|
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 |
|
|
id, subject_id, subjectid, subjid |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
adate, date_created, visit_date |
|
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 |
|
site |
String |
101
|
Recommended |
Site |
|
Study Site
|
site_uid |
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
visit_name |
|
session_id |
String |
20
|
Recommended |
session ID/screening ID |
|
|
screeningid |
|
version_form |
String |
121
|
Recommended |
Form used/assessment name |
|
|
form_name |
Query
|
report_type |
Integer |
|
Recommended |
Report type: |
0;1
|
0=Initial; 1=Followup
|
|
Query
|
sibfunum |
Integer |
|
Recommended |
SIBRE Follow-up Number |
|
|
|
Query
|
aeid |
Integer |
|
Recommended |
Adverse event identifier |
|
|
sae_id |
|
aeterm |
String |
250
|
Recommended |
Verbatim Term |
|
|
sibtrm |
|
sibonst |
Date |
|
Recommended |
Onset date of SIB: |
|
|
|
|
dtsmprpt |
Date |
|
Recommended |
Date Symptoms Reported to site |
|
|
|
Query
|
sibstday |
Integer |
|
Recommended |
SIB Day in Study |
|
|
|
Query
|
sibevnt |
Integer |
|
Recommended |
SIB Event |
1::10;99
|
1=Wish to be dead; 2=Non specific active suicidal thoughts; 3=Active suicidal ideation with some intent to act without specific plan; 3=Active suicidal ideation with any methods (not plan) without intent to act; 4=Active suicidal ideation with some intent to act, without specific plan; 5=Active suicidal ideation with specific plan and intent; 6=Acual attempt; 7=Interrupted attempt; 8=Aborted attempt; 9=Preparatory acts or behavior; 10=Completed suicide; 99=Other
|
|
|
sibdscrp |
String |
500
|
Recommended |
SIB Description |
|
|
|
Query
|
sibemrg |
Integer |
|
Recommended |
SIB event emergent or worsened from baseline |
1;2
|
1=Yes; 2=No
|
|
|
emrgdscr |
String |
250
|
Recommended |
SIB - Treatment emergent explanation |
|
|
|
Query
|
sibresrc |
Integer |
|
Recommended |
SIB info source |
1::4;99
|
1=Scale; 2=Patient interview; 3=Self report; 4=Outside clinician; 99=Other
|
|
|
sibsrcsp |
String |
250
|
Recommended |
SIB source other specify |
|
|
|
|
siboutcm |
String |
250
|
Recommended |
Outcome (referral, hospitalization, etc) |
|
|
|
Query
|
actptnt |
Integer |
|
Recommended |
Action Taken with Respect to Patient |
1;2;99
|
1=None; 2=Patient discontinued from study; 99=Other
|
|
|
actsp |
String |
250
|
Recommended |
Action taken with respect to patient other specify |
|
|
|
|
requestsae |
String |
250
|
Recommended |
Request for additional information |
|
|
|
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
addlinfo |
|
reason_for_rejection |
String |
250
|
Recommended |
Please, specify reason for rejection or disapproval: |
|
|
|
|
parent_id |
String |
20
|
Recommended |
Parent ID |
|
|
|
Query
|
study_id |
Integer |
|
Recommended |
Study ID number |
|
46=Acute Phase; 47=Stabilization Phase
|
|
Query
|
suicatt_age |
Integer |
|
Recommended |
Age at lifetime suicide attempt |
|
|
age |
Query
|
medthreat |
Integer |
|
Recommended |
Medical threat of worst suicide attempt |
0::7; -9
|
0=No information; 1=No danger; 2=Minimal danger; 3=Mild danger; 4=Moderate danger; 5=Severe danger; 6=Extreme danger; 7=Death; -9 =Missing/NA
|
medthreat1 |
Query
|
currentepi |
Integer |
|
Recommended |
Suicide attempt: current episode? |
0;1; -9
|
0=No; 1=Yes; -9=unknown
|
|
Query
|
lvnmacat |
Integer |
|
Recommended |
Suicidal Behavior. Since Last Visit number of actual attempts |
|
-900 = Missing; -300 = N/A
|
suic1 |
Query
|
sbeh1 |
Integer |
|
Recommended |
Self-injurious/suicidal behavior Number |
|
|
|
Query
|
intent1 |
Integer |
|
Recommended |
Self-injurious/suicidal behavior Intent |
0::6
|
0 = No information; 1 = Obviously no intent; 2 = Only minimal intent; 3 = Definite but still ambivalent; 4 = Serious; 5 = Very serious; 6 = Extreme (e.g., careful planning and every expectation of death)
|
|
Query
|
comm |
Integer |
|
Recommended |
Prior to the most severe self-injurious/suicidal behavior, did he/she have direct communication with other regarding the behavior |
0;1; 999
|
0 = No; 1 = Yes; 999 = Not Applicable/Missing
|
|
Query
|
sibre_int |
Integer |
|
Recommended |
Intoxicated during self-injurious/suicidal behavior |
0;1
|
0 = No; 1 = Yes
|
int |
Query
|
sibre_med |
Integer |
|
Recommended |
On medication during self-injurious/suicidal behavior |
0;1
|
0 = No; 1 = Yes
|
med |
Query
|
sibre_tx |
Integer |
|
Recommended |
In treatment during self-injurious/suicidal behavior |
|
0 = No; 1 = Yes
|
tx |
Query
|
pcoshosp |
Integer |
|
Recommended |
patient hospitalized |
0;1;-7
|
0=No; 1=Yes; -7=Refused
|
hosp |
Query
|
levent |
Integer |
|
Recommended |
Any siginificant life event(s) in six months prior to self-injurious/suicidal behavior |
0;1
|
0 = No; 1 = Yes
|
|
|
spevent |
String |
50
|
Recommended |
If any significant life event(s) in six months prior to the self-injurious/suicidal behavior, specify |
|
|
|
Query
|
cord |
Integer |
|
Recommended |
Confused or disorganized during self-injurious/suicidal behavior |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
dorh |
Integer |
|
Recommended |
Delusional or hallucinating during self-injurious/suicidal behavior |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
other_impairment |
Integer |
|
Recommended |
Other impairment during self-injurious/suicidal behavior |
0;1
|
0 = No; 1 = Yes
|
other |
Query
|
suiciage |
Integer |
|
Recommended |
How old was the subject during the most severe suicide attempt? (specify age in years) |
|
|
gage |
|
deathdate1 |
Date |
|
Recommended |
Date of death |
|
MM/DD/YYYY
|
ddate |
Query
|
age_at_death_months |
Integer |
|
Recommended |
Age at death in months |
|
|
dage |
|
lthldt |
String |
25
|
Recommended |
Most lethal attempt date |
|
|
gdate |
|
primary_cause_death |
String |
200
|
Recommended |
Primary cause of death |
|
|
cause |
Query
|
methodsuicide |
Integer |
|
Recommended |
Method of suicide |
1::17
|
1 = Firearm,2 = Hanging,3 = Jumping,4 = Drowning,5 = Stabbing,6 = Carbon Monoxide,7 = Overdose,8 = Cutting,9 = Car Accident,10 = Other; 11 = Ingestion of toxic substance; 12 = Burning;13=Drugs w/ Sedative Effects - BDZ/HYP; 14=Drugs w/ Sedative - Unknown; 15=Drugs w/out Sedative Effects/Ingested Suicide; 16=2h = Drugs w/out Sedative Effects/Ingested Suicide; 17=Shooting
|
method1 |
|
dsmvers |
String |
10
|
Recommended |
version/name of assessment |
|
|
form |
Query
|
bsit0 |
Float |
|
Recommended |
Weeks from Time 0/baseline to assessment |
|
|
week1 |
Query
|
monthsbl |
Float |
|
Recommended |
Actual number of months from Baseline |
|
|
|
|
csdeath |
String |
255
|
Recommended |
Cause of death |
|
|
spother |
|
suicsp |
String |
50
|
Recommended |
If death of suicide, specify |
|
|
|
|
death017 |
String |
500
|
Recommended |
Immediate cause of death (Final disease or condition resulting in death) |
|
|
catofmed |
Query
|
bsimo |
Float |
|
Recommended |
Months from Time 0 to assessment |
|
|
monfol |
Query
|
month1 |
Integer |
|
Recommended |
Months since Time 0 to suicidal/self-injurious act |
|
|
|