Item
Have you ever experienced, witnessed, or otherwise been involved in any events that could have brought serious harm or even death to you or someone else? If yes: Specify (in general)
integer
C3175495 (UMLS CUI [1])
Code List
Have you ever experienced, witnessed, or otherwise been involved in any events that could have brought serious harm or even death to you or someone else? If yes: Specify (in general)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
specify harmful events
Item
Specify, in general, what you have you ever experienced, witnessed, or otherwise been involved in any events that could have brought serious harm or even death to you or someone else [PhenX]
text
C3175497 (UMLS CUI [1])
Item
Did this event cause you to have intense feelings of fear, helplessness, or horror?If yes: Specify (in general)
integer
C3175498 (UMLS CUI [1])
Code List
Did this event cause you to have intense feelings of fear, helplessness, or horror?If yes: Specify (in general)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
event caused horror specify
Item
If this event caused you to have intense feelings of fear, helplessness, or horror, specify [PhenX]
text
C3175500 (UMLS CUI [1])
Item
Have you ever been bothered by unwanted thoughts, or dreams, or images that kept coming back to you, about a traumatic event that you experienced or witnessed?
integer
C3175502 (UMLS CUI [1])
Code List
Have you ever been bothered by unwanted thoughts, or dreams, or images that kept coming back to you, about a traumatic event that you experienced or witnessed?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Have you ever felt as if you were reliving some traumatic event that you experienced or witnessed?
integer
C3175504 (UMLS CUI [1])
Code List
Have you ever felt as if you were reliving some traumatic event that you experienced or witnessed?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Have you ever been intensely distressed or extremely anxious when you were reminded in some way about a traumatic event that you experienced or witnessed?
integer
C3175506 (UMLS CUI [1])
Code List
Have you ever been intensely distressed or extremely anxious when you were reminded in some way about a traumatic event that you experienced or witnessed?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Have you tried in general to avoid thinking or talking about the event?
integer
C3175508 (UMLS CUI [1])
Code List
Have you tried in general to avoid thinking or talking about the event?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Have you tried in general to avoid activities, places, or people that remind you of the event?
integer
C3175510 (UMLS CUI [1])
Code List
Have you tried in general to avoid activities, places, or people that remind you of the event?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Are you unable to recall important parts of the event?
integer
C3175512 (UMLS CUI [1])
Code List
Are you unable to recall important parts of the event?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Since the event, do you tend to feel detached from other people?
integer
C3175514 (UMLS CUI [1])
Code List
Since the event, do you tend to feel detached from other people?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Since the event, have you been unable to experience a full range of feelings?
integer
C3175515 (UMLS CUI [1])
Code List
Since the event, have you been unable to experience a full range of feelings?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Since the event, have you found yourself unable to see a future for yourself?
integer
C3175516 (UMLS CUI [1])
Code List
Since the event, have you found yourself unable to see a future for yourself?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Since this event happened, have you had problems with ...difficulty falling asleep or staying asleep (apart from depression or mania)?
integer
C3175517 (UMLS CUI [1])
Code List
Since this event happened, have you had problems with ...difficulty falling asleep or staying asleep (apart from depression or mania)?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Since this event happened, have you had problems with...irritability or angry outbursts (apart from depression or mania)?
integer
C3175518 (UMLS CUI [1])
Code List
Since this event happened, have you had problems with...irritability or angry outbursts (apart from depression or mania)?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Since this event happened, have you had problems with ...difficulty concentrating (apart from depression or mania)?
integer
C3175519 (UMLS CUI [1])
Code List
Since this event happened, have you had problems with ...difficulty concentrating (apart from depression or mania)?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Since this event happened, have you had problems with...being too much on alert?
integer
C3175520 (UMLS CUI [1])
Code List
Since this event happened, have you had problems with...being too much on alert?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Since this event happened, have you had problems with...being too easily startled?
integer
C3175521 (UMLS CUI [1])
Code List
Since this event happened, have you had problems with...being too easily startled?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Have you been very upset about having these symptoms?
integer
C3175522 (UMLS CUI [1])
Code List
Have you been very upset about having these symptoms?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
Item
Have these symptoms interfered with your ability to work, to be with others, or to function in other areas of life?
integer
C3175524 (UMLS CUI [1])
Code List
Have these symptoms interfered with your ability to work, to be with others, or to function in other areas of life?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Unknown (9)
C0439673 (UMLS CUI-1)
symptoms last
Item
How long did these symptoms (from questions 3-18) last? Indicate the number of months
float
C3175526 (UMLS CUI [1])
when did event occur
Item
When did the traumatic event occur (if several, ask about the most closely associated with symptoms)?
date
C3175528 (UMLS CUI [1])
when symptoms started
Item
When did you start to experience these symptoms (from questions 3-18)?
date
C3175529 (UMLS CUI [1])
age of onset
Item
Age of onset
integer
C3175530 (UMLS CUI [1])