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PHI stands for "Protected Health Information" (Y = Yes, N = No)
Display Field Phi Field type Condition choices Field note Header
Child (Age 12 and below) aggression_1 N radio 0, Never | 1, Rarely (1-3 Times) | 2, Occasionally (4-10 Times) | 3, Often (>10 Times) - 1. While you were in school were you ever a discipline problem (e.g. being reprimanded, detained, suspended, expelled)?_x000D_
Adolescent (13 to 17, inclusive) aggression_2 N radio 0, Never | 1, Rarely (1-3 Times) | 2, Occasionally (4-10 Times) | 3, Often (>10 Times) - -
Adult (Age 18 and above) aggression_3 N radio 0, Never | 1, Rarely (1-3 Times) | 2, Occasionally (4-10 Times) | 3, Often (>10 Times) - -
When did it happen? aggression_1_describe Y notes - Describe: -
Child aggression_4 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - 2. Did you ever have any difficulty getting along with your teachers (e.g. interpersonal conflict)?
Adolescent aggression_5 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
Adult aggression_6 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
When did it happen? aggression_2_describe Y notes - Describe: -
Child aggression_7 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - 3. Have you had angry outbursts or temper tantrums in the past (e.g. behavior not directed toward specific other)?
Adolescent aggression_8 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
Adult aggression_9 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
When did it happen? aggression_3_describe Y notes - Describe: -
Child aggression_10 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - 4. Did you ever have any difficulty getting along with your supervisor at work (include military service, voluntary work, community service, hospital staff)?
Adolescent aggression_11 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
Adult aggression_12 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
When did it happen? aggression_4_describe Y notes - Describe: -
Child aggression_13 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - 5. Have you had severe arguments with your family, friends or others, e.g. peers, store personnel, other patients (consider severe arguments for inclusion)?
Adolescent aggression_14 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
Adult aggression_15 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
When did it happen? aggression_5_describe Y notes - Describe: -
Child aggression_16 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - 6. Have you ever gotten into physical fights (including family and unknown others?)
Adolescent aggression_17 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
Adult aggression_18 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
When did it happen? aggression_6_describe Y notes - Describe: -
Child aggression_19 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - 7. Have you ever destroyed someone's or your own property (no matter how small an incident)?
Adolescent aggression_20 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
Adult aggression_21 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
When did it happen? aggression_7_describe Y notes - Describe: -
Child aggression_22 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - _x000D_ _x000D_ _x000D_ _x000D_ _x000D_ 8. Have you ever done anything that was against the law for which you didn't get caught? (Do not exclude illegal acts from Item 7)_x000D_
Adolescent aggression_23 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
Adult aggression_24 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
When did it happen? aggression_8_describe Y notes - Describe: -
Child aggression_25 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - 9. Have you ever been in trouble with the police? No matter how small an incident (include moving traffic violations, disturbances of the peace, etc.)?
Adolescent aggression_26 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
Adult aggression_27 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
When did it happen? aggression_9_describe Y notes - Describe: -
Child aggression_28 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - 10. Have you ever tried to hurt someone, other than yourself, with a weapon (e.g., knife, gun, blunt instrument)?
Adolescent aggression_29 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
Adult aggression_30 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
When did it happen? aggression_10_describe Y notes - Describe: -
Child aggression_31 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - 11. Have you ever inflicted violence on yourself? (Only rate non-suicidal behavior, e.g., self-mutilation, head banging, wrist scratching, minor burns, etc. which has not been scored as a suicide attempt.)
Adolescent aggression_32 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
Adult aggression_33 N radio 0, Never | 1, Rarely | 2, Occasionally | 3, Often - -
When did it happen? aggression_11_describe Y notes - Describe: -
Notes aggression_notes Y notes - - -

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