PHI stands for "Protected Health Information" (Y = Yes, N = No)
| Display | Field | Phi | Field type | Condition choices | Field note | Header | |
|---|---|---|---|---|---|---|---|
| 1. Have you ever tried to kill yourself? IF NO, SKIP TO Question 13 | sb_1 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 1a. If yes: How many times have you tried to kill yourself? IF ONLY ONE TIME, SKIP TO Question 2 | sb_1a | N | text | - | - | - | |
| 1b. How many of those attempts led to medical care? | sb_1b | N | text | - | - | - | |
| 1c. How old were you when you first tried to kill yourself? | sb_1c | N | text | - | - | - | |
| 1d. Please tell me more about the time/times you tried to kill yourself | sb_1d | Y | notes | - | - | - | |
| 2. How did you try to kill yourself? | sb_2 | Y | notes | - | - | - | |
| 3. How old were you? | sb_3 | N | text | - | - | - | |
| 4. Did you require medical treatment after this attempt? | sb_4 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 5. Were you admitted to the hospital after this attempt? | sb_5 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 5a. Medical Hospital? | sb_5a | N | radio | 1, Yes - Emergency Room | 2, Yes - Inpatient | 0, No | 9, Unknown | - | - | |
| 5b. Psychiatric Hospital? | sb_5b | N | radio | 1, Yes - Voluntary | 2, Yes - Involuntary | 0, No | 9, Unknown | - | - | |
| 6. Did you want to die? | sb_6 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 7. Did you think you would die from what you had done? | sb_7 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 8. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Rate intent of most serious attempt | sb_8 | N | radio | 1, No intent or minimal intent manipulative gesture | 2, Definite intent but ambivalent | 3, Serious intent - expected to die | 9, No information - not sure | - | - | |
| 9. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Rate lethality of most serious attempt | sb_9 | N | radio | 1, No danger (no effects -held pills in hand) | 2, Minimal(scratch on wrist) | 3, Mild(10 aspirins - mild gastritis) | 4, Moderate(10 Seconals - briefly unconscious) | 5, Severe(cut throat) | 6, Extreme(respiratory arrest or prolonged coma) | 9, No information - not sure | - | - | |
| 10. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Rate premeditation of most serious attempt | sb_10 | N | radio | 1, Impulsive (less than 1 hour forethought - used materials immediately at hand) | 2, Somewhat premeditated (had suicidal ideation over hours or days or intermittently throughout an episode prior making to an attempt) | 3, Thoroughly premeditated(persistent suicidal ideation over weeks months or longer prior to the attempt) | 9, Unknown | - | - | |
| 11. Did the suicidal behavior described occur during an episode of.. | sb_11 | N | descriptive | - | - | - | |
| Depression | sb_11_1 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Bipolar (mixed state) | sb_11_2 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Alcohol Abuse | sb_11_3 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Drug Abuse | sb_11_4 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Psychosis | sb_11_5 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Other | sb_11_6 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| If yes: Specify | sb_11_specify | Y | text | - | - | - | |
| 12. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Did any suicide attempt occur by violent means? (Violent suicide attempts include those by gunshots, stabbing, hanging or jumping from a high place.) | sb_12 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 13. When angry or irritable, were there times when you hurt someone so they required medical attention? IF NO, SKIP TO Question 15 | sb_13 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| If yes: Specify | sb_13_spec | Y | text | - | - | - | |
| 14. Did this behavior occur during an episode of | sb_14 | N | checkbox | 1, depression | 2, bipolar (mixed state) | 3, alcohol abuse | 4, drug abuse | 5, psychosis | 6, other | - | - | |
| Depression | sb_14_1 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Bipolar (Mixed State) | sb_14_2 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Alcohol Abuse | sb_14_3 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Drug Abuse | sb_14_4 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Psychosis | sb_14_5 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Other | sb_14_6 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| If yes, Specify: | sb_14a | Y | text | - | - | - | |
| 15. Have you ever intentionally harmed yourself when you were upset but you had no intention to commit suicide? IF NO, SKIP TO ANXIETY DISORDER | sb_15 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| If yes: Describe | sb_15a | Y | text | - | - | - | |
| 16. Why did you do that? | sb_16 | Y | notes | - | - | - | |
| Circle YES in the ever column for any of the following reasons offered; ask if these reasons applied during most episodes of self-injury and code in the second column | sb_17 | N | descriptive | - | - | - | |
| Ever | as_a_cry_for_help | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Most Episodes | most_episodes_as_a_cry_for | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Ever | ever_to_relieve_emotional | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Most Episodes | most_episodes_to_relieve_e | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Ever | ever_to_demonstrate_inner | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Most Episodes | most_episodes_to_demonstra | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Ever | ever_to_get_back_at_someon | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Most Episodes | most_episodes_to_get_back | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Ever | ever_to_keep_from_feeling | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Most Episodes | most_episodes_to_keep_from | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Ever | sb_17_other | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Most Episodes | most_episodes_other | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| If Others, describe | sb_17_if_others_describe | Y | notes | - | - | - | |
| Did this behavior occur during the episode of: | sb_18 | N | descriptive | - | - | - | |
| Depression | sb_18_depression | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| bipolar (mixed_state) | sb_18_bipolar_mixed_state | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| alcohol abuse | sb_18_alcohol_abuse | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| drug abuse | sb_18_drug_abuse | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| psychosis | sb_18_psychosis | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| other | sb_18_other | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| If yes: specify | sb_18_if_yes_specify | Y | notes | - | - | - | |
| Notes | suicidal_behaviorcsv_notes | Y | notes | - | - | - |