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Columbia Suicide History Form

122 Shared Subjects

N/A
Clinical Assessments
Suicide
12/20/2016
cshf01
12/16/2022
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
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 site String 101 Recommended Site Study Site
Query visit String 60 Recommended Visit name
Query days_baseline Integer Recommended Days since baseline
Query suicidalityatt_lifetime_tot Integer Recommended Number of Lifetime Suicide Attempts
Query shsq2 Integer Recommended Total number of ambiguous attempts
Query sbiatnal Integer Recommended Suicidal Behavior. Total number Interrupted Attempts. Lifetime. 0::1000;-9;-900;-300 -9=incomplete; -900 = Missing; -300 = N/A
Query cssrs_base_14a Integer Recommended Baseline. Que 14a - Suicidal Behavior: Number of aborted attempts
Query actlthl2 Integer Recommended Most Lethal Actual Lethality/Medical Damage 0::6; 9;-9;-900 0=No physical damage or very minor physical damage (e.g., surface scratches).; 1=Minor physical damage (e.g., lethargic speech first-degree burns mild bleeding sprains).; 2=Moderate physical damage medical attention needed (e.g., conscious but sleepy, somewhat responsive second-degree burns bleeding of major vessel).; 3=Moderately severe physical damage medical hospitalization and likely intensive care required (e.g., comatose with reflexes intact third-degree burns less than 20% of body extensive blood loss but can recover major fractures).; 4=Severe physical damage medical hospitalization with intensive care required (e.g., comatose without reflexes third-degree burns over 20% of body extensive blood loss with unstable vital signs major damage to a vital area); 5=Death; -9=incomplete; 6 = Depending upon method used: Bullet to head area, Comatose -- all reflexes absent; respiratory depression with cyanosis or circulatory failure and shock or both, Extensive blood loss with shock; insult to vital areas with change in vital signs; recovery with inpatient care doubtful, Major damage to vital area (skull, neck, spinal column) -- paralysis expected, Paralysis or other spinal cord injury, Third degree burns over 60% body area, Unconscious -- massive efforts at resuscitation necessary for revival; 9=NA; -900 = Missing
Query actlthl1 Integer Recommended Most Recent Actual Lethality/Medical Damage 0::6; 9; -9; -900 0=No physical damage or very minor physical damage (e.g., surface scratches).; 1=Minor physical damage (e.g., lethargic speech first-degree burns mild bleeding sprains).; 2=Moderate physical damage medical attention needed (e.g., conscious but sleepy, somewhat responsive second-degree burns bleeding of major vessel).; 3=Moderately severe physical damage medical hospitalization and likely intensive care required (e.g., comatose with reflexes intact third-degree burns less than 20% of body extensive blood loss but can recover major fractures).; 4=Severe physical damage medical hospitalization with intensive care required (e.g., comatose without reflexes third-degree burns over 20% of body extensive blood loss with unstable vital signs major damage to a vital area); 5=Death; -9=incomplete; 6 = Depending upon method used: Bullet to head area, Comatose -- all reflexes absent; respiratory depression with cyanosis or circulatory failure and shock or both, Extensive blood loss with shock; insult to vital areas with change in vital signs; recovery with inpatient care doubtful, Major damage to vital area (skull, neck, spinal column) -- paralysis expected, Paralysis or other spinal cord injury, Third degree burns over 60% body area, Unconscious -- massive efforts at resuscitation necessary for revival; 9=NA; -900 = Missing
Query shsq7ady Integer Recommended Date of: First actual suicide attempt (days from baseline)
Query shsq7bdy Integer Recommended Date of: Most recent actual attempt (days from baseline)
Query shsq7cdy Integer Recommended Date of: Most lethal actual attempt (days from baseline)
Query shsq8 Integer Recommended Lethality of most recent ambiguous attempt 0::9 0 = Depending upon method used: Fully conscious and alert, Minor bruises only -- no treatment necessary, No damage, No or minimal medical consequences or treatment, Surface scratches; none or minor bleeding; little or no wound care required; 1 = Depending upon method used: 01 Conscious but sleepy; 2 = Depending upon method used: Conscious -- some respiratory distress but no resuscitation needed, First degree burns, Flesh wounds with powder burns, Lethargic with diminution in intellectual ability, Moderate bleeding with clotting before significant blood loss occurs; simple wound care required, Simple rope burns, Some injury (e.g., mouth burns) and treatment in emergency room or on outpatient basis (e.g., gastric lavage), Sprains or minor injuries -- no bone, ligament, or tendon damage; no internal bleeding, tissue or brain damage; 3 = Depending upon method used: Asleep but easily aroused, Bleeding of major veins, danger of considerable blood loss without surgical intervention -- suturing necessary but no transfusion; vital areas intact and no change in vital sings; care on outpatient basis, Bullet lodged in extremity -- minor bleeding, Conscious -- minimal to moderate efforts at resuscitation needed, Extremities fractured -- casting necessary but no major tendon repair and complete recovery expected, More extensive injuries with treatment on outpatient basis, Second degree burns; 4 = Depending upon method used: Comatose -- withdrawal from painful stimuli; reflexes intact; injury sufficient for hospitalization, Injury sufficient for hospitalization -- vital signs and level of consciousness may be affected; 5 = Depending upon method used: Bullet in abdomen or chest -- major bleeding; vital signs unstable, Comatose -- no withdrawal from painful stimuli, most reflexes intact; no respiratory or circulatory depression; injury sufficient for ICU monitoring, Conscious -- extensive efforts at resuscitation needed, Extensive blood loss; suturing, blood replacement and tendon repair required; wound may be to head, thorax, or abdomen but vital organs intact and vital signs stable; recovery with inpatient care expected, Hospitalization and resuscitation required, Major bone and/or tendon damage in multiple areas -- internal bleeding; some residual impairment expected but not in vital areas, Third degree burns under 20% body area; 6 = Depending upon method used: Comatose -- most reflexes absent; no respiratory or circulatory depression; ICU and significant medical procedure (e.g., dialysis), Major systemic effects -- such as G.I. perforation, renal failure, blood hemolysis, or shock; vital signs unstable; 7 = Depending upon method used: Bullet to head area, Comatose -- all reflexes absent; respiratory depression with cyanosis or circulatory failure and shock or both, Extensive blood loss with shock; insult to vital areas with change in vital signs; recovery with inpatient care doubtful, Major damage to vital area (skull, neck, spinal column) -- paralysis expected, Paralysis or other spinal cord injury, Third degree burns over 60% body area, Unconscious -- massive efforts at resuscitation necessary for revival; 8 = Death; 9 = Not Applicable
Query shsq9 Integer Recommended Lethality of most lethal ambiguous attempt 0::9 0 = Depending upon method used: Fully conscious and alert, Minor bruises only -- no treatment necessary, No damage, No or minimal medical consequences or treatment, Surface scratches; none or minor bleeding; little or no wound care required; 1 = Depending upon method used: 01 Conscious but sleepy; 2 = Depending upon method used: Conscious -- some respiratory distress but no resuscitation needed, First degree burns, Flesh wounds with powder burns, Lethargic with diminution in intellectual ability, Moderate bleeding with clotting before significant blood loss occurs; simple wound care required, Simple rope burns, Some injury (e.g., mouth burns) and treatment in emergency room or on outpatient basis (e.g., gastric lavage), Sprains or minor injuries -- no bone, ligament, or tendon damage; no internal bleeding, tissue or brain damage; 3 = Depending upon method used: Asleep but easily aroused, Bleeding of major veins, danger of considerable blood loss without surgical intervention -- suturing necessary but no transfusion; vital areas intact and no change in vital sings; care on outpatient basis, Bullet lodged in extremity -- minor bleeding, Conscious -- minimal to moderate efforts at resuscitation needed, Extremities fractured -- casting necessary but no major tendon repair and complete recovery expected, More extensive injuries with treatment on outpatient basis, Second degree burns; 4 = Depending upon method used: Comatose -- withdrawal from painful stimuli; reflexes intact; injury sufficient for hospitalization, Injury sufficient for hospitalization -- vital signs and level of consciousness may be affected; 5 = Depending upon method used: Bullet in abdomen or chest -- major bleeding; vital signs unstable, Comatose -- no withdrawal from painful stimuli, most reflexes intact; no respiratory or circulatory depression; injury sufficient for ICU monitoring, Conscious -- extensive efforts at resuscitation needed, Extensive blood loss; suturing, blood replacement and tendon repair required; wound may be to head, thorax, or abdomen but vital organs intact and vital signs stable; recovery with inpatient care expected, Hospitalization and resuscitation required, Major bone and/or tendon damage in multiple areas -- internal bleeding; some residual impairment expected but not in vital areas, Third degree burns under 20% body area; 6 = Depending upon method used: Comatose -- most reflexes absent; no respiratory or circulatory depression; ICU and significant medical procedure (e.g., dialysis), Major systemic effects -- such as G.I. perforation, renal failure, blood hemolysis, or shock; vital signs unstable; 7 = Depending upon method used: Bullet to head area, Comatose -- all reflexes absent; respiratory depression with cyanosis or circulatory failure and shock or both, Extensive blood loss with shock; insult to vital areas with change in vital signs; recovery with inpatient care doubtful, Major damage to vital area (skull, neck, spinal column) -- paralysis expected, Paralysis or other spinal cord injury, Third degree burns over 60% body area, Unconscious -- massive efforts at resuscitation necessary for revival; 8 = Death; 9= Not Applicable
Query hsiyesno Integer Recommended have you ever thought of committing suicide? 0;1 0=No; 1=yes
Query hsioften Integer Recommended have you ever thought of committing suicide? How often? 1::4 1=Rarely; 2=Sometimes; 3=Often; 4=Almost Always
Query hsiddy Integer Recommended Thought about suicide. When was the last time? (days from baseline)
Query suicidalityattempt Integer Recommended Attempt suicide 0;1;-999 0=No; 1=Yes; -999=Missing or N/A
Query hcsaq2 Integer Recommended Total Number of lifetime suicide attempts (only self-injurious behaviour with intent to die).
Query ca213 Integer Recommended Current condition - Suicide attempts number
Query pas03a_wk1 Integer Recommended Date of suicide attempt
Query dtacracy Integer Recommended Date accuracy 0;7;30;90;365 0 = Exact Date; 7 = Narrow down to a week; 30 = Narrow down to a month; 90 = Narrow down to a season; 365 = Narrow down to a year
Query lrating Integer Recommended Lethality Rating Scale 0::9 0 = Depending upon method used: Fully conscious and alert, Minor bruises only -- no treatment necessary, No damage, No or minimal medical consequences or treatment, Surface scratches; none or minor bleeding; little or no wound care required; 1 = Depending upon method used: 01 Conscious but sleepy; 2 = Depending upon method used: Conscious -- some respiratory distress but no resuscitation needed, First degree burns, Flesh wounds with powder burns, Lethargic with diminution in intellectual ability, Moderate bleeding with clotting before significant blood loss occurs; simple wound care required, Simple rope burns, Some injury (e.g., mouth burns) and treatment in emergency room or on outpatient basis (e.g., gastric lavage), Sprains or minor injuries -- no bone, ligament, or tendon damage; no internal bleeding, tissue or brain damage; 3 = Depending upon method used: Asleep but easily aroused, Bleeding of major veins, danger of considerable blood loss without surgical intervention -- suturing necessary but no transfusion; vital areas intact and no change in vital sings; care on outpatient basis, Bullet lodged in extremity -- minor bleeding, Conscious -- minimal to moderate efforts at resuscitation needed, Extremities fractured -- casting necessary but no major tendon repair and complete recovery expected, More extensive injuries with treatment on outpatient basis, Second degree burns; 4 = Depending upon method used: Comatose -- withdrawal from painful stimuli; reflexes intact; injury sufficient for hospitalization, Injury sufficient for hospitalization -- vital signs and level of consciousness may be affected; 5 = Depending upon method used: Bullet in abdomen or chest -- major bleeding; vital signs unstable, Comatose -- no withdrawal from painful stimuli, most reflexes intact; no respiratory or circulatory depression; injury sufficient for ICU monitoring, Conscious -- extensive efforts at resuscitation needed, Extensive blood loss; suturing, blood replacement and tendon repair required; wound may be to head, thorax, or abdomen but vital organs intact and vital signs stable; recovery with inpatient care expected, Hospitalization and resuscitation required, Major bone and/or tendon damage in multiple areas -- internal bleeding; some residual impairment expected but not in vital areas, Third degree burns under 20% body area; 6 = Depending upon method used: Comatose -- most reflexes absent; no respiratory or circulatory depression; ICU and significant medical procedure (e.g., dialysis), Major systemic effects -- such as G.I. perforation, renal failure, blood hemolysis, or shock; vital signs unstable; 7 = Depending upon method used: Bullet to head area, Comatose -- all reflexes absent; respiratory depression with cyanosis or circulatory failure and shock or both, Extensive blood loss with shock; insult to vital areas with change in vital signs; recovery with inpatient care doubtful, Major damage to vital area (skull, neck, spinal column) -- paralysis expected, Paralysis or other spinal cord injury, Third degree burns over 60% body area, Unconscious -- massive efforts at resuscitation necessary for revival; 8 = Death; 9 = Not Applicable
Query chf_method1 String 250 Recommended 1st suicide attempt method
Query chf_method2 String 250 Recommended 2nd suicide attempt method
Query chf_method3 String 250 Recommended 3rd suicide attempt method
Query atmptype Integer Recommended Attempt Type 1::4 1=Actual; 2=Ambiguous; 3=Interrupted; 4=Aborted
Query srd10j Integer Recommended Were you alone or with others? 1;2 1=Alone; 2=With others
Query exttrig Integer Recommended External Trigger Category 1::9 1 = conjugal; 2 = other interpersonal; 3 = occupational; 4 = living situation; 5 = health; 6 = other; 7 = cannot be assessed; 8 = sexual abuse; 9 = physical abuse
Query sectrig Integer Recommended Secondary Trigger Category 1::9 1 = conjugal; 2 = other interpersonal; 3 = occupational; 4 = living situation; 5 = health; 6 = other; 7 = cannot be assessed; 8 = sexual abuse; 9 = physical abuse
Query atmpyn Integer Recommended Has the adolescent had any Actual, Ambiguous, Interrupted, or Aborted Attempts since the last assessment? 0;1 0=No; 1=yes
Query sa_total Integer Recommended Total suicide attempt by assessment period sano
Query suicide_interrupted_total Integer Recommended Total interrupted suicide attempts per subject over follow-up asano
Query suicide_aborted_total Integer Recommended Total aborted suicide attempts per subject over follow-up isano
Query sebevnt Integer Recommended Masked Suicide eavluation Board (SEB) Event 0::6 0 = No Event;1 = Actual suicide attempt; 2 = Interrupted suicide attempt; 3 = Hospitalization because of thoughts of c; 4 = Emergency evaluation because of thoughts; 5 = Self Injurious Behavior without Suicidal; 6 = Completed Suicide
Query sebevday Integer Recommended Masked Suicide Evaluation Board (SEB) Date (days from baseline)
Query version_form String 121 Recommended Form used/assessment name
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:

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  • 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)
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