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Protocol - Non-suicidal Self Injury

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Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Description:

The Self-Injurious Thoughts and Behaviors Interview (SITBI) is a structured interview that includes five modules assessing the presence, frequency, and characteristics of five types of self-injurious thoughts and behaviors: suicidal ideation, suicidal plans, suicidal gestures, suicidal attempts (including aborted and interrupted), and nonsuicidal self-injury. Each module begins with a screening question about lifetime presence of a self-injurious thought or behavior followed by items that measure age of onset, recent thoughts and behaviors, severity of thoughts and behaviors, probability of future behavior, and self-reported precipitants and functions of the behavior.

In addition to the adult and adolescent sort form presented below, other versions of the SITBI are available: adult and adolescent long form, follow-up short form (prospective studies), and self-report.

Protocol:

SITBI 2.1 Short Form

These questions ask about your thoughts and feelings of suicide and self-injurious behaviors. Please listen carefully and respond as accurately as you can. Do you have any questions before we begin?

Suicidal Ideation

1. Have you ever had thoughts of killing yourself?

[ ] 0 no

[ ] 1 yes

2. How old were you the first time you had thoughts of killing yourself? _____________

3. How old were you the last time? _____________

4. How many days in your life have you had thoughts of killing yourself? _____________ (Please give your best estimate)

5. How many days in the past year? _____________

6. How many days in the past month? _____________

7. How many days in the past week? _____________

Here is a scale we will use for a number of the upcoming questions. (See the last page of the questionnaire or directions.)

8. On this scale of 0 to 4, at the worst point how intense were your thoughts of killing yourself? _____________

9. On the scale of 0 to 4, on average, how intense were these thoughts? _____________

10. When you had thoughts of killing yourself, how long did they usually last?

[ ] 0 0 seconds

[ ] 1 1-60 seconds

[ ] 2 2-15 minutes

[ ] 3 16-60 minutes

[ ] 4 less than one day

[ ] 5 1-2 days

[ ] 6 more than 2 days

[ ] 7 wide range (spans > 2 responses)

11. On the scale of 0 to 4, what do you think the likelihood is that you will have a thought of killing yourself in the future? _____________

Suicide Plan

12. Have you ever actually made a plan to kill yourself?

[ ] 0 no

[ ] 1 yes

13. How old were you the first time you made a suicide plan? _____________

14. How old were you the last time? _____________

15. How many days in your life have you made a suicide plan? _____________

16. How many days in the past year? _____________

17. How many days in the past month? _____________

18. How many days in the past week? _____________

19. On the scale of 0 to 4, at the worst point, how seriously did you consider acting on the plan? _________

20. On the scale of 0 to 4, on average, how seriously have you considered acting on the plan(s)? _____________

21. When you had a plan(s), what method(s) did you think of using? _____________

[ ] 1 own prescription drugs

[ ] 2 illicit drugs (not rx)

[ ] 3 over-counter drugs

[ ] 4 other’s rx drugs

[ ] 5 poison

[ ] 6 firearms

[ ] 7 immolation

[ ] 8 sharp object

[ ] 9 auto exhaust

[ ] 10 other gases

[ ] 11 train/car

[ ] 12 jump from height

[ ] 13 drowning

[ ] 14 suffocation

[ ] 15 hanging

[ ] 16 other ____________________

[ ] 17 multiple methods ___________

22. When you had a plan, how long did you think about it before either moving onto something else or acting on the plan? _____________

[ ] 0 0 seconds

[ ] 1 1-60 seconds

[ ] 2 2-15 minutes

[ ] 3 16-60 minutes

[ ] 4 less than one day

[ ] 5 1-2 days

[ ] 6 more than 2 days

[ ] 7 wide range (spans > 2 responses)

23. When you had a plan(s), did you take steps to prepare to act on the plan(s)? _____________

If "yes":

24. What did you do? _____________

25. On the scale of 0 to 4, what do you think the likelihood is that you will make a suicide plan in the future? ________

Suicide Gesture

26. Have you ever done something to lead someone to believe that you wanted to kill yourself when you really had no intention of doing so?

[ ] 0 no

[ ] 1 yes

27. What have you done to lead someone to believe that you wanted to kill yourself when you really had no intention of doing so? __________________________

28. How old were you the first time you did something to lead someone to believe that you wanted to kill yourself when you really had no intention of doing so? _____________

29. How old were you the last time? _____________

30. How many times in your life have you done something to lead someone to believe that you wanted to kill yourself when really you had no intention of doing so? _____________

31. How many times in the past year? _____________

32. How many times in the past month? _____________

33. How many times in the past week? _____________

34. When you did something to lead someone to believe that you wanted to kill yourself when you really had no intention of doing so, how long did you think about it before doing it? _____________

[ ] 0 0 seconds

[ ] 1 1-60 seconds

[ ] 2 2-15 minutes

[ ] 3 16-60 minutes

[ ] 4 less than one day

[ ] 5 1-2 days

[ ] 6 more than 2 days

[ ] 7 wide range (spans > 2 responses)

35. On the scale of 0 to 4, what do you think the likelihood is that you will do something to lead someone to believe that you want to kill yourself when you really have no intention of doing so in the future? _____________

Aborted Suicide Attempt

36. Have you ever been close to killing yourself and at the last minute decided not to kill yourself?

[ ] 0 no

[ ] 1 yes (Only if he/she did not sustain injuries-see question below, mark "yes" for this question)

If "yes":

37. Did you sustain any physical injury?

[ ] 0 no

[ ] 1 yes

38. What happened?

39. How many times in your life have you stopped yourself from attempting suicide right before you got hurt? __________

40. How many times in the past year? _____________

41. How many times in the past month? _____________

42. How many times in the past week? _____________

Interrupted Suicide Attempt

43. Have you ever been very close to killing yourself and at the last minute someone or something else stopped you?

[ ] 0 no

[ ] 1 yes (Only if he/she did not sustain injuries-see question below, mark "yes" for this question)

If "yes":

44. Did you sustain any physical injury?

[ ] 0 no

[ ] 1 yes

45. What happened?

46. How many times in your life have you been close to killing yourself but were stopped by someone or something else right before you got hurt? _____________

47. How many times in the past year? _____________

48. How many times in the past month? _____________

49. How many times in the past week? _____________

Suicide Attempt

50. Have you ever made an actual attempt to kill yourself in which you had at least some intent to die?

[ ] 0 no

[ ] 1 yes

51. How old were you the first time you made a suicide attempt? _____________

52. How old were you the last time? _____________

53. To your knowledge, what was the approximate date of the most recent attempt? _____________

(Note to the data enterer: Please calculate how many days the most recent suicide attempt was from the interview date)

54. How many suicide attempts have you made in your lifetime? _____________

55. How many in the past year? _____________

56. How many in the past month? _____________

57. How many in the past week? _____________

58. For your most recent suicide attempt, what method did you use? _____________

[ ] 1 own prescription drugs

[ ] 2 illicit drugs (not rx)

[ ] 3 over-counter drugs

[ ] 4 other’s rx drugs

[ ] 5 poison

[ ] 6 firearms

[ ] 7 immolation

[ ] 8 sharp object

[ ] 9 auto exhaust

[ ] 10 other gases

[ ] 11 train/car

[ ] 12 jump from height

[ ] 13 drowning

[ ] 14 suffocation

[ ] 15 hanging

[ ] 16 other ____________________

[ ] 17 multiple methods ___________

59. What were the circumstances that contributed most to your most recent attempt? _____________

(Put in order of importance)

[ ] 1 job loss/stress/academic failure

[ ] 2 problems with family or friends

[ ] 3 problems with spouse/lover

[ ] 4 financial problems

[ ] 5 eviction

[ ] 6 health problems

[ ] 7 death of another person

[ ] 8 psychiatric symptoms

[ ] 9 humiliating event

[ ] 10 loneliness

[ ] 11 other: ____________________

60. What kind of injuries did you have as a result of this attempt? _____________

(Use Lethality Scale; e.g., LSARS-II; Berman, Shepard, & Silverman, 2003)

Regarding the most lethal attempt:

61. How old were you when you made the suicide attempt that caused you the most physical harm? _____________

62. To your knowledge, what was the approximate date of the attempt that caused you the most physical harm? _________

(Note to the data enterer: Please calculate how many days the most lethal suicide attempt was from the interview date.)

63. What kind of injuries did you have as a result of this attempt? _____________

(Use Lethality Scale)

64. Is the most harmful attempt also the most recent? _____________

[ ] 0 no

[ ] 1 yes

Regarding all your past suicide attempts:

65. How long did you usually think about suicide before making an attempt? _____________

[ ] 0 0 seconds

[ ] 1 1-60 seconds

[ ] 2 2-15 minutes

[ ] 3 16-60 minutes

[ ] 4 less than one day

[ ] 5 1-2 days

[ ] 6 more than 2 days

[ ] 7 wide range (spans > 2 responses)

66. On the scale of 0 to 4, what do you think the likelihood is that you will make a suicide attempt in the future? _________

Suicide History

67. Has anyone you have ever known died by suicide? If so, how many? _____________

If "yes":

68. What was/were their relationship(s) to you? _____________

[ ] 1 mother

[ ] 2 father

[ ] 3 brother

[ ] 4 sister

[ ] 5 daughter

[ ] 6 son

[ ] 7 biological aunt

[ ] 8 biological uncle

[ ] 9 grandmother

[ ] 10 grandfather

[ ] 11 cousin

[ ] 12 partner/lover

[ ] 13 personal friend

[ ] 14 family friend

[ ] 15 acquaintance

[ ] 16 other relative _______________

69. Has anyone you have ever known ever attempted suicide but lived? If so, how many? _____________

If "yes":

70. What was/were their relationship(s) to you? _____________

[ ] 1 mother

[ ] 2 father

[ ] 3 brother

[ ] 4 sister

[ ] 5 daughter

[ ] 6 son

[ ] 7 biological aunt

[ ] 8 biological uncle

[ ] 9 grandmother

[ ] 10 grandfather

[ ] 11 cousin

[ ] 12 partner/lover

[ ] 13 personal friend

[ ] 14 family friend

[ ] 15 acquaintance

[ ] 16 other relative_______________

Thoughts of Nonsuicidal Self-Injury

People sometimes have thoughts about hurting themselves without wanting to die. Other times they actually do things to hurt themselves. Right now I’m going to ask you some questions about what some people think, and then I’ll ask you about what some people do in a bit.

71. Have you ever had thoughts of purposely hurting yourself without wanting to die? (for example, cutting or burning)

[ ] 0 no

[ ] 1 yes

72. How old were you the first time you thought of purposely hurting yourself without wanting to die? _____________

73. How old were you the last time? _____________

74. How many days in your life have you had thoughts of purposely hurting yourself without wanting to die? (Please give your best estimate) _____________

75. How many days in the past year? _____________

76. How many days in the past month? _____________

77. How many days in the past week? _____________

78. On the scale of 0 to 4, at the worst point, how intense were your thoughts of purposely hurting yourself without wanting to die? _____________

79. On the scale of 0 to 4, on average, how intense were these thoughts? _____________

80. What method did you think of using? _____________

[ ] 1 cut or carved skin

[ ] 2 burned your skin (i.e., with a cigarette, match, or other hot object)

[ ] 3 inserted sharp objects into your

[ ] 4 picked areas of your body to the point of drawing blood

[ ] 10 hit yourself on purpose

[ ] 11 gave yourself a tattoo

[ ] 12 scraped your skin to the point skin or nails of drawing blood

[ ] 13 other (specify):_____________

81. When you had these thoughts, how long did they usually last? _____________

[ ] 0 0 seconds

[ ] 1 1-60 seconds

[ ] 2 2-15 minutes

[ ] 3 16-60 minutes

[ ] 4 less than one day

[ ] 5 1-2 days

[ ] 6 more than 2 days

[ ] 7 wide range (spans > 2 responses)

82. On the scale of 0 to 4, what do you think the likelihood is that you will think about purposely hurting yourself without wanting to die in the future? _____________

Nonsuicidal Self-Injury

83. Have you ever actually purposely hurt yourself without wanting to die? _____________

[ ] 0 no

[ ] 1 yes

84. How old were you the first time you purposely hurt yourself without wanting to die? _____________

85. How old were you the last time? _____________

86. Now I’m going to go through a list of things that people sometimes purposely do to harm themselves without wanting to die. Please let me know which of these you’ve done:

[ ] 1 cut or carved skin

[ ] 2 burned your skin (i.e., with a cigarette, match or other hot object)

[ ] 3 inserted sharp objects into your skin or nails

[ ] 4 picked areas of your body to the point of drawing blood

[ ] 5 hit yourself on purpose

[ ] 6 gave yourself a tattoo

[ ] 7 scraped your skin to the point of drawing blood

[ ] 8 other (specify):___________________________

87. How many times in your life have you purposely hurt yourself without wanting to die? (Please give your best estimate)

88. How many times in the past year? _____________

89. How many times in the past month? _____________

90. How many times in the past week? _____________

91. On average, how long have you thought of purposely hurting yourself without wanting to die before actually doing it?

[ ] 0 0 seconds

[ ] 1 1-60 seconds

[ ] 2 2-15 minutes

[ ] 3 16-60 minutes

[ ] 4 less than one day

[ ] 5 1-2 days

[ ] 6 more than 2 days

[ ] 7 wide range (spans > 2 responses)

92. Have you ever received medical treatment for harm caused by purposely hurting yourself without wanting to die?

[ ] 0 no

[ ] 1 yes

93. On a scale of 0 to 4, what do you think the likelihood is that you will purposely hurt yourself without wanting to die in the future? _____________

0-4 SCALE

0

1

2

3

4

Not at all

A little bit

Somewhat

Very Much

Extremely

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

Equipment Needs

The PhenX Working Group acknowledges these questions can be administered in a computerized or noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adolescent, Adult

Specific Instructions:

This protocol includes questions that can potentially identify respondents who are at risk of suicide. Investigators implementing this protocol should consider developing a risk management plan specific to their study to ensure the safety of participants. The following links provide additional information and guidelines for suicide-related research:

[link[ora.research.ucla.edu/OHRPP/Documents/Policy/8/Risk_of_Suicide.pdf|ora.research.ucla.edu/OHRPP/Documents/Policy/8/Risk_of_Suicide.pdf]]

[link[www.nimh.nih.gov/health/topics/suicide-prevention/issues-to-consider-in-intervention-research-with-persons-at-high-risk-for-suicidality.shtml|www.nimh.nih.gov/health/topics/suicide-prevention/issues-to-consider-in-intervention-research-with-persons-at-high-risk-for-suicidality.shtml]]

Research Domain Information

Release Date:

November 21, 2014

Definition

A questionnaire to assess self-injurious thoughts and behaviors.

Purpose

This measure can be used to distinguish among the different types of self-injurious thoughts and behaviors. Nonsuicidal self-injury is associated with a range of externalizing and internalizing conditions and is associated with risk of suicide behavior.

Selection Rationale

The Self-Injurious Thoughts and Behaviors Interview (SITBI) is a brief, low-burden questionnaire that is widely used in epidemiology studies of adults and adolescents. The SITBI has demonstrated interrater reliability and test-retest reliability, convergent validity (ideation), and corresponds to definitions for suicidal ideation and suicidal behavior endorsed by the Centers for Disease Control and Prevention (Crosby et al., 2011) and the U.S. Food and Drug Administration (FDA -Guidance for Industry Suicidal Ideation and Behavior: Prospective Assessment of Occurrence in Clinical Trials Office of Communications, Division of Drug Information Center for Drug Evaluation and Research Food and Drug Administration, 2012).

Language

English, German

Standards

StandardNameIDSource
Common Data Elements (CDE)Psychopathology Self Injury Interview Scale4588808CDE Browser

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007). Self-Injurious Thoughts and Behaviors Interview: Development, reliability, and validity in an adolescent sample. Psychological Assessment, 19(3), 309-317

General References

Cha, C. B., Najmi, S., Park, J. M., Finn, C., & Nock, M. K. (2010). Attentional bias toward suicide-related stimuli predicts suicidal behavior. Journal of Abnormal Psychology, 119(3), 616-622.

Center for Drug Evaluation and Research (CDER). (2012). Guidance for industry suicidal ideation and behavior: Prospective assessment of occurrence in clinical trials. Rockville, MD: U.S. Department of Health and Human Services, U.S. Food and Drug Administration.

Crosby A. E., Ortega, L., & Melanson, C. (2011). Self-directed Violence Surveillance: Uniform definitions and recommended data elements, Version 1.0. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control

Janis, I. B., & Nock, M. K. (2009). Are self-injurers impulsive? Results from two behavioral laboratory studies. Psychiatry Research, 169(3), 261-267.

Protocol ID:

640501

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX640501_Suicide_Family_History_AuntPX640501070900What was/were their relationship(s) to you? Biological aunt4N/A
PX640501_Suicide_Family_History_UnclePX640501071000What was/were their relationship(s) to you? Biological uncle4N/A
PX640501_Suicide_Family_History_GrandmotherPX640501071100What was/were their relationship(s) to you? Grandmother4N/A
PX640501_Suicide_Family_History_GrandfatherPX640501071200What was/were their relationship(s) to you? Grandfather4N/A
PX640501_Suicide_Family_History_CousinPX640501071300What was/were their relationship(s) to you? Cousin4N/A
PX640501_Suicide_Family_History_Partner_LoverPX640501071400What was/were their relationship(s) to you? Partner/lover4N/A
PX640501_Suicide_Family_History_Personal_FriendPX640501071500What was/were their relationship(s) to you? Personal fried4N/A
PX640501_Suicide_Family_History_Family_FriendPX640501071600What was/were their relationship(s) to you? Family Fried4N/A
PX640501_Suicide_Family_History_AcquaintancePX640501071700What was/were their relationship(s) to you? Acquaintance4N/A
PX640501_Suicide_Family_History_OtherPX640501071800What was/were their relationship(s) to you? Other4N/A
PX640501_Suicide_Family_History_Other_SpecifyPX640501071900What was/were their relationship(s) to you? Other, specify4N/A
PX640501_Suicide_Family_History_SurvivedPX640501072000Has anyone you have ever known ever attempted suicide but lived?4N/A
PX640501_Suicide_Family_History_Survived_NumberPX640501072100Has anyone you have ever known ever attempted suicide but lived? If so, how many?4N/A
PX640501_Suicide_Family_History_Survived_MotherPX640501072200What was/were their relationship(s) to you? Mother4N/A
PX640501_Suicide_Family_History_Survived_FatherPX640501072300What was/were their relationship(s) to you? Father4N/A
PX640501_Suicide_Family_History_Survived_BrotherPX640501072400What was/were their relationship(s) to you? Brother4N/A
PX640501_Suicide_Family_History_Survived_SisterPX640501072500What was/were their relationship(s) to you? Sister4N/A
PX640501_Suicide_Family_History_Survived_DaughterPX640501072600What was/were their relationship(s) to you? Daughter4N/A
PX640501_Suicide_Family_History_Survived_SonPX640501072700What was/were their relationship(s) to you? Son4N/A
PX640501_Suicide_Family_History_Survived_AuntPX640501072800What was/were their relationship(s) to you? Biological aunt4N/A
PX640501_Suicide_Family_History_Survived_UnclePX640501072900What was/were their relationship(s) to you? Biological uncle4N/A
PX640501_Suicide_Family_History_Survived_GrandmotherPX640501073000What was/were their relationship(s) to you? Grandmother4N/A
PX640501_Suicide_Family_History_Survived_GrandfatherPX640501073100What was/were their relationship(s) to you? Grandfather4N/A
PX640501_Suicide_Family_History_Survived_CousinPX640501073200What was/were their relationship(s) to you? Cousin4N/A
PX640501_Suicide_Family_History_Survived_Partner_LoverPX640501073300What was/were their relationship(s) to you? Partner/lover4N/A
PX640501_Suicide_Family_History_Survived_Personal_FriendPX640501073400What was/were their relationship(s) to you? Personal fried4N/A
PX640501_Suicide_Family_History_Survived_Family_FriendPX640501073500What was/were their relationship(s) to you? Family Fried4N/A
PX640501_Suicide_Family_History_Survived_AcquaintancePX640501073600What was/were their relationship(s) to you? Acquaintance4N/A
PX640501_Suicide_Family_History_Survived_OtherPX640501073700What was/were their relationship(s) to you? Other4N/A
PX640501_Suicide_Family_History_Survived_OtherSpecifyPX640501073800What was/were their relationship(s) to you? Other, specify4N/A
PX640501_NonSuicidal_Self_Injury_ThoughtsPX640501080100Have you ever had thoughts of purposely hurting yourself without wanting to die? (for example, cutting or burning)4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_Age_First_TimePX640501080200How old were you the first time you thought of purposely hurting yourself without wanting to die?4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_Age_Last_TimePX640501080300How old were you the last time?4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_Days_LifetimePX640501080400How many days in your life have you had thoughts of purposely hurting yourself without wanting to die? (Please give your best estimate)4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_Days_Past_YearPX640501080500How many days in the past year?4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_Days_Past_MonthPX640501080600How many days in the past month?4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_Days_Past_WeekPX640501080700How many days in the past week?4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_Intensity_WorstPX640501080800On the scale of 0 to 4, at the worst point, how intense were your thoughts of purposely hurting yourself without wanting to die?4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_Intensity_AveragePX640501080900On the scale of 0 to 4, on average, how intense were these thoughts?4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_MethodPX640501081000What method did you think of using?4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_Method_OtherSpecifyPX640501081100What method did you think of using? other (specify)4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_DurationPX640501081200When you had these thoughts, how long did they usually last?4N/A
PX640501_NonSuicidal_SelfInjuryThoughts_Future_LikelihoodPX640501081300On the scale of 0 to 4, what do you think the likelihood is that you will think about purposely hurting yourself without wanting to die in the future?4N/A
PX640501_NonSuicidal_SelfInjury_EverPX640501090100Have you ever actually purposely hurt yourself without wanting to die?4N/A
PX640501_NonSuicidal_SelfInjury_Age_First_TimePX640501090200How old were you the first time you purposely hurt yourself without wanting to die?4N/A
PX640501_NonSuicidal_SelfInjury_Age_Last_TimePX640501090300How old were you the last time?4N/A
PX640501_NonSuicidal_SelfInjury_MethodPX640501090400Now I¿¿¿m going to go through a list of things that people sometimes purposely do to harm themselves without wanting to die. Please let me know which of these you¿¿¿ve done:4N/A
PX640501_NonSuicidal_SelfInjury_Method_OtherSpecifyPX640501090500Now I¿¿¿m going to go through a list of things that people sometimes purposely do to harm themselves without wanting to die. Please let me know which of these you¿¿¿ve done: Other, specify4N/A
PX640501_NonSuicidal_SelfInjury_Times_LifetimePX640501090600How many times in your life have you purposely hurt yourself without wanting to die? (Please give your best estimate)4N/A
PX640501_NonSuicidal_SelfInjury_Times_Past_YearPX640501090700How many times in the past year?4N/A
PX640501_NonSuicidal_SelfInjury_Times_Past_MonthPX640501090800How many times in the past month?4N/A
PX640501_NonSuicidal_SelfInjury_Times_Past_WeekPX640501090900How many times in the past week?4N/A
PX640501_NonSuicidal_SelfInjury_DurationPX640501091000On average, how long have you thought of purposely hurting yourself without wanting to die before actually doing it?4N/A
PX640501_NonSuicidal_SelfInjury_Medical_TreatmentPX640501091100Have you ever received medical treatment for harm caused by purposely hurting yourself without wanting to die?4N/A
PX640501_NonSuicidal_SelfInjury_Future_LikelihoodPX640501091200On a scale of 0 to 4, what do you think the likelihood is that you will purposely hurt yourself without wanting to die in the future?4N/A
PX640501_Suicidal_Ideation_EverPX640501010100Have you ever had thoughts of killing yourself?4N/A
PX640501_Suicidal_Ideation_Age_First_TimePX640501010200How old were you the first time you had thoughts of killing yourself?4N/A
PX640501_Suicidal_Ideation_Age_Last_TimePX640501010300How old were you the last time?4N/A
PX640501_Suicidal_Ideation_Days_LifetimePX640501010400How many days in your life have you had thoughts of killing yourself? (Please give your best estimate)4N/A
PX640501_Suicidal_Ideation_Days_Past_YearPX640501010500How many days in the past year?4N/A
PX640501_Suicidal_Ideation_Intensity_Worst_PointPX640501010800On this scale of 0 to 4, at the worst point how intense were your thoughts of killing yourself?4N/A
PX640501_Suicidal_Ideation_Intensity_AveragePX640501010900On the scale of 0 to 4, on average, how intense were these thoughts?4N/A
PX640501_Suicidal_Ideation_Time_Thinking_AboutPX640501011000When you had thoughts of killing yourself, how long did they usually last?4N/A
PX640501_Suicidal_Ideation_Future_LikelihoodPX640501011100On the scale of 0 to 4, what do you think the likelihood is that you will have a thought of killing yourself in the future?4N/A
PX640501_Suicide_Plan_EverPX640501020100Have you ever actually made a plan to kill yourself?4N/A
PX640501_Suicide_Plan_Age_First_TimePX640501020200How old were you the first time you made a suicide plan?4N/A
PX640501_Suicide_Plan_Age_Last_TimePX640501020300How old were you the last time?4N/A
PX640501_Suicide_Plan_Days_LifetimePX640501020400How many days in your life have you made a suicide plan?4N/A
PX640501_Suicide_Plan_Days_Past_YearPX640501020500How many days in the past year?4N/A
PX640501_Suicide_Plan_Days_Past_MonthPX640501020600How many days in the past month?4N/A
PX640501_Suicide_Plan_Days_Past_WeekPX640501020700How many days in the past week?4N/A
PX640501_Suicide_Plan_Seriousness_Worst_PointPX640501020800On the scale of 0 to 4, at the worst point, how seriously did you consider acting on the plan?4N/A
PX640501_Suicide_Plan_Seriousness_AveragePX640501020900On the scale of 0 to 4, on average, how seriously have you considered acting on the plan(s)?4N/A
PX640501_Suicide_Plan_MethodPX640501021000When you had a plan(s), what method(s) did you think of using?4N/A
PX640501_Suicide_Plan_Method_Other_SpecifyPX640501021100When you had a plan(s), what method(s) did you think of using? Other, specify4N/A
PX640501_Suicide_Plan_Method_MulitpleMethods_SpecifyPX640501021200When you had a plan(s), what method(s) did you think of using? Multiple methods, specify4N/A
PX640501_Suicide_Plan_Time_Thinking_AboutPX640501021300When you had a plan, how long did you think about it before either moving onto something else or acting on the plan?4N/A
PX640501_Suicide_Plan_StepsPX640501021400When you had a plan(s), did you take steps to prepare to act on the plan(s)?4N/A
PX640501_Suicide_Plan_Steps_SpecifyPX640501021500What did you do?4N/A
PX640501_Suicide_Plan_Future_LikelihoodPX640501021600On the scale of 0 to 4, what do you think the likelihood is that you will make a suicide plan in the future?4N/A
PX640501_Suicide_Gesture_EverPX640501030100Have you ever done something to lead someone to believe that you wanted to kill yourself when you really had no intention of doing so?4N/A
PX640501_Suicide_Gesture_SpecifyPX640501030200What have you done to lead someone to believe that you wanted to kill yourself when you really had no intention of doing so?4N/A
PX640501_Suicide_Gesture_Age_First_TimePX640501030300How old were you the first time you did something to lead someone to believe that you wanted to kill yourself when you really had no intention of doing so?4N/A
PX640501_Suicide_Gesture_Age_Last_TimePX640501030400How old were you the last time?4N/A
PX640501_Suicide_Gesture_Times_LifetimePX640501030500How many times in your life have you done something to lead someone to believe that you wanted to kill yourself when really you had no intention of doing so?4N/A
PX640501_Suicide_Gesture_Times_Past_YearPX640501030600How many times in the past year4N/A
PX640501_Suicide_Gesture_Times_Past_MonthPX640501030700How many times in the past month?4N/A
PX640501_Suicidal_Ideation_Days_Past_MonthPX640501010600How many days in the past month?4N/A
PX640501_Suicidal_Ideation_Days_Past_WeekPX640501010700How many days in the past week?4N/A
PX640501_Suicide_Gesture_Times_Past_WeekPX640501030800How many times in the past week?4N/A
PX640501_Suicide_Gesture_Time_Thinking_AboutPX640501030900When you did something to lead someone to believe that you wanted to kill yourself when you really had no intention of doing so, how long did you think about it before doing it?4N/A
PX640501_Suicide_Gesture_Future_LikelihoodPX640501031000On the scale of 0 to 4, what do you think the likelihood is that you will do something to lead someone to believe that you want to kill yourself when you really have no intention of doing so in the future?4N/A
PX640501_Suicide_Attempt_AbortedPX640501040100Have you ever been close to killing yourself and at the last minute decided not to kill yourself? (Only if he/she did not sustain injuries¿¿¿see question below, mark ¿¿¿yes¿¿¿ for this question)4N/A
PX640501_Suicide_Attempt_Aborted_InjuryPX640501040200Did you sustain any physical injury?4N/A
PX640501_Suicide_Attempt_Aborted_SpecifyPX640501040300What happened?4N/A
PX640501_Suicide_Attempt_Aborted_TimesStopped_LifetimePX640501040400How many times in your life have you stopped yourself from attempting suicide right before you got hurt?4N/A
PX640501_Suicide_Attempt_Aborted_TimesStopped_PastYearPX640501040500How many times in the past year?4N/A
PX640501_Suicide_Attempt_Aborted_TimesStopped_PastMonthPX640501040600How many times in the past month?4N/A
PX640501_Suicide_Attempt_Aborted_TimesStopped_PastWeekPX640501040700How many times in the past week?4N/A
PX640501_Suicide_Attempt_InterruptedPX640501050100Have you ever been very close to killing yourself and at the last minute someone or something else stopped you? (Only if he/she did not sustain injuries¿¿¿see question below, mark ¿¿¿yes¿¿¿ for this question)4N/A
PX640501_Suicide_Attempt_Interrupted_InjuryPX640501050200Did you sustain any physical injury?4N/A
PX640501_Suicide_Attempt_Interrupted_SpecifyPX640501050300What happened?4N/A
PX640501_Suicide_Attempt_Interrupted_TimesStopped_LifetimePX640501050400How many times in your life have you been close to killing yourself but were stopped by someone or something else right before you got hurt?4N/A
PX640501_Suicide_Attempt_Interrupted_TimesStopped_PastYearPX640501050500How many times in the past year?4N/A
PX640501_Suicide_Attempt_Interrupted_TimesStopped_PastMonthPX640501050600How many times in the past month?4N/A
PX640501_Suicide_Attempt_Interrupted_TimesStopped_PastWeekPX640501050700How many times in the past week?4N/A
PX640501_Suicide_Attempt_EverPX640501060100Have you ever made an actual attempt to kill yourself in which you had at least some intent to die?4Variable Mapping
PX640501_Suicide_Attempt_Age_First_TimePX640501060200How old were you the first time you made a suicide attempt?4Variable Mapping
PX640501_Suicide_Attempt_Age_Last_TimePX640501060300How old were you the last time?4Variable Mapping
PX640501_Suicide_Attempt_Most_Recent_MonthPX640501060400To your knowledge, what was the approximate date of the most recent attempt? Month4N/A
PX640501_Suicide_Attempt_Most_Recent_YearPX640501060500To your knowledge, what was the approximate date of the most recent attempt? Year4N/A
PX640501_Suicide_Attempt_Times_LifetimePX640501060600How many suicide attempts have you made in your lifetime?4Variable Mapping
PX640501_Suicide_Attempt_Times_Past_YearPX640501060700How many in the past year?4N/A
PX640501_Suicide_Attempt_Times_Past_MonthPX640501060800How many in the past month?4N/A
PX640501_Suicide_Attempt_Times_Past_WeekPX640501060900How many in the past week?4N/A
PX640501_Suicide_Attempt_MethodPX640501061000For your most recent suicide attempt, what method did you use?4N/A
PX640501_Suicide_Attempt_Method_Other_SpecifyPX640501061100For your most recent suicide attempt, what method did you use? Other, specify4N/A
PX640501_Suicide_Attempt_MulitpleMethods_SpecifyPX640501061200For your most recent suicide attempt, what method did you use? Multiple methods, specify4N/A
PX640501_Suicide_Attempt_CircumstancesPX640501061300What were the circumstances that contributed most to your most recent attempt?4N/A
PX640501_Suicide_Attempt_InjuriesPX640501061400What kind of injuries did you have as a result of this attempt?4N/A
PX640501_Suicide_Attempt_MostLethal_AgeFirstTimePX640501061500How old were you when you made the suicide attempt that caused you the most physical harm?4N/A
PX640501_Suicide_Attempt_MostLethal_MonthPX640501061600To your knowledge, what was the approximate date of the attempt that caused you the most physical harm? Month4N/A
PX640501_Suicide_Attempt_MostLethal_YearPX640501061700To your knowledge, what was the approximate date of the attempt that caused you the most physical harm? Year4N/A
PX640501_Suicide_Attempt_MostLethal_InjuriesPX640501061800What kind of injuries did you have as a result of this attempt?4N/A
PX640501_Suicide_Attempt_MostLethal_MostRecentPX640501061900Is the most harmful attempt also the most recent?4N/A
PX640501_Suicide_Attempt_Time_Thinking_AboutPX640501062000Regarding all your past suicide attempts: How long did you usually think about suicide before making an attempt?4N/A
PX640501_Suicide_Attempt_Future_LikelihoodPX640501062100On the scale of 0 to 4, what do you think the likelihood is that you will make a suicide attempt in the future?4N/A
PX640501_Suicide_Family_HistoryPX640501070100Has anyone you have ever known died by suicide?4N/A
PX640501_Suicide_Family_History_NumberPX640501070200Has anyone you have ever known died by suicide? If so, how many?4N/A
PX640501_Suicide_Family_History_MotherPX640501070300What was/were their relationship(s) to you? Mother4N/A
PX640501_Suicide_Family_History_FatherPX640501070400What was/were their relationship(s) to you? Father4N/A
PX640501_Suicide_Family_History_BrotherPX640501070500What was/were their relationship(s) to you? Brother4N/A
PX640501_Suicide_Family_History_SisterPX640501070600What was/were their relationship(s) to you? Sister4N/A
PX640501_Suicide_Family_History_DaughterPX640501070700What was/were their relationship(s) to you? Daughter4N/A
PX640501_Suicide_Family_History_SonPX640501070800What was/were their relationship(s) to you? Son4N/A