself_SituationFirstTime_AbleToRead PX640104080000 There are three statements numbered 1, 2, and 3 on page 21 in your booklet. Which of these three statements best describes your situation when Experience C happened to you the first time...1, 2, or 3? 4 N/A
PX640104_TriedTo_KillYourself_SituationFirstTime_UnableToRead PX640104230000 There are three statements I will read out loud. Please tell me which of these three statements best describes your situation when you tried to kill yourself the first time...one, two, or three? "One, I made a serious attempt to kill myself and it was only luck that I did not succeed." "Two, I tried to kill myself, but knew that the method was not foolproof." "Three, my attempt was a cry for help, I did not intend to die." 4 N/A
PX640104_TriedTo_KillYourself_UnableToRead PX640104200000 Have you ever tried to kill yourself? 4 N/A
Research Domain Information
Measure Name:

Classification of Suicidal Ideation and Suicidal Behavior

Release Date:

November 21, 2014

Definition

A questionnaire to assess suicidal ideation and suicidal behavior over a range of time frames.

Purpose

Suicidal ideation and suicidal behavior can indicate an increased risk of suicide attempts and death by suicide. This measure can be used to determine levels of suicide risk and aid in making clinical decisions about care. In contrast to the PhenX measure Intensity of Suicidal Ideation (Continuum), which considers suicidal ideation existing as a continuous scale within a single construct, this measure distinguishes and classifies suicidal ideation and behavior, separately.

Keywords

Suicide, Suicidal ideation, Suicide behavior, Columbia-Suicide Severity Rating Scale, C-SSRS, World Mental Health Composite International Diagnostic Interview, WMH CIDI