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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Means Accesebility Questionnare

51 Shared Subjects

Baseline questionnaire for family member or friend
Clinical Assessments
Suicide
12/31/2018
blq01
03/21/2019
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
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 aescode Integer Recommended Staff code number of person completing this form 999= Missing Data
version_form String 121 Recommended Form used/assessment name
relashionship String 255 Recommended relashionship of respondent to individual
Query blq1 Integer Recommended Today, would you say that All, Some, or None the medicines in your home are stored unlocked? 0::3;8 0 = No medicines at home; 1 = All are stored unlocked; 2 = Some are stored unlocked; 3 = None are stored unlocked; 8 = Don't Know
Query blq2b Integer Recommended You said some medicines in your home are stored unlocked. I'm going to read some types of medications. For each type, please tell me whether None, Some, or All are stored unlocked. - Prescription pain medications 0::2;8 0 = None; 1 = Some; 2 = All; 8 = Don't Know
Query blq2c Integer Recommended You said some medicines in your home are stored unlocked. I'm going to read some types of medications. For each type, please tell me whether None, Some, or All are stored unlocked. - Other prescription medications 0::2;8 0 = None; 1 = Some; 2 = All; 8 = Don't Know
Query blq2d Integer Recommended You said some medicines in your home are stored unlocked. I'm going to read some types of medications. For each type, please tell me whether None, Some, or All are stored unlocked. - Over-the-counter pain medications 0::2;8 0 = None; 1 = Some; 2 = All; 8 = Don't Know
Query blq2e Integer Recommended You said some medicines in your home are stored unlocked. I'm going to read some types of medications. For each type, please tell me whether None, Some, or All are stored unlocked. - Other over-the-counter medications 0::2;8 0 = None; 1 = Some; 2 = All; 8 = Don't Know
Query blq3 Integer Recommended If at least some medications are locked, could you access any of the locked medications? 0::2;8 0 = No; 1 = Yes, easily; 2 = Yes, but it might be difficult; 8 = Don't Know
Query blq4 Integer Recommended Today, how many firearms do you have in your home - one or more than one? 1::3;8 1 = One; 2 = More than one; 3 = None; 8 = Don't Know bl_guns
Query blq4a Integer Recommended If your home has only one gun, is this gun stored unlocked? 0;1;8 0 = No; 1 = Yes; 8 = Don't Know
Query blq4b Integer Recommended If your home has only one gun, is this gun stored loaded? 0;1;8 0 = No; 1 = Yes; 8 = Don't Know
Query blq4c Integer Recommended If your home has more than one gun, how many of these guns are stored unlocked? 0;1;2;8 0 = None; 1 = One; 2 = More than one; 8= Don't Know
Query blq4d Integer Recommended If your home has more than one gun, how many of the guns you have at home are stored loaded? 0;1;2;8 0 = None; 1 = One; 2 = More than one; 8 = Don't Know
Query blq4e Integer Recommended If your home has an unknown number of guns, to the best of your knowledge, is there at least one gun in your home stored unlocked? 0;1 0 = No; 1 = Yes
Query blq4f Integer Recommended If your home has an unknown number of guns, to the best of your knowledge, is there at least one gun in your home stored loaded? 0;1 0 = No; 1 = Yes
blq4g String 20 Recommended For any guns that are locked, can you please describe which devices are used? (Check all that apply) 1 = Gun safe; 2 = Locked closet or cabinet; 3 = Locked room; 4 = Locking device like cable lock or trigger lock; 5 = Intrinsic lock; 8 = Don't Know
Query blq5 Integer Recommended For any guns that are locked, could you personally unlock at least one? 0::2;8 0 = No; 1 = Yes, easily; 2 = Yes, but it might be difficult; 8 = Don't Know
Query blq6 Integer Recommended Do you have any guns stored away from your home? 0;1;8 0 = No; 1 = Yes; 8 = Don't Know
Query blq6b String 25 Recommended If you have guns stored away from your home, where are they currently stored? 1 = At a relative's home; 2 = At a friend's home; 3 = At a gun range or sports club; 4 = At a gun store; 5 = With the police/law enforcement; 6 = At a pawn shop; 7 = Other; 9 = Refused; 8 = Don't know
blq6b_other String 50 Recommended If you have guns stored away from your home, where are they currently stored? Other: specify
Query blq7 Integer Recommended Do you personally own the guns we've been talking about? 0::2; 8;9 0 = No; 1 = Yes, at least one but not all; 2 = Yes, all of them; 9 = Refused; 8 = Don't know
Query blq8 Integer Recommended Who makes decisions about how guns in your home are stored? 1::3;8;9 1 = I do, by myself; 2 = I do, with someone else in the home; 3 = Someone else in the home does; 9 = Refused; 8 = Don't know/not sure
blq8b String 25 Recommended If someone else makes or helps to make decisions about how guns in your home are stored, who is that person? (Choose all that apply) 1 = My spouse/partner/significant other; 2 = Brother/brother-in-law; 3 = Sister/sister-in-law; 4 = Parent/parent-in-law; 5 = Adult child (at least 18 years old); 6 = Child; 7 = Other adult (including roommates or friends); 9 = Refused; 8 = Don't know
Query blq8c Integer Recommended If someone else makes or helps to make decisions about how guns in your home are stored, is/was that person in the ER with you today? 0;1;8;9 0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
Query blq9 Integer Recommended Do you remember any ER provider talking with you today how you store medications in your home? 0;1;8;9 0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
Query blq10 Integer Recommended Do you remember any ER provider talking with you today whether you have access to guns at home? 0;1;8;9 0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
Query blq11b Integer Recommended How much do you agree with the following statements: Having access to a gun in the home increases the likelihood of death by suicide when someone is at risk 1::5 1 = Strongly agree; 2 = Agree; 3 = Neither agree nor disagree; 4 = Disagree; 5 = Strongly disagree
Query blq11c Integer Recommended How much do you agree with the following statements: Locking up firearms or storing them away from the home reduces the likelihood of death by suicide when someone is at risk 1::5 1 = Strongly agree; 2 = Agree; 3 = Neither agree nor disagree; 4 = Disagree; 5 = Strongly disagree
Query blq12 Integer Recommended For every 10 people who survive a suicide attempt, how many do you think will later die by suicide? 1;3;5;7;9 1 = One; 3 = Three; 5 = Five; 7 = Seven; 9 = Nine
Query blq13 Integer Recommended For every 10 people who attempt suicide using a gun, how many (on average) do you think will die? 1;3;5;7;9 1 = One; 3 = Three; 5 = Five; 7 = Seven; 9 = Nine
Query blq14a Integer Recommended Considering the firearm storage option(s) you prefer: Do you know which options are available to you?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14b Integer Recommended Considering the firearm storage option(s) you prefer: Do you know the benefits of each option?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14c Integer Recommended Considering the firearm storage option(s) you prefer: Do you know the risks or drawbacks of each option?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14d Integer Recommended Considering the firearm storage option(s) you prefer: Are you clear about which benefits matter most to me?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14e Integer Recommended Considering the firearm storage option(s) you prefer: Are you clear about which risks and drawbacks matter to me?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14f Integer Recommended Considering the firearm storage option(s) you prefer: Do you have enough support from others to make a choice?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14g Integer Recommended Considering the firearm storage option(s) you prefer: Are you choosing without pressure from others?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14h Integer Recommended Considering the firearm storage option(s) you prefer: Do you have enough advice to make a choice?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14i Integer Recommended Considering the firearm storage option(s) you prefer: Are you clear about the best choice for you?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14j Integer Recommended Considering the firearm storage option(s) you prefer: Do you feel sure about what to choose?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14k Integer Recommended Considering the firearm storage option(s) you prefer: Is this decision easy for you to make?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14l Integer Recommended Considering the firearm storage option(s) you prefer: Do you feel you have made an informed choice?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14m Integer Recommended Considering the firearm storage option(s) you prefer: Does your decision who what is important to you?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14n Integer Recommended Considering the firearm storage option(s) you prefer: Do you expect to stick with your decision?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq14o Integer Recommended Considering the firearm storage option(s) you prefer: Are you satisfied with your decision?
0;1;3
0 = No; 1 = Yes; 3 = Unsure
Query blq15a Integer Recommended I feel confident that I can: Get the facts about the firearm storage choices available to me 1::5 1 = Not at all confident; 5 = Very confident
Query blq15b Integer Recommended I feel confident that I can: Get the facts about the benefits of each choice 1::5 1 = Not at all confident; 5 = Very confident
Query blq15c Integer Recommended I feel confident that I can: Get the facts about the risks and downsides of each choice 1::5 1 = Not at all confident; 5 = Very confident
Query blq15d Integer Recommended I feel confident that I can: Understand the information enough to be able to make a choice 1::5 1 = Not at all confident; 5 = Very confident
Query blq15e Integer Recommended I feel confident that I can: Ask questions without feeling dumb 1::5 1 = Not at all confident; 5 = Very confident
Query blq15f Integer Recommended I feel confident that I can: Express my concerns about each choice 1::5 1 = Not at all confident; 5 = Very confident
Query blq15g Integer Recommended I feel confident that I can: Ask for advice 1::5 1 = Not at all confident; 5 = Very confident
Query blq15h Integer Recommended I feel confident that I can: Figure out the choice that best suits me 1::5 1 = Not at all confident; 5 = Very confident
Query blq15i Integer Recommended I feel confident that I can: Handle unwanted pressure from others in making my choice 1::5 1 = Not at all confident; 5 = Very confident
Query blq16a Integer Recommended After today's visit, how likely is it that you will change the way you store these things at home? - Medications 1::7;9 1 = Extremely likely; 7 = Extremely unlikely; -888 = I don't have any potentially toxic medications
Query blq16b Integer Recommended After today's visit, how likely is it that you will change the way you store these things at home? - Firearms 1::7 1 = Extremely likely; 7 = Extremely unlikely
blq16c String 20 Recommended If the likelihood of changing firearm storage habits was 1 - 5 (moderately to extremely likely), what changes do you think you will make? Choose all that apply 0 = I will use a/more locking devices (such as trigger locks) in my home; 1 = I will use a/more locking safes or gun lockboxes in my home; 2 = I will give a/more guns to a trusted family member for safekeeping; 3 = I will give a/more guns to a trusted friend for safekeeping; 4 = I will store a/more guns at a store or range that has firearm storage; 5 = I will give a /more guns to a law enforcement agency that has firearm storage; 7 = Other; NA - not applicable
blq16c_other String 665 Recommended If the likelihood of changing firearm storage habits was 1 - 5 (moderately to extremely likely), what changes do you think you will make? Choose all that apply - Other: specify
blq16d String 300 Recommended If the likelihood of changing firearm storage habits was 6 or 7 (change extremely unlikely), why is it unlikely that you will make changes?
Query blq17 Integer Recommended The length of the web tool was 1::3;8;9 1 = Too long; 2 = Just right; 3 = Too short; 98 = Refused; 97 = Don't know
Query blq18 Integer Recommended The amount of information was 1::3;8;9 1 = Too much information; 2 = Just right; 3 = Too little information; 9 = Refused; 8 = Don't know
Query blq19 Integer Recommended I found the web tool 1::3;8;9 1 = Slanted towards option in the home (locked up and inaccessible to the person at risk); 2 = Slanted towards option outside the home (like storage elsewhere); 3 = Balanced; 9 = Refused; 8 = Don't know
Query blq20 Integer Recommended Did you find this web tool useful in helping you make a decision about changing firearm access? 0;1;8;9 0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
blq20b String 250 Recommended If you did not find the web tool useful in helping you make a decision about changing firearm access, then why?
Query blq21 Integer Recommended Do you think the web tool included enough information to help a person decide on ways to change home access to firearms? 0;1;8;9 0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
blq21b String 250 Recommended If you do not think the web tool included enough information to help a person decide on ways to change home access to firearms, then why?
Query blq22 Integer Recommended Was the web tool respectful of your and your family's values about guns? 0;1 0 = No; 1 = Yes
blq22b String 250 Recommended If the web tool was not respectful of your and your family's values about guns, then why?
Query blq23 Integer Recommended Did the web tool explain legal issues related to how guns are stored? 0;1;8;9 0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
blq23b String 250 Recommended If the web tool did not explain legal issues related to how guns are stored, then why?
Query blq24 Integer Recommended Did the options presented feel realistic for your family - that is, something that you feel you might be able and willing to do? 0;1;8;9 0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
blq24b String 250 Recommended If the options presented did not feel realistic for your family, then why?
Query blq25 Integer Recommended Would you recommend this tool to a friend or family member in a similar situation? 0;1;8;9 0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
blq25b String 250 Recommended If you would not recommend this tool to a friend or family member in a similar situation, then why?
Query blq26 Integer Recommended Would you want the option to email web tool responses to yourself (rather than printing)? 0;1;8;9 0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
blq27 String 25 Recommended Where, if anywhere, do you think this web tool could be useful? 1 = Outpatient mental health clinics/settings; 2 = Emergency departments; 3 = On suicide prevention websites; 4 = On firearm websites (like the NRA or other gun education, retail, or advocacy groups); 4 = On other public websites; 5 = In settings for veterans/at the VA; 6 = In the military; 7 = None of the above; 9 = Refused; 8 = Don't know
pr_knowhop5 String 150 Recommended Is there anything else that you would like to tell us? blq28
Query blq_ff2 Integer Recommended Do you live with the patient, even part of the time? 0;1;9 0 = No; 1 = Yes; 9 = Refused
Query blq_ff4 Integer Recommended If you live with the patient (even part of the time), then are there firearms in the home where you and the patient live? 0;1;8;9 0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
Query blq_ff6e1 Integer Recommended If there is more than one gun stored in the patient's home, then how many guns are stored both unlocked and loaded? 0::2;8 0 = None; 1 = One; 2 = More than one; 8 = Don't Know
Query visit String 60 Recommended Visit name
Query fpq1 Integer Recommended At the end of your ER visit were you discharged home or admitted for mental health treatment? 1;2;8;9 1 = Discharged; 2 = Admitted; 8 = Refused; 9 = Don't Know
fpq1b Date Recommended If, after ER visit, you were admitted for mental health treatment, what date were you discharged from the facility?
fpq1c String 2,665 Recommended If, after ER visit, you were admitted for mental health treatment, what is the name of the facility you were at?
Query fpq2 Integer Recommended During your ER visit, do you remember being seen by a mental health consultant (like a social worker, psychologist, or behavioral health evaluator)? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
Query fpq3 Integer Recommended At the time you came into the ER, were you already enrolled in some kind of outpatient mental healthcare (like with a therapist or psychiatrist)? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
Query fpq4 Integer Recommended Since your ER visit, have you seen an outpatient mental healthcare provider (like with a therapist or psychiatrist)? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
Query fpq4b Integer Recommended Since your ER visit, if you have not seen an outpatient mental healthcare provider, are you planning to see one? 0::2;8;9 0 = No; 1 = Yes, I have an appointment; 2 = Yes, but I don't have an appointment yet; 8 = Refused; 9 = Don't Know
Query fpq5 Integer Recommended Since your ER visit, have you called the Colorado Crisis Hotline? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
Query fpq5b Integer Recommended If you have been in contact with the Colorado Crisis Hotline since your ER visit, did you call the hotline or did the hotline call you? 1::3;8;9 1 = I called the hotline; 2 = The hotline called me; 3 = Both (I called and it called me); 8 = Refused; 9 = Don't Know
Query fpq13 Integer Recommended Since your ER visit, have you (or your family) made any changes in how you store your guns? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
fpq13b String 20 Recommended Since your ER visit, if you (or your family) made any changes in how you store your guns, then what were they? Choose all that apply 0 = Locking devices; 1 = Locking safes or gun lockboxes; 2 = Gave guns to a trusted family member for safekeeping; 3 = Gave guns to a trusted friend for safekeeping; 4 = Storing guns at a store or range that has firearm storage; 5 = Gave guns to a law enforcement agency that has firearm storage; 7 = Other
fpq13b_other String 665 Recommended Since your ER visit, if you (or your family) made any changes in how you store your guns, then what were they? Specify other method
Query fpq17a Integer Recommended Considering the firearm storage option(s) you prefer, please answer the following questions: Do you know which options are available to you? 0;2;4 0 = Yes; 2 = Unsure; 4 = Very Unsure
Query fpq17b Integer Recommended Considering the firearm storage option(s) you prefer, please answer the following questions: Do you know the benefits of each option? 0;2;4 0 = Yes; 2 = Unsure; 4 = Very Unsure
Query fpq17c Integer Recommended Considering the firearm storage option(s) you prefer, please answer the following questions: Do you know the risks and side effects of each option? 0;2;4 0 = Yes; 2 = Unsure; 4 = Very Unsure
Query fpq17d Integer Recommended Considering the firearm storage option(s) you prefer, please answer the following questions: Are you clear about which benefits matter most to you? 0;2;4 0 = Yes; 2 = Unsure; 4 = Very Unsure
Query fpq17e Integer Recommended Considering the firearm storage option(s) you prefer, please answer the following questions: Are you clear about which risks and side effects matter most to you? 0;2;4 0 = Yes; 2 = Unsure; 4 = Very Unsure
Query fpq17f Integer Recommended Considering the firearm storage option(s) you prefer, please answer the following questions: Do you have enough support from others to make a choice? 0;2;4 0 = Yes; 2 = Unsure; 4 = Very Unsure
Query fpq17g Integer Recommended Considering the firearm storage option(s) you prefer, please answer the following questions: Are you choosing without pressure from others? 0;2;4 0 = Yes; 2 = Unsure; 4 = Very Unsure
Query fpq17h Integer Recommended Considering the firearm storage option(s) you prefer, please answer the following questions: Do you have enough advice to make a choice? 0;2;4 0 = Yes; 2 = Unsure; 4 = Very Unsure
Query fpq17i Integer Recommended Considering the firearm storage option(s) you prefer, please answer the following questions: Are you clear about the best choice for you? 0;2;4 0 = Yes; 2 = Unsure; 4 = Very Unsure
Query fpq17j Integer Recommended Considering the firearm storage option(s) you prefer, please answer the following questions: Do you feel sure about what to choose? 0;2;4 0 = Yes; 2 = Unsure; 4 = Very Unsure
Query fpq18a Integer Recommended In the next month, how likely is it that you will change the way you store medications at home? 1::7;9 1 = Extremely likely; 7 = Extremely unlikely; 9 = I don't have any potentially toxic medications
Query fpq18b Integer Recommended In the next month, how likely is it that you will change the way you store firearms at home? 1::7; 9 1 = Extremely likely; 7 = Extremely unlikely; 9 = Not applicable (does not have firearms)
Query fpq19 Integer Recommended Do you remember viewing general information about suicide prevention? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
Query fpq19b Integer Recommended Do you remember viewing general information about suicide prevention? If yes, do you remember viewing information about firearm safety? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
Query fpq20 Integer Recommended Do you remember completing an educational tool about firearm storage? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
Query fpq22 Integer Recommended Did you have a family member or friend with you at any time during your ER visit? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
Query fpq22b Integer Recommended If you had a family member or friend with you at any time during your ER visit, did the ER providers include that person(s) in discussions about firearm storage? 0::2;8;9 0 = No; 1 = Yes, family; 2 = Yes, friend; 8 = Refused; 9 = Don't Know
Query fpq22c Integer Recommended If you did not have a family member or friend with you during your ER visit, do you wish there had been a friend or family member with you? 0;1;8;9 0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
fpq23 String 665 Recommended Is there anything else you would like to tell me? Record final comments, verbatim, for follow-up to ER visit for suicide attempt
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.

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