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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Screening Log

236,783 Shared Subjects

N/A
Clinical Assessments
Questionnaire
03/10/2015
log01
01/09/2019
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 log001
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY log004
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. log012
sex String 20 Required Sex of subject at birth
M;F; O; NR
M = Male; F = Female; O=Other; NR = Not reported gender, log013
Query completed Integer Recommended Checks if completed 0::3 0=No; 1=Yes; 2=Yes, lost; 3=Unverified edsafe_screening_log_complete
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; log003
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; log037a
Query log005 Integer Recommended Order of Presentation
Query log010 Integer Recommended Triage Time
Query log011 String 50 Recommended Patients chart (e.g., hard copy, electronic, or other medical record) reviewed? 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
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
Query ethnicity String 30 Recommended Ethnicity of participant
Hispanic or Latino; Not Hispanic or Latino; Unknown
log014
ethnic_group String 255 Recommended Ethnic group log016
Query log017 String 50 Recommended Visit related to psychiatric complaint? 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log018 Integer Recommended Any documented thoughts or behaviors related to intentional self-harm, including suicidal and non-suicidal, on patient chart? 0::4; -888; -999 0=Noscreening for self-harm documented; 1=No self harm present (patient screened but denied any past or current self-harm ideation/behavior); 2=Yes,currentself-harm(patient screened and endorsed self-harm ideation/behavior currently); 3=Yes,past self-harm ideation/behavior only(patient screened and endorsed self-harm ideation/behavior in past, but not currently); 4=Yes, self-harm, unknown time (patient screened and endorsed self-harm ideation/behavior, but unclear if past or current); -888=Not Applicable; -999=Missing;
Query log018a Integer Recommended Was this self-harm ideation/behavior documented in the Patient Safety Screener? 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log018b Integer Recommended From the Patient Safety Screener: Did the patient report that over the past 2 weeks, he/she had thoughts of killing him/herself? 0;1;9;-888;-999 0=No; 1=Yes; 9=Not Documented; -888=Not Applicable; -999=Missing;
Query log018c Integer Recommended From the Patient Safety Screener: Did the patient report attempting to kill him/herself ≤ 6 months before the current ED visit? 0;1;9;-888;-999 0=No; 1=Yes; 9=Not Documented; -888=Not Applicable; -999=Missing;
Query log019 Integer Recommended Did the RA approach the patient to try and administer eligibility screener? 1::10; -888; -999 1=Yes, approached; 2=No,instate custody(jail, parole); 3=No, not currently community-dwelling (e.g., in psychiatric facility, rehab, nursing home, assisted living); 4=No, homeless; 5=No, too sick (e.g., intubated, persistent vomiting, persistent pain, unconscious, invasive procedures, isolation precautions, etc.); 6=No, too agitated, hostile, violent, abusive; 7=No, altered mental status; 8=No, insurmountable language barrier; 9=No, missed (i.e., patient was discharged, transferred, undergoing testing, or left before RA could approach, or RA shift ended); 10=No; -888=Not Applicable; -999=Missing;
log020 String 400 Recommended If other, please specify:
log020a String 300 Recommended Comment on why subject not approached (optional)
log020b String 50 Recommended Date eligibility screen began
Query log021 Integer Recommended Time eligibility screening began, military time
Query log022 Integer Recommended Are you willing to answer questions to determine if you are eligible for this study?
0;1;-888;-999
0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log023 Integer Recommended Over the past week, including today, have you had any thoughts of harming yourself? 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log024 Integer Recommended When you had these thoughts, did you think about ending your life? 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log025 Integer Recommended Over the past week, including today, have you actually tried to hurt yourself? 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log026 Integer Recommended When you tried to hurt yourself, were you trying to kill yourself? 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log027 Integer Recommended To participate, it is extremely important that we be able to reach you easily by phone. Do you have a phone that is always in service? 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log028 Integer Recommended Would you be willing to answer questions over the phone on 5 different occasions over the course of the next year? Each call would take approximately 15 minutes and you would be paid $30 - $40 for your time. 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log029 Integer Recommended Do you have a permanent address? (i.e. - not in a homeless shelter, half-way house, nursing home, psychiatric treatment facility, correctional facility) 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log030 Integer Recommended Do you plan on staying where you currently live for the next 12 months? 0;1;-888;-999 0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log031 Integer Recommended Would you like to hear more about the study?
0;1;-888;-999
0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log032 Integer Recommended Eligibility Screen completed?
0;1;-888;-999
0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log033 Integer Recommended Reason eligibility screen not completed
1::10; -888; -999
1=Instate custody (jail, parole); 2=Not currently community-dwelling (e.g., in psychiatric facility, rehab, nursing home, assisted living); 3=Homeless; 4=Too sick; 5=Agitated, hostile, violent, or abusive; 6=Altered mental status (intoxicated, unconscious, hallucinating); 7=Insurmountable language barrier; 8=Other; 9=Refused; 10=Idea to renrollment cap reached; -888=Not Applicable; -999=Missing;
log034 String 200 Recommended If other, please specify:
Query log035 String 50 Recommended Was the patient enrolled into the study?
0;1;-888;-999
0=No; 1=Yes; -888=Not Applicable; -999=Missing;
Query log036 Integer Recommended Record the Subject ID #
Query aescode Integer Recommended Staff code number of person completing this form 999= Missing Data
version_form String 121 Recommended Form used/assessment name
Query english_yn Integer Recommended Is this person able to speak, read and understand English?
0;1; -888
0 = No; 1 = Yes; -888 = Not Applicable
Query eligen1 Integer Recommended Eligibility Criteria: Being evaluated for suicidal thoughts or actions 0;1 0 = No; 1 = Yes
Query eligen2 Integer Recommended Eligibility Criteria: Age >=18 years
0;1; -888
0 = No; 1 = Yes; -888 = Not Applicable
Query eligen3 Integer Recommended Eligibility Criteria: Deemed medically stable by ED physician 0;1 0 = No; 1 = Yes
Query eligen5 Integer Recommended Eligibility Criteria: Do you currently live in a group home or other supervised setting?
0;1; -888
0 = No; 1 = Yes; -888 = Not Applicable
Query eligen7 Integer Recommended Eligibility Criteria: Do you have a telephone number where we could reach you in one week for a brief phone call? 0;1 0 = No; 1 = Yes
Query eligen9 Integer Recommended Eligibility Criteria: Do you currently have at least one firearm stored in your home? 0;1;9 0 = No; 1 = Yes; 9 = Decline to answer
eligen14 String 200 Recommended Eligibility Criteria: If patient NOT consented and enrolled in the study, why?
bkgrnd_education String 1,020 Recommended Subject's education (school and preschool)
das1ms String 200 Recommended Marital status
area4_explain String 255 Recommended Employment situation? Explain briefly
fspgod String 70 Recommended Subject's gender OTHER describe
ch_race String 55 Recommended Child's/study subject Race specify
enpat4 String 25 Recommended Is there someone (a friend or family member) with you in the ER right now? (choose all that apply) 0 = No, I came alone ; 1 = No, they were here but left ; 2 = Yes, my spouse/partner/significant other ; 3 = Yes, some other family member ; 4 = Yes, a friend ; 5 = Yes, someone from my work ; 6 = Yes, a caseworker ; 7 = Yes, someone else: ; 8 = Refused/skipped ; 9 = Don't know
enpat4_other String 100 Recommended Is there someone (a friend or family member) with you in the ER right now? Other: specify
Query enpat4b Integer Recommended If there is someone (a friend or family member) with you in the ER right now, is the person here someone you turn to for help when you are feeling unsafe? 0::2;8;9 0 = No; 1 = Yes, he/she is the main person I turn to; 2 = Yes, he/she is one of a group of people I turn to; 8 = Refused/skipped; 9 = Don't know
Query enpat5 Integer Recommended Do you currently live alone? 0;1 0 = No; 1 = Yes
enpat5b String 10 Recommended If you do not live alone, then who else lives with you? (choose all that apply) 1 = My spouse/partner/significant other; 2 = Another adult; 3 = At least one child (age < 18 years); 8 = Refused; 9 = Don't know
enpat5c String 50 Recommended If at least one child lives with you, then how many children live in the house, and what are their ages? Enter number and age of each
Query enpat6 Integer Recommended Are you currently enrolled in any kind of outpatient mental health care (like with a therapist or psychiatrist)? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused/skipped; 9 = Don't know
Query ffelen4 Integer Recommended Are you currently under arrest or otherwise in police custody?
0;1; -888
0 = No; 1 = Yes; -888 = Not Applicable
Query ffelen9 Integer Recommended Was this eligibility screening (and/or enrollment) completed in person or via phone? 1;2 1 = In person; 2 = Telephone
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

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