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PTSD Reaction Index for Children/Adolescents for DSM-5

1,203 Shared Subjects

N/A
Clinical Assessments
PTSD
03/07/2016
ptsdri01
07/08/2021
View Change History
01
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project pid
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query ptsdri_1 Integer Recommended I am on the lookout for danger or things that I am afraid of (like looking over my shoulder even when nothing is there) 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 1e3
Query ptsdri_2 Integer Recommended I have thoughts like "I am bad 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 2d2
Query ptsdri_3 Integer Recommended I try to stay away from people, places, or things that remind me about what happened 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 3c2
Query ptsdri_4 Integer Recommended I get upset easily or get into arguments or physical fights 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 4e1
Query ptsdri_5 Integer Recommended I feel like I am back at the time when the bad thing happened, like it's happening all over again 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 5b3
Query ptsdri_6 Integer Recommended I feel like what happened was sickening or gross 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 6p4
Query ptsdri_7 Integer Recommended I don't feel like doing things with my family or friends or other things that I liked to do 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 7d5
Query ptsdri_8 Integer Recommended I have trouble concentrating or paying attention 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 8e5
Query ptsdri_9 Integer Recommended I have thoughts like, "The world is really dangerous 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 9d2
Query ptsdri_10 Integer Recommended I have bad dreams about what happened, or other bad dreams 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 10b2
Query ptsdri_11 Integer Recommended When something reminds me of what happened I get very upset 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 11b4
Query ptsdri_12 Integer Recommended I have trouble feeling happiness or love 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 12d7
Query ptsdri_13 Integer Recommended I try not to thing about or have feelings about what happened 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 13c1
Query ptsdri_14 Integer Recommended When something reminds me of what happened, I have strong feelings in my body like my heart beats fast, my head aches or my stomach aches 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 14b5
Query ptsdri_15 Integer Recommended I am mad with someone for making the bad thing happen, not doing more to stop it, or to help after 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 15d3
Query ptsdri_16 Integer Recommended I have thoughts like "I will never be able to trust other people 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 16d2
Query ptsdri_17 Integer Recommended I feel alone even when I am around other people 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 17d6
Query ptsdri_18 Integer Recommended I have upsetting thoughts, pictures or sounds of what happened come into my mind when I don't want them to 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 18b1
Query ptsdri_19 Integer Recommended I feel that part of what happened was my fault 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 19d3
Query ptsdri_20 Integer Recommended I hurt myself on purpose 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 20e2
Query ptsdri_21 Integer Recommended I have trouble going to sleep, wake up often, or have trouble getting back to sleep 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 21e6
Query ptsdri_22 Integer Recommended I feel ashamed or embarrassed over what happened 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 22d4
Query ptsdri_23 Integer Recommended I have trouble remembering important parts of what happened 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 23d1
Query ptsdri_24 Integer Recommended I feel jumpy or startle easily, like when I hear a loud noise or when something surprises me 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 24e4
Query ptsdri_25 Integer Recommended I feel afraid or scared 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 25d4
Query ptsdri_26 Integer Recommended I do risky or unsafe things that could really hurt me or someone else 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 26e2
Query ptsdri_27 Integer Recommended I want to get back at someone for what happened 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 27d4
Query ptsdri_28 Integer Recommended I feel like I am seeing myself or what I am doing from outside my body (like watching myself in a movie) 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 28a1
Query ptsdri_29 Integer Recommended I feel not connected to my body, like I'm not really there inside 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 29a1
Query ptsdri_30 Integer Recommended I feel like things around me look strange, different, or like I am in a fog 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 30a2
Query ptsdri_31 Integer Recommended I feel like things around me are not real, like I am in a dream 0::4; 999 0= None; 1= Little; 2= Some; 3= Much; 4= Most; 999= Not Answered 31a2
Query ptsdri_academics Integer Required PTSDRI academics. Clinically significant 0; 1; 999; 888 0= No; 1= Yes; 999= Not Answered; 888= Missing
Query ptsdri_distress Integer Required PTSDRI distress. Clinically significant 0; 1; 999; 888 0= No; 1= Yes; 999= Not Answered; 888= Missing
Query ptsdri_engagement Integer Required PTSDRI engagement. Clinically significant 0; 1; 999; 888 0= No; 1= Yes; 999= Not Answered; 888= Missing
Query ptsdri_home Integer Required PTSDRI home. Clinically significant 0; 1; 999; 888 0= No; 1= Yes; 999= Not Answered; 888= Missing
Query ptsdri_homebehavior Integer Required PTSDRI home behavior. Clinically significant 0; 1; 999; 888 0= No; 1= Yes; 999= Not Answered; 888= Missing
Query ptsdri_homerelationships Integer Required PTSDRI home relationships. Clinically significant 0; 1; 999; 888 0= No; 1= Yes; 999= Not Answered; 888= Missing
Query ptsdri_peerrelationships Integer Required PTSDRI peer relationships. Clinically significant 0; 1; 999; 888 0= No; 1= Yes; 999= Not Answered; 888= Missing
Query ptsdri_progression Integer Required PTSDRI progression. Clinically significant 0; 1; 999; 888 0= No; 1= Yes; 999= Not Answered; 888= Missing
Query ptsdri_school Integer Required PTSDRI school. Clinically significant 0; 1; 999; 888 0= No; 1= Yes; 999= Not Answered; 888= Missing
Query ptsdri_schoolbehavior Integer Required PTSDRI school behavior. Clinically significant 0; 1; 999; 888 0= No; 1= Yes; 999= Not Answered; 888= Missing
Query respondent String 20 Recommended Respondent Mother;Father;Parent;Guardian;Teacher;Child;Self;Caregiver;Partner;Other
version_form String 121 Recommended Form used/assessment name
Query ucla_ptsd1 Integer Recommended Being in a big earthquake that badly damaged the building you were in 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd2 Integer Recommended Being in another kind of disaster, like a fire, tornado, flood, or hurricane 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd3 Integer Recommended Being in a bad accident, like a very serious car accident 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd4 Integer Recommended Being in a place where war was going on around you 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd5 Integer Recommended Being hit, punched, or kicked very hard at home. (DO NOT INCLUDE ordinary fights between brothers & sisters) 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd6 Integer Recommended Seeing a family member being hit, punched, or kicked very hard at home. (DO NOT INCLUDE ordinary fights between brothers & sisters) 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd7 Integer Recommended Being beat up, shot at, or threatened to be hurt badly in your town 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd8 Integer Recommended Seeing someone in your town being beaten up, shot at, or killed 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd9 Integer Recommended Seeing a dead body in your town (do not include funerals) 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd10 Integer Recommended Having an adult or someone much older touch your private sexual body parts when you did not want them to 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd11 Integer Recommended Hearing about the violent death or serious injury of a loved one 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd12 Integer Recommended Having a painful and scary medical treatment in a hospital when you were very sick or badly injured 0;1 0=Did not happen to subject; 1=Happened to subject
Query ucla_ptsd13 Integer Recommended OTHER than the situations described above, has ANYTHING ELSE ever happened to you that was REALLY SCARY, DANGEROUS, OR VIOLENT? 0;1 0=Did not happen to subject; 1=Happened to subject
ucla_ptsd15 String 400 Recommended Scariest thing that happened to you
Query ucla_ptsd16 String 100 Recommended How long ago did the scariest thing happen to you?
ucla_ptsd17 String 700 Recommended Description of scariest thing that happened
Query ucla_ptsd18 Integer Recommended Were you scared that you would die? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd19 Integer Recommended Were you scared that you would be hurt badly? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd20 Integer Recommended Were you hurt badly? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd21 Integer Recommended Were you scared someone else would die? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd22 Integer Recommended Were you scared that someone else would be hurt badly? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd23 Integer Recommended Was someone else hurt badly? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd24 Integer Recommended Did someone die? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd25 Integer Recommended Did you feel very scared, like this was one of your most scary experiences ever? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd26 Integer Recommended Did you feel that you could not stop what was going on or that you needed someone to help? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd27 Integer Recommended Did you feel that what you saw was disgusting or gross? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd28 Integer Recommended Did you run around or act like you were very upset? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd29 Integer Recommended Did you feel very confused? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd30 Integer Recommended Did you feel like what was happening did not seem real in some way, like it was going on in a movie instead of real life? 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd31 Integer Recommended DURING THE PAST MONTH I watch out for danger or things that I am afraid of
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd32 Integer Recommended DURING THE PAST MONTH When something reminds me of what happened, I get very upset, afraid, or sad
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd33 Integer Recommended DURING THE PAST MONTH I have upsetting thoughts, pictures, or sounds of what happened come into my mind when I do not want them to
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd34 Integer Recommended DURING THE PAST MONTH I feel grouchy, angry, or mad
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd35 Integer Recommended DURING THE PAST MONTH I have dreams about what happened or other bad dreams
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd36 Integer Recommended DURING THE PAST MONTH I feel like I am back at the time when the bad thing happened, living through it again
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd37 Integer Recommended DURING THE PAST MONTH I feel like staying by myself or not being with my friends
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd38 Integer Recommended DURING THE PAST MONTH I feel alone inside and not close to other people
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd39 Integer Recommended DURING THE PAST MONTH I try not to talk about, think about, or have feelings about what happened
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd40 Integer Recommended DURING THE PAST MONTH I have trouble feeling happiness or love
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd41 Integer Recommended DURING THE PAST MONTH I have trouble feeling sadness or anger
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd42 Integer Recommended DURING THE PAST MONTH I feel jumpy or startle easily, like when I hear a loud noise or when something surprises me
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd43 Integer Recommended DURING THE PAST MONTH I have trouble going to sleep or wake up often during the night
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd44 Integer Recommended DURING THE PAST MONTH I think that some part of what happened is my fault
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd45 Integer Recommended DURING THE PAST MONTH I have trouble remembering important parts of what happened
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd46 Integer Recommended DURING THE PAST MONTH I have trouble concentrating or paying attention
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd47 Integer Recommended DURING THE PAST MONTH I try to stay away from people, places, or things that make me remember what happened
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd48 Integer Recommended DURING THE PAST MONTH When something reminds me of what happened, I have strong feelings in my body, like my heart beats fast, my head aches, or my stomach aches
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd49 Integer Recommended DURING THE PAST MONTH I think that I will not live a long life
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd50 Integer Recommended DURING THE PAST MONTH I am afraid that the bad thing will happen again
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd51 Integer Recommended DURING THE PAST MONTH I have bad thoughts about myself, other people, or the world (for example, "I can't do anything right", "All people are bad", "The world is a scary place") 0::4;97 0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd52 Integer Recommended DURING THE PAST MONTH I think that what happened is my fault (for example, "I should have known better", "I shouldn't have done that", "I deserved it") 0::4;97 0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd53 Integer Recommended DURING THE PAST MONTH I have strong bad feelings (like fear, anger, guilt, or shame) 0::4;97 0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd54 Integer Recommended DURING THE PAST MONTH I do things that might hurt myself (for example taking drugs, drinking alcohol, running away, cutting myself) 0::4;97 0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query ucla_ptsd55 Integer Recommended Problems getting in the way: Fun things you want to do 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd56 Integer Recommended Problems getting in the way: Doing your chores 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd57 Integer Recommended Problems getting in the way: Relationships with your friends 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd58 Integer Recommended Problems getting in the way: Praying 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd59 Integer Recommended Problems getting in the way: Schoolwork 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd60 Integer Recommended Problems getting in the way: Relationships with your family 0;1;97 0=No;1=Yes; 97 = Don't Know
Query ucla_ptsd61 Integer Recommended Problems getting in the way: Being happy with your life 0;1;97 0=No;1=Yes; 97 = Don't Know
grade String 50 Recommended Current Grade
Query ucla_ptsd62 Integer Recommended My child plays games or draws pictures that are like some part of what happened
0::4;97
0=None; 1=Twice a Month; 2=1-2 times a week; 3=2-3 times a week; 4=Almost every day; 97 = Don't Know
Query grade_ucla_cg Integer Recommended Grade 1::3 1= 3rd; 2= 6th; 3= 9th grade_ucla_ch
Query acc_deets_cg Integer Recommended SERIOUS ACCIDENTAL INJURY. 1::7 1= Motor Vehicle Accident; 2= Fall with Serious Injury; 3= Severe Burn; 4= Dog Bite Requiring Stitches; 5= Near Drowning; 6= Hospitalized; 7= Other acc_deets_ch
acc_oth_cg String 100 Recommended SERIOUS ACCIDENTAL INJURY. IF OTHER, SPECIFY: acc_oth_ch
Query acc_role_cg Integer Recommended SERIOUS ACCIDENTAL INJURY. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned about acc_role_ch
Query acc_age_cg Integer Recommended SERIOUS ACCIDENTAL INJURY. AGE(S) EXPERIENCED: acc_age_ch
Query acc_notes_cg Integer Recommended SERIOUS ACCIDENTAL INJURY. TRAUMA NOTES: acc_notes_ch
Query ill_deets_cg Integer Recommended ILLNESS/MEDICAL TRAUMA 1::6 1= Child; 2= Family; 3= Friend; 4= Extended Hospitalization; 5= Major Med Procedures at Home; 6= Catastrophic Med Event ill_deets_ch
Query ill_type_cg Integer Recommended ILLNESS/MEDICAL TRAUMA. TYPE OF ILLNESS/ EVENT ill_type_ch
Query ill_role_cg Integer Recommended ILLNESS/MEDICAL TRAUMA. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned about ill_role_ch
Query ill_age_cg Integer Recommended ILLNESS/MEDICAL TRAUMA. AGE(S) EXPERIENCED: ill_age_ch
ill_notes_cg String 1,000 Recommended ILLNESS/MEDICAL TRAUMA. TRAUMA NOTES: ill_notes_ch
Query cv_deets_cg Integer Recommended COMMUNITY VIOLENCE. 1::8 1= Someone Injured or Killed; 2= Mugging; 3= Drug Dealing; 4= Gang-Related; 5= Home Robbery; 6= High Crime Community; 7= Witness Arrest of a Family Member; 8= Other cv_deets_ch
cv_oth_cg String 100 Recommended COMMUNITY VIOLENCE. IF OTHER, SPECIFY: cv_oth_ch
Query cv_role_cg Integer Recommended COMMUNITY VIOLENCE. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned about cv_role_ch
Query cv_age_cg Integer Recommended COMMUNITY VIOLENCE. AGE(S) EXPERIENCED: cv_age_ch
cv_notes_cg String 1,000 Recommended COMMUNITY VIOLENCE. TRAUMA NOTES: cv_notes_ch
Query dv_deets_cg Integer Recommended DOMESTIC VIOLENCE. 1::8 1= Witnessed Physical Attack or Fight; 2= Heard Threatened Harm; 3= Heard Screams of Distress; 4= Witnessed Sexual Assault; 5= Weapon Used; 6= Serious Injury; 7= Police Response; 8= Restraining Order dv_deets_ch
Query dv_role_cg Integer Recommended DOMESTIC VIOLENCE. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned about dv_role_ch
Query dv_age_cg Integer Recommended DOMESTIC VIOLENCE. AGE(S) EXPERIENCED: dv_age_ch
dv_notes_cg String 1,000 Recommended DOMESTIC VIOLENCE. TRAUMA NOTES: dv_notes_ch
Query sv_deets_cg Integer Recommended SCHOOL VIOLENCE/ EMERGENCY. 1::10 1= Shooting; 2= Stabbing; 3= Fire; 4= Bomb threat; 5= Hostage Situation; 6= Suicide; 7= Homicide; 8= Acute Medical Death; 9= Witnessed Resuscitation Efforts; 10= Other sv_deets_ch
sv_oth_cg String 100 Recommended SCHOOL VIOLENCE/ EMERGENCY. IF OTHER, SPECIFY: sv_oth_ch
Query sv_role_cg Integer Recommended SCHOOL VIOLENCE/ EMERGENCY. ROLE IN EVENT 1; 2 1= Victim; 2= Witness sv_role_ch
Query sv_age_cg Integer Recommended SCHOOL VIOLENCE/ EMERGENCY. AGE(S) EXPERIENCED: sv_age_ch
sv_notes_cg String 1,000 Recommended SCHOOL VIOLENCE/ EMERGENCY. TRAUMA NOTES: sv_notes_ch
Query pas_deets_cg Integer Recommended PHYSICAL ASSAULT. 1::9 1= Punched; 2= Kicked; 3= Stabbed; 4= Burned; 5= Shaken; 6= Weapon Used; 7= Reported to Police; 8= Hospitalized; 9= Other pas_deets_ch
pas_oth_cg String 100 Recommended PHYSICAL ASSAULT. IF OTHER, SPECIFY: pas_oth_ch
Query pas_role_cg Integer Recommended PHYSICAL ASSAULT. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned about pas_role_ch
Query pas_age_cg Integer Recommended PHYSICAL ASSAULT. AGE(S) EXPERIENCED: pas_age_ch
pas_notes_cg String 1,000 Recommended PHYSICAL ASSAULT. TRAUMA NOTES: pas_notes_ch
Query dis_deets_cg Integer Recommended DISASTER. 1::12 1= Earthquake; 2= Fire; 3= Flood; 4= Hurricane; 5= Tornado; 6= Chemical spill; 7= Explosion; 8= Evacuated; 9= Lost Home; 10= Injury; 11= Death of family member; 12= Other dis_deets_ch
dis_oth_cg String 100 Recommended DISASTER. IF OTHER, SPECIFY: dis_oth_ch
Query dis_role_cg Integer Recommended DISASTER. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned about dis_role_ch
Query dis_age_cg Integer Recommended DISASTER. AGE(S) EXPERIENCED: dis_age_ch
dis_notes_cg String 1,000 Recommended DISASTER. TRAUMA NOTES: dis_notes_ch
Query sab_deets_cg Integer Recommended SEXUAL ABUSE. 1::8 1= Sexual Behavior; 2= Penetration Occurred; 3= Child Protective Services Report; 4= Investigation Conducted; 5= Charges Filed; 6= Conviction; 7= Perpetrator Removed from Home; 8= Child Removed from Home sab_deets_ch
Query sab_perp_cg Integer Recommended SEXUAL ABUSE. PERPETRATOR: sab_perp_ch
Query sab_role_cg Integer Recommended SEXUAL ABUSE. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned about sab_role_ch
Query sab_age_cg Integer Recommended SEXUAL ABUSE. AGE(S) EXPERIENCED: sab_age_ch
sab_notes_cg String 1,000 Recommended SEXUAL ABUSE. TRAUMA NOTES: sab_notes_ch
Query pab_deets_cg Integer Recommended PHYSICAL ABUSE. 1::12 1= Badly Physically Hurt; 2= Punched; 3= Kicked; 4= Stabbed; 5= Shaken; 6= Weapon Used; 7= Child Protective Services Report; 8= Investigation Conducted; 9= Charges Filed ; 10= Conviction; 11= Perpetrator Removed From Home; 12= Child Removed From Home pab_deets_ch
Query pab_perp_cg Integer Recommended PHYSICAL ABUSE. PERPETRATOR: pab_perp_ch
Query pab_role_cg Integer Recommended PHYSICAL ABUSE. ROLE IN EVENT 1::3 1= Self; 2= Family; 3= Friend pab_role_ch
Query pab_age_cg Integer Recommended PHYSICAL ABUSE. AGE(S) EXPERIENCED: pab_age_ch
pab_notes_cg String 1,000 Recommended PHYSICAL ABUSE. TRAUMA NOTES: pab_notes_ch
Query neg_deets_cg Integer Recommended NEGLECT. 1::12 1= Medical Neglect; 2= School Neglect; 3= Left Alone/Unsupervised; 4= Failure to promote health; 5= Failure to promote safety; 6= Other; 7= Child Protective Services Report; 8= Investigation Conducted; 9= Charges Filed; 10= Conviction; 11= Perpetrator Removed from Home; 12= Child Removed from Home neg_deets_ch
neg_oth_cg String 100 Recommended NEGLECT. IF OTHER, SPECIFY: neg_oth_ch
Query neg_perp_cg Integer Recommended NEGLECT. PERPETRATOR: neg_perp_ch
Query neg_role_cg Integer Recommended NEGLECT. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned about neg_role_ch
Query neg_age_cg Integer Recommended NEGLECT. AGE(S) EXPERIENCED: neg_age_ch
neg_notes_cg String 1,000 Recommended NEGLECT. TRAUMA NOTES: neg_notes_ch
Query eab_deets_cg Integer Recommended PSYCHOLOGICAL MALTREATMENT/ EMOTIONAL ABUSE. 1::10 1= Berating; 2= Threatened Abandonment; 3= Excessive Punishment; 4= Other; 5= Child Protective Services Report; 6= Investigation Conducted; 7= Charges Filed; 8= Conviction; 9= Perpetrator Removed From Home; 10= Child Removed From Home eab_deets_ch
eab_oth_cg String 100 Recommended PSYCHOLOGICAL MALTREATMENT/ EMOTIONAL ABUSE. IF OTHER, SPECIFY: eab_oth_ch
Query eab_perp_cg Integer Recommended PSYCHOLOGICAL MALTREATMENT/ EMOTIONAL ABUSE. PERPETRATOR: eab_perp_ch
Query eab_role_cg Integer Recommended PSYCHOLOGICAL MALTREATMENT/ EMOTIONAL ABUSE. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned About eab_role_ch
Query eab_age_cg Integer Recommended PSYCHOLOGICAL MALTREATMENT/ EMOTIONAL ABUSE. AGE(S) EXPERIENCED: eab_age_ch
eab_notes_cg String 1,000 Recommended PSYCHOLOGICAL MALTREATMENT/ EMOTIONAL ABUSE. TRAUMA NOTES: eab_notes_ch
Query cgint_deets_cg Integer Recommended INTERFERENCE WITH CAREGIVING. 1::10; 13; 14 13= Impairment Due to:; 1= Medical illness; 2= Mental health problem; 3= Alcohol use/abuse/addiction; 4= Drug use/abuse/addiction; 5= Extended hospitalization or rehabilitation; 14= Affected Caregiver:; 6= Mother; 7= Father; 8= Other relative; 9= Other (non-related) adult; 10= Other cgint_deets_ch
cgint_oth_cg String 100 Recommended INTERFERENCE WITH CAREGIVING. IF OTHER, SPECIFY: cgint_oth_ch
Query cgint_role_cg Integer Recommended INTERFERENCE WITH CAREGIVING. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned About cgint_role_ch
Query cgint_age_cg Integer Recommended INTERFERENCE WITH CAREGIVING. AGE(S) EXPERIENCED: cgint_age_ch
cgint_notes_cg String 1,000 Recommended INTERFERENCE WITH CAREGIVING. TRAUMA NOTES: cgint_notes_ch
Query sas_deets_cg Integer Recommended SEXUAL ASSAULT. 1::11 11= Perpetrator:; 1= Position of trust (teacher= coach= step-parent= clergy= relative not in the home); 2= Acquaintance (neighbor= etc.); 3= Stranger; 12= Trauma Details:; 4= Penetration; 5= Object used; 6= Reported to police; 7= Investigation conducted; 8= Charges filed; 9= Conviction; 10= Other detail sas_deets_ch
sas_oth_cg String 100 Recommended SEXUAL ASSAULT. IF OTHER DETAIL, SPECIFY: sas_oth_ch
Query sas_role_cg Integer Recommended SEXUAL ASSAULT. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned About sas_role_ch
Query sas_age_cg Integer Recommended SEXUAL ASSAULT. AGE(S) EXPERIENCED: sas_age_ch
sas_notes_cg String 1,000 Recommended SEXUAL ASSAULT. TRAUMA NOTES: sas_notes_ch
Query abd_deets_cg Integer Recommended KIDNAPPING/ ADBUCTION. 1::10 1= Parent; 2= Relative; 3= Stepparent; 4= Position of trust (teacher= coach= clergy); 5= Acquaintance (neighbor= etc.); 6= Stranger; 7= Reported to police; 8= Investigation conducted; 9= Charges filed; 10= Conviction abd_deets_ch
Query abd_lot_cg Integer Recommended KIDNAPPING/ ADBUCTION. LENGTH OF TIME: abd_lot_ch
Query abd_role_cg Integer Recommended KIDNAPPING/ ADBUCTION. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned About abd_role_ch
Query abd_age_cg Integer Recommended KIDNAPPING/ ADBUCTION. AGE(S) EXPERIENCED: abd_age_ch
abd_notes_cg String 100 Recommended KIDNAPPING/ ADBUCTION. TRAUMA NOTES: abd_notes_ch
Query ter_deets_cg Integer Recommended TERRORISM. 1::9 1= Shooting; 2= Bombing; 3= Suicide bombing; 4= Chemical agent; 5= Biological agent; 6= Radiological agent; 7= Hostages taken; 8= Parent or caregiver injured; 9= Parent or caregiver killed ter_deets_ch
Query ter_role_cg Integer Recommended TERRORISM. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned About ter_role_ch
Query ter_age_cg Integer Recommended TERRORISM. AGE(S) EXPERIENCED: ter_age_ch
ter_notes_cg String 100 Recommended TERRORISM. TRAUMA NOTES: ter_notes_ch
Query ber_deets_cg Integer Recommended BEREAVEMENT. 1::16 15= Deceased:; 1= Primary Caregiver; 2= Parent; 3= Sibling; 4= Grandparent; 5= Other Relative; 6= Friend; 7= Other; 16= Cause of Death:; 8= Natural Causes (illness= age); 9= Accident (car= drowning= fall); 10= Drug overdose; 11= Natural disaster; 12= Homicide; 13= Suicide; 14= Other ber_deets_ch
ber_oth_cg String 100 Recommended BEREAVEMENT. IF OTHER DETAIL, SPECIFY: ber_oth_ch
Query ber_role_cg Integer Recommended BEREAVEMENT. ROLE IN EVENT 1::3 1= Victim; 2= Witness; 3= Learned About ber_role_ch
Query ber_age_cg Integer Recommended BEREAVEMENT. AGE(S) EXPERIENCED: ber_age_ch
ber_notes_cg String 1,000 Recommended BEREAVEMENT. TRAUMA NOTES: ber_notes_ch
Query sep_deets_cg Integer Recommended SEPARATION. 1::13 1= Parental death; 2= Parents separated; 3= Parents divorced; 4= Parent hospitalized; 5= Parent/sibling incarcerated; 6= Immigration proceeding; 7= Military deployment; 8= Combat; 9= Child placed in foster care; 10= Parent removed from the home; 11= In refugee situation; 12= Due to immigration situation; 13= Other sep_deets_ch
sep_oth_cg String 1,000 Recommended SEPARATION. IF OTHER DETAIL, SPECIFY: sep_oth_ch
Query sep_role_cg Integer Recommended SEPARATION. ROLE IN EVENT 1; 2 1= Witness; 2= Learned About sep_role_ch
Query sep_age_cg Integer Recommended SEPARATION. AGE(S) EXPERIENCED: sep_age_ch
sep_notes_cg String 1,000 Recommended SEPARATION. TRAUMA NOTES: sep_notes_ch
Query war_deets_cg Integer Recommended WAR/ POLITICAL VIOLENCE. 1::9 1= Lived in war-torn region; 2= Experienced armed conflict; 3= Saw wounded people; 4= Saw dead bodies; 5= Family members taken as prisoners; 6= Home damaged/destroyed; 7= Internally displaced; 8= War refugee; 9= Other war_deets_ch
war_oth_cg String 100 Recommended WAR/ POLITICAL VIOLENCE. IF OTHER DETAIL, SPECIFY: war_oth_ch
Query war_age_cg Integer Recommended WAR/ POLITICAL VIOLENCE. AGE(S) EXPERIENCED: war_age_ch
war_notes_cg String 100 Recommended WAR/ POLITICAL VIOLENCE. TRAUMA NOTES: war_notes_ch
Query disp_deets_cg Integer Recommended FORCED DISPLACEMENT. 1::7 1= War/political violence; 2= Disaster; 3= Other; 4= Trailer; 5= Refugee camp; 6= Relocation center; 7= Other disp_deets_ch
disp_oth_cg String 100 Recommended FORCED DISPLACEMENT. IF OTHER, SPECIFY: disp_oth_ch
Query disp_age_cg Integer Recommended FORCED DISPLACEMENT. AGE(S) EXPERIENCED: disp_age_ch
disp_notes_cg String 1,000 Recommended FORCED DISPLACEMENT. TRAUMA NOTES: disp_notes_ch
Query expl_age_cg Integer Recommended Trafficking/Sexual Exploitation. AGE(S) EXPERIENCED: expl_age_ch
Query expl_notes_cg Integer Recommended Trafficking/Sexual Exploitation. TRAUMA NOTES: expl_notes_ch
Query bully_age_cg Integer Recommended Bullying. AGE(S) EXPERIENCED: bully_age_ch
bully_notes_cg String 1,000 Recommended Bullying. TRAUMA NOTES: bully_notes_ch
Query sui_age_cg Integer Recommended Witnessed Suicide. AGE(S) EXPERIENCED: sui_age_ch
sui_notes_cg String 1,000 Recommended Witnessed Suicide. TRAUMA NOTES: sui_notes_ch
ucla_worst_cg String 100 Recommended Witnessed Suicide. If MORE THAN ONE BAD THING HAPPENED, type what BOTHERS THE CHILD THE MOST NOW: IF NOTHING BOTHERS CHILD NOW, type: none ucla_worst_ch
Query ucla_1mo_cg Integer Recommended Witnessed Suicide. Did this thing happen more than one month ago? ucla_1mo_ch
Query irma_dsm5_cs1 Integer Recommended CS1. Do these reactions, thoughts, and feelings bother or upset you a lot? CS1. ¿Estas reacciones, pensamientos y sentimientos te molesta o te altera mucho? 1 ; 0 1 = Yes Si; 0 = No No
Query irma_dsm5_cs2 Integer Recommended CS2. Do these reactions, thoughts, and feelings make it harder for you to get along with people at home? CS2. ¿Estas reacciones, pensamientos y sentimientos hace más difícil para usted llevarse bien con las personas en el hogar? 1 ; 0 1 = Yes Si; 0 = No No
Query irma_dsm5_cs3 Integer Recommended CS3. Do these reactions, thoughts, and feelings get you into trouble at home? CS3. ¿Estas reacciones, pensamientos y sentimientos te meten en problemas en casa? 1 ; 0 1 = Yes Si; 0 = No No
Query irma_dsm5_cs4 Integer Recommended CS4. Do these reactions, thoughts, and feelings cause some other problem at home? CS4. ¿Estas reacciones, pensamientos y sentimientos causan algún otro problema en casa? 1 ; 0 1 = Yes Si; 0 = No No
Query irma_dsm5_cs5 Integer Recommended CS5. Do these reactions, thoughts, and feelings make it harder for you to do well in school? CS5. ¿Estas reacciones, pensamientos y sentimientos hace más difícil que te vaya bien en la escuela? 1 ; 0 1 = Yes Si; 0 = No No
Query irma_dsm5_cs6 Integer Recommended CS6. Do these reactions, thoughts, and feelings cause other problems at school? CS6. ¿Estas reacciones, pensamientos y sentimientos causan otros problemas en la escuela? 1 ; 0 1 = Yes Si; 0 = No No
Query irma_dsm5_cs7 Integer Recommended CS7. Do these reactions, thoughts, and feelings make it harder for you to get along with your friends or make new friends? CS7. ¿Estas reacciones, pensamientos y sentimientos hace más difícil para usted llevarse bien con sus amigos o hacer nuevos amigos? 1 ; 0 1 = Yes Si; 0 = No No
Query irma_dsm5_cs8 Integer Recommended CS8. Do these reactions, thoughts, and feelings make it harder for you to do important things that other kids your age are doing? CS8. ¿Estas reacciones, pensamientos y sentimientos hace más difícil para usted hacer cosas importantes que otros niños de su edad están haciendo? 1 ; 0 1 = Yes Si; 0 = No No
Query dev_impair2_cg Integer Recommended Do these reactions interfere with other areas of your child's development? 0; 1; 9 1= Yes; 0= No; 9= I don't know dev_impair2_ch
Query ucla_b_sum_cg Integer Recommended re-experiencing (b) severity: total ucla_b_sum_ch
Query ucla_c_sum_cg Integer Recommended avoidance (c) severity: total ucla_c_sum_ch
Query ucla_d_sum_cg Integer Recommended negative emotion/ cognition (d) severity: total ucla_d_sum_ch
Query ucla_e_sum_cg Integer Recommended arousal (E) severity: Total ucla_e_sum_ch
Query ucla_dis_sum_cg Integer Recommended dissociation severity: total ucla_dis_sum_ch
Query ucla_sum_nodis_cg Integer Recommended total severity (w/o dissociation): total ucla_sum_nodis_ch
Query ucla_sum_cg Integer Recommended total severity (w/ dissociation: total ucla_sum_ch
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data
dis_oth_cg_ch String 100 Recommended disaster, if other, specify: dis_oth_ch_ch
Query ucla_cgint_ch Integer Recommended Impaired Caregiver: Was there ever a time when someone who was supposed to take care of you couldn't, like they were too sick, they were so sad they stayed in bed or they had a drinking or drug problem? 0; 1 0= No; 1= Yes ucla_chint_ch
abd_oth_ch String 100 Recommended kidnapping/ adbuction, if other, specify:
ter_oth_ch String 100 Recommended terrorism, if other, specify:
Query ucla_sui1_ch Integer Recommended Attempted Suicide: Have you ever tried to kill yourself? 0; 1 0= No; 1= Yes
Query sui1_age_ch Integer Recommended Attempted Suicide: Have you ever tried to kill yourself? AGE(S) EXPERIENCED:
sui1_notes_ch String 100 Recommended Attempted Suicide: Have you ever tried to kill yourself? TRAUMA NOTES:
Query ucla_sui2_ch Integer Recommended Second Witnessed Suicide: Have you ever seen someone after he/she committed suicide? 0; 1 0= No; 1= Yes
Query sui2_age_ch Integer Recommended second witnessed suicide: have you ever seen someone after he/she committed suicide? age(s) experienced: 1::18
sui2_notes_ch String 100 Recommended second witnessed suicide: have you ever seen someone after he/she committed suicide? trauma notes:
trauma_p8 Integer Recommended Seeing someone in your town being beaten up, shot at, or killed. 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_p9 Integer Recommended Seeing a dead body in your town (do not include funerals). 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_p10 Integer Recommended Having an adult or someone much older touch your child's private sexual body parts when your child did not want them to. 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_p11 Integer Recommended Hearing about the violent death or serious injury of a loved one. 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_p12 Integer Recommended Having a painful or scary medical treatment in a hospital when your child was very sick or badly injured. 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_p13 Integer Recommended OTHER than the situations described above, has ANYTHING ELSE ever happened to your child that was REALLY SCARY, DANGEROUS, OR VIOLENT? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_p14a Integer Recommended If you answered 'Yes' to only ONE thing in the above list of questions #1-13, place the number of that question (#1- #13) in this blank: 1::13
trauma_p14b Integer Recommended If you answered 'Yes' to MORE THAN ONE THING, place the number of the thing that BOTHERS YOUR CHILD THE MOST NOW in this blank: 1::13
trauma_p14c String 100 Recommended About how long ago did this bad thing (your answer from #14a or #14b) happen to your child?
trauma_p14d String 250 Recommended Please write what happened
trauma_rp1 Integer Recommended Was your child afraid that he/she would die? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp2 Integer Recommended Was your child afraid that he/she would be hurt badly? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp3 Integer Recommended Was your child seriously injured? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp4 Integer Recommended Was your child afraid that someone else would die? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp5 Integer Recommended Was your child scared that someone else would be seriously injured? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp6 Integer Recommended Was someone else seriously injured? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp7 Integer Recommended Did someone die? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp8 Integer Recommended Did your child feel terrified? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp9 Integer Recommended Did your child feel intense helplessness? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp10 Integer Recommended Did your child feel horrified; was what he/she saw disgusting or gross? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_p1 Integer Recommended Being in a big earthquake that badly damaged the building your child was in. 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp11 Integer Recommended Did your child get hysterical or run around? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp12 Integer Recommended Did your child feel very confused? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_rp13 Integer Recommended Did your child feel like what was happening did not seem real in some way, like it was going on in a movie instead of real life? 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
ptsd_p1 Integer Recommended My child watches out for danger or things that he/she is afraid of. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p2 Integer Recommended When something reminds my child of what happened, he/she gets very upset, scared, or sad. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p3 Integer Recommended My child has upsetting thoughts, pictures, or sounds of what happened come into his/her mind when he/she does not want them to. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p4 Integer Recommended My child feels grouchy, angry, or mad. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p5 Integer Recommended My child has dreams about what happened or other bad dreams. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p6 Integer Recommended My child has flashbacks of what happened; he/she feels like he/she is back at the time when the bad thing happened, living through it again. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p7 Integer Recommended My child feels like staying by him/herself and not being with his/her friends. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
trauma_p2 Integer Recommended Being in another kind of disaster, like a fire, tornado, flood or hurricane. 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
ptsd_p8 Integer Recommended My child feels alone inside and not close to other people. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p9 Integer Recommended My child tries not to talk about, think about, or have feelings about what happened. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p10 Integer Recommended My child has trouble feeling happiness or love. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p11 Integer Recommended My child has trouble feeling sadness or anger. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p12 Integer Recommended My child feels jumpy or startles easily, for example, when he/she hears a loud noise or when something surprises him/her. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p13 Integer Recommended My child has trouble going to sleep or wakes up often during the night. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p14 Integer Recommended My child feels that some part of what happened is his/her fault. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p15 Integer Recommended My child has trouble remembering important parts of what happened. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p16 Integer Recommended My child has trouble concentrating or paying attention. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p17 Integer Recommended My child tries to stay away from people, places, or things that make him/her remember what happened. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
trauma_p3 Integer Recommended Being in a bad accident, like a very serious car accident. 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
ptsd_p18 Integer Recommended When something reminds my child of what happened, he/she has strong feelings in his/her body, like heart beating fast, head aches, or stomach aches. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p19 Integer Recommended My child thinks that he/she will not live a long life. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p20 Integer Recommended My child is afraid that the bad thing will happen again. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p21 Integer Recommended My child plays games or draws pictures that are like some part of what happened. 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p22 Integer Recommended My child has bad thoughts about him/her self, other people, or the world (for example, 'I can't do anything right', 'all people are bad', 'The world is a scary place'). 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p23 Integer Recommended My child thinks that what happened is his/her fault (for example, 'I should have known better', 'I shouldn't have done that', 'I deserved it'). 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p24 Integer Recommended My child has strong bad feelings (like fear, anger, guilt, or shame). 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
ptsd_p25 Integer Recommended My child does things that might hurt him/her self (for example, taking drugs, drinking alcohol, running away, cutting him/herself). 0::4;99;999 0 = None; 1 = A little (2 times a month); 2 = Some (1-2 times per week); 3 = Much (2-3 times per week); 4 = Most (almost every day); 99 = Don't Know; 999 = N/A or Prefer Not to Answer
trauma_p4 Integer Recommended Being in a place where war was going on around your child. 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_p5 Integer Recommended Being hit, punched, or kicked very hard at home (DO NOT include ordinary fights between brothers & sisters). 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_p6 Integer Recommended Seeing a family member being hit, punched, or kicked very hard at home (DO NOT include ordinary fights between brothers & sisters). 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
trauma_p7 Integer Recommended Being beat up, shot at, or threatened to be hurt badly in your town. 0;1;999 0 = No; 1 = Yes; 999 = N/A or Prefer Not to Answer
impair_p1 Integer Recommended In the past month, have the problems above gotten in the way of fun things he/she wants to do? 0;1;99;999 0 = No; 1 = Yes; 99 = Don't know; 999 = N/A or Prefer Not to Answer
impair_p2 Integer Recommended In the past month, have the problems above gotten in the way of doing his/her chores? 0;1;99;999 0 = No; 1 = Yes; 99 = Don't know; 999 = N/A or Prefer Not to Answer
impair_p3 Integer Recommended In the past month, have the problems above gotten in the way of relationships with his/her friends? 0;1;99;999 0 = No; 1 = Yes; 99 = Don't know; 999 = N/A or Prefer Not to Answer
impair_p4 Integer Recommended In the past month, have the problems above gotten in the way of praying? 0;1;99;999 0 = No; 1 = Yes; 99 = Don't know; 999 = N/A or Prefer Not to Answer
impair_p5 Integer Recommended In the past month, have the problems above gotten in the way of schoolwork? 0;1;99;999 0 = No; 1 = Yes; 99 = Don't know; 999 = N/A or Prefer Not to Answer
impair_p6 Integer Recommended In the past month, have the problems above gotten in the way of relationships with his/her family? 0;1;99;999 0 = No; 1 = Yes; 99 = Don't know; 999 = N/A or Prefer Not to Answer
impair_p7 Integer Recommended In the past month, have the problems above gotten in the way of being happy with his/her life? 0;1;99;999 0 = No; 1 = Yes; 99 = Don't know; 999 = N/A or Prefer Not to Answer
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.