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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

KAPS-Provider Survey

1,883 Shared Subjects

Healthcare provider self-reported suicide knowledge, screening, and management practices was assessed before and after the implementation of universal screening
Clinical Assessments
Questionnaire
03/09/2015
kap01

View Change History
01
Definition
Submission Template
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 subjid
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY date
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender, q01
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. q02
Query completed Integer Recommended Checks if completed 0::3 0=No; 1=Yes; 2=Yes, lost; 3=Unverified survey_complete
Query hispanic Integer Recommended Is subject of Hispanic, Latino, or Spanish origin? 0; 1; 999 0 = No; 1 = Yes; 999= missing q03
Query race String 30 Recommended Race of study subject American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported; Other Non-White; Other
ethnic_group String 255 Recommended Ethnic group q04a
Query q05 Integer Recommended What is your current clinical position? 1::4; -888; -999 1=Nurse; 2=Staff/Attending physician; 3=Resident physician; 4=Other; -888=Not Applicable; -999=Missing;
q06 String 50 Recommended If other, please describe
Query q07 Integer Recommended How many years have you been working in medicine/healthcare, excluding training (e.g., medical, nursing, or professional school)?
Query q07a Integer Recommended On average, how many suicidal patients do you typically see in a month? Please insert a whole number, not a range.
Query q07b Integer Recommended Over the past month, how often did you use the patient safety secondary screener (a tool designed to help you decide whether to consult mental health)? 1::5; -888; -999 1=Hardly ever; 2=Sometimes; 3=Often; 4=Almost always; 5=Not familiar with this tool; -888=Not Applicable; -999=Missing;
Query q08 Integer Recommended I am confident that I have the skills needed to screen patients for suicidality. 1::5; -888; -999 1=Strongly Disagree; 2=Disagree; 3=Uncertain; 4=Agree; 5=Strongly Agree; -888=Not Applicable; -999=Missing;
Query q09 Integer Recommended I am confident in my ability to further assess a patients suicide risk severity. 1::5; -888; -999 1=Strongly Disagree; 2=Disagree; 3=Uncertain; 4=Agree; 5=Strongly Agree; -888=Not Applicable; -999=Missing;
Query q10 Integer Recommended I know how to provide brief counseling to suicidal patients. 1::5; -888; -999 1=Strongly Disagree; 2=Disagree; 3=Uncertain; 4=Agree; 5=Strongly Agree; -888=Not Applicable; -999=Missing;
Query q11 Integer Recommended I am confident in my ability to help patients at risk for suicide create a personalized safety plan. 1::5; -888; -999 1=Strongly Disagree; 2=Disagree; 3=Uncertain; 4=Agree; 5=Strongly Agree; -888=Not Applicable; -999=Missing;
Query q12 Integer Recommended I am confident in my ability to help find referral resources for suicidal patients. 1::5; -888; -999 1=Strongly Disagree; 2=Disagree; 3=Uncertain; 4=Agree; 5=Strongly Agree; -888=Not Applicable; -999=Missing;
Query q13 Integer Recommended Universal screening for suicide will result in increased psychiatric evaluations. 1::5; -888; -999 1=Strongly Disagree; 2=Disagree; 3=Uncertain; 4=Agree; 5=Strongly Agree; -888=Not Applicable; -999=Missing;
Query q14 Integer Recommended Universal screening for suicide will slow down clinical care. 1::5; -888; -999 1=Strongly Disagree; 2=Disagree; 3=Uncertain; 4=Agree; 5=Strongly Agree; -888=Not Applicable; -999=Missing;
Query q15 Integer Recommended What proportion of suicides do you consider preventable? 1::5; -888; -999 1=None; 2=A Few; 3=Some; 4=Most; 5=All; -888=Not Applicable; -999=Missing;
Query q16 Integer Recommended What proportion of patients do you screen for suicide ideation? 1::5; -888; -999 1=None; 2=A Few; 3=Some; 4=Most; 5=All; -888=Not Applicable; -999=Missing;
Query q17 Integer Recommended Of patients who are suicidal, what proportion do you assess for risk severity? 1::5; -888; -999 1=None; 2=A Few; 3=Some; 4=Most; 5=All; -888=Not Applicable; -999=Missing;
Query q18 Integer Recommended Of patients who are suicidal, what proportion do you create a safety plan for? 1::5; -888; -999 1=None; 2=A Few; 3=Some; 4=Most; 5=All; -888=Not Applicable; -999=Missing;
Query q19 Integer Recommended Of patients who are suicidal, what proportion do you briefly counsel? 1::5; -888; -999 1=None; 2=A Few; 3=Some; 4=Most; 5=All; -888=Not Applicable; -999=Missing;
Query q20 Integer Recommended Of patients who are suicidal, what proportion do you provide referrals to outpatient or community resources for? 1::5; -888; -999 1=None; 2=A Few; 3=Some; 4=Most; 5=All; -888=Not Applicable; -999=Missing;
Query q22 Integer Recommended When the patient reports sometimes feeling suicidal in past month, but is not suicidal now. 1::5; -888; -999 1=Almost always; 2=Often; 3=Sometimes; 4=Hardly ever; -888=Not Applicable; -999=Missing;
Query q23 Integer Recommended When the patient reports feeling suicidal today, but has no suicide plans. 1::5; -888; -999 1=Almost always; 2=Often; 3=Sometimes; 4=Hardly ever; -888=Not Applicable; -999=Missing;
Query q24 Integer Recommended When the patient has a suicide plan, but the plan does not involve a gun. 1::5; -888; -999 1=Almost always; 2=Often; 3=Sometimes; 4=Hardly ever; -888=Not Applicable; -999=Missing;
Query q25 Integer Recommended When the patient has a suicide plan that does involve a gun. 1::5; -888; -999 1=Almost always; 2=Often; 3=Sometimes; 4=Hardly ever; -888=Not Applicable; -999=Missing;
Query q26 Integer Recommended When the patient is in the ED for multi-drug ingestion, but no longer feels suicidal. 1::5; -888; -999 1=Almost always; 2=Often; 3=Sometimes; 4=Hardly ever; -888=Not Applicable; -999=Missing;
Query q27 Integer Recommended When the patient is in the ED for unintentional overdose and reveals feeling depressed, but is not suicidal. 1::5; -888; -999 1=Almost always; 2=Often; 3=Sometimes; 4=Hardly ever; -888=Not Applicable; -999=Missing;
Query q28 Integer Recommended How often do you personally counsel patients or their families to remove or lock up any guns at home? 1::5; -888; -999 1=Almost always; 2=Often; 3=Sometimes; 4=Hardly ever; -888=Not Applicable; -999=Missing;
Query q29_1 Integer Recommended Whose responsibility do you think it is to ASSESS a patients access to firearms and other lethal means to commit suicide? ED nurse 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
Query q29_2 Integer Recommended Whose responsibility do you think it is to ASSESS a patients access to firearms and other lethal means to commit suicide? ED physician 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
Query q29_3 Integer Recommended Whose responsibility do you think it is to ASSESS a patients access to firearms and other lethal means to commit suicide? Psychiatrist 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
Query q29_4 Integer Recommended Whose responsibility do you think it is to ASSESS a patients access to firearms and other lethal means to commit suicide? Social Worker 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
Query q29_5 Integer Recommended Whose responsibility do you think it is to ASSESS a patients access to firearms and other lethal means to commit suicide? Psychiatric nurse 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
Query q29_6 Integer Recommended Whose responsibility do you think it is to ASSESS a patients access to firearms and other lethal means to commit suicide? Other 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
q30 String 100 Recommended If Other, please describe
Query q31_1 Integer Recommended Whose responsibility do you think it is to COUNSEL patients and their families to limit access to firearms and other lethal means to commit suicide? ED nurse 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
Query q31_2 Integer Recommended Whose responsibility do you think it is to COUNSEL patients and their families to limit access to firearms and other lethal means to commit suicide? ED physician 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
Query q31_3 Integer Recommended Whose responsibility do you think it is to COUNSEL patients and their families to limit access to firearms and other lethal means to commit suicide? Psychiatrist 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
Query q31_4 Integer Recommended Whose responsibility do you think it is to COUNSEL patients and their families to limit access to firearms and other lethal means to commit suicide? Social Worker 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
Query q31_5 Integer Recommended Whose responsibility do you think it is to COUNSEL patients and their families to limit access to firearms and other lethal means to commit suicide? Psychiatric nurse 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
Query q31_6 Integer Recommended Whose responsibility do you think it is to COUNSEL patients and their families to limit access to firearms and other lethal means to commit suicide? Other 0;1;-888;-999 0=Unchecked; 1=Checked; -888=Not Applicable; -999=Missing;
q32 String 100 Recommended If Other, please describe
Query q32a Integer Recommended Each month in the United States, over 1,000 people die by suicide using firearms. Had a firearm not been accessible to them, how many do you think would have found another way to die by suicide? 1::4; -888; -999 1=Few; 2=Some; 3=Most; 4=All; -888=NotApplicable; -999=Missing;
Query q33 Integer Recommended Staffing by mental health providers is sufficient to handle the patient care load. 1::4; -888; -999 1=Hardly ever; 2=Sometimes; 3=Often; 4=Almost always; -888=Not Applicable; -999=Missing;
Query q34 Integer Recommended ED leadership support improvement in interventions for suicidal patients in the ED. 1::4; -888; -999 1=Hardly ever; 2=Sometimes; 3=Often; 4=Almost always; -888=Not Applicable; -999=Missing;
Query q35 Integer Recommended In providing clinical care, treatment of suicidal patients is a top priority in the ED. 1::4; -888; -999 1=Hardly ever; 2=Sometimes; 3=Often; 4=Almost always; -888=Not Applicable; -999=Missing;
Query sitenum Integer Recommended Site Number 900=Marlborough Hospital; 200=Maricopa Medical Center; 300=Memorial Hospital of Rhode Island; 400=Ohio State University Medical Center; 500=University of Arkansas Medical Center; 600=Beth Israel Deaconess Medical Center; 700=University of Nebraska Medical Center; 800=University of Colorado Hospital; 100=University of Massachusetts Memorial Hospital; -888=Not Applicable; -999=Missing;
Query studyphase Integer Recommended Study Phase 1::6; -888; -999 1=Phase 1: Treatment as Usual(TAU); 2=Phase 2: Screening Only; 3=Phase 3: Intervention; 4=Focus Groups; 5=Open Trial; 6=Randomized Trial; -888=Not Applicable; -999=Missing;
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

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