Possible Suicidality-Related Adverse Event (PSRAE)

Section 1
Description

Section 1

Alias
UMLS CUI-1
C0877248
UMLS CUI-2
C3166387
Possible suicidality related AE
Description

Adverse Event, Suicidality

Data type

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
Start Date
Description

Adverse Event, Suicidality, Start Date

Data type

date

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0808070
Section 2: Brief Description of Possible Suicidality-Related Adverse Event
Description

Section 2: Brief Description of Possible Suicidality-Related Adverse Event

Alias
UMLS CUI-1
C0877248
UMLS CUI-2
C3166387
UMLS CUI-3
C0678257
Brief description of possible suicidality-related AE
Description

Adverse Event, Suicidality, Description

Data type

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0678257
Section 3: Possible Cause(s) of Possible Suicidality-Related Adverse Event
Description

Section 3: Possible Cause(s) of Possible Suicidality-Related Adverse Event

Alias
UMLS CUI-1
C0877248
UMLS CUI-2
C3166387
UMLS CUI-3
C0015127
Disease under study
Description

Adverse Event, Suicidality, Etiology aspects, Disease

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C0012634
Concomitant medication(s)
Description

Adverse Event, Suicidality, Etiology aspects, Concomitant Agent

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C2347852
Comorbid psychiatric condition(s)
Description

Adverse Event, Suicidality, Etiology aspects, Mental disorders

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C0004936
Medical condition(s)
Description

Adverse Event, Suicidality, Etiology aspects, Other medical condition

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C3843040
Psycho-social stressors
Description

Adverse Event, Suicidality, Etiology aspects, psychosocial stressor

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C0748073
Withdrawal of investigational product(s)
Description

Adverse Event, Suicidality, Etiology aspects, Experimental drug, Withdraw

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C0304229
UMLS CUI [1,5]
C2349954
Investigational product dose change
Description

Adverse Event, Suicidality, Etiology aspects, Experimental drug, Medication dose changed

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C0304229
UMLS CUI [1,5]
C1608430
Lack of efficacy
Description

Adverse Event, Suicidality, Etiology aspects, Lack of Efficacy

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C0235828
Investigational product(s)
Description

Adverse Event, Suicidality, Etiology aspects, Experimental drug

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C0304229
Other
Description

Adverse Event, Suicidality, Etiology aspects, Other

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C0205394
Yes, specify
Description

Adverse Event, Suicidality, Etiology aspects, Other

Data type

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0015127
UMLS CUI [1,4]
C0205394
Section 4: Provide Information
Description

Section 4: Provide Information

Alias
UMLS CUI-1
C0877248
UMLS CUI-2
C3166387
UMLS CUI-3
C1533716
Has the subject had any psychiatric conditions in the past?
Description

Adverse Event, Suicidality, Medical History, Mental disorders

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0262926
UMLS CUI [1,4]
C0004936
Has the subject had any suicidal ideation, behavior or self-harm in the past?
Description

Adverse Event, Suicidality, Medical History, Active suicidal ideation; Adverse Event, Suicidality, Medical History, Suicidal behavior; Adverse Event, Suicidality, Medical History, Self-injurious Behavior

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0262926
UMLS CUI [1,4]
C0749133
UMLS CUI [2,1]
C0877248
UMLS CUI [2,2]
C3166387
UMLS CUI [2,3]
C0262926
UMLS CUI [2,4]
C1760428
UMLS CUI [3,1]
C0877248
UMLS CUI [3,2]
C3166387
UMLS CUI [3,3]
C0262926
UMLS CUI [3,4]
C0085271
Subject's current use of illicit drugs?
Description

Adverse Event, Suicidality, Illicit medication use, Current

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0281875
UMLS CUI [1,4]
C0521116
Subject's current use of alcohol?
Description

Adverse Event, Suicidality, Alcohol consumption, Current

Data type

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0001948
UMLS CUI [1,4]
C0521116
Family history of suicidality?
Description

Adverse Event, Suicidality, Family history

Data type

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0241889
Family history of psychiatric disorders?
Description

Adverse Event, Suicidality, Family history, Mental disorders

Data type

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0241889
UMLS CUI [1,4]
C0004936
Section 5: Provide Information on the Subject's Current Psycho-social Stressors
Description

Section 5: Provide Information on the Subject's Current Psycho-social Stressors

Alias
UMLS CUI-1
C0877248
UMLS CUI-2
C3166387
UMLS CUI-3
C0748073
UMLS CUI-4
C0521116
Information of subject's current psycho-social stressors.
Description

Adverse event, Suicidality, Psychosocial stressor, Current

Data type

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0748073
UMLS CUI [1,4]
C0521116
Section 6: Relevant and/or Recent Suicidal Ideation
Description

Section 6: Relevant and/or Recent Suicidal Ideation

Alias
UMLS CUI-1
C0877248
UMLS CUI-2
C3166387
UMLS CUI-3
C0424000
Relevant/recent suicidal ideation
Description

Adverse Event, Suicidality, Feeling suicidal

Data type

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0424000
Section 7: Suicidal Behavior Present During Study
Description

Section 7: Suicidal Behavior Present During Study

Alias
UMLS CUI-1
C0877248
UMLS CUI-2
C3166387
UMLS CUI-3
C1760428
UMLS CUI-4
C0347984
UMLS CUI-5
C0008976
Suicide behavior present during study
Description

Adverse Event, Suicidality, Suicidal behavior, During, Clinical Trials

Data type

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C1760428
UMLS CUI [1,4]
C0347984
UMLS CUI [1,5]
C0008976
Section 8: Comments on Medical and Psychiatric Treatment
Description

Section 8: Comments on Medical and Psychiatric Treatment

Alias
UMLS CUI-1
C0877248
UMLS CUI-2
C3166387
UMLS CUI-3
C0087111
UMLS CUI-4
C0947611
Comments on medical/psych treatment
Description

Adverse Event, Suicidality, Therapeutic procedure, Comment

Data type

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C3166387
UMLS CUI [1,3]
C0087111
UMLS CUI [1,4]
C0947611

Similar models

Possible Suicidality-Related Adverse Event (PSRAE)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Section 1
C0877248 (UMLS CUI-1)
C3166387 (UMLS CUI-2)
Adverse Event, Suicidality
Item
Possible suicidality related AE
text
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
Adverse Event, Suicidality, Start Date
Item
Start Date
date
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
Item Group
Section 2: Brief Description of Possible Suicidality-Related Adverse Event
C0877248 (UMLS CUI-1)
C3166387 (UMLS CUI-2)
C0678257 (UMLS CUI-3)
Adverse Event, Suicidality, Description
Item
Brief description of possible suicidality-related AE
text
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0678257 (UMLS CUI [1,3])
Item Group
Section 3: Possible Cause(s) of Possible Suicidality-Related Adverse Event
C0877248 (UMLS CUI-1)
C3166387 (UMLS CUI-2)
C0015127 (UMLS CUI-3)
Adverse Event, Suicidality, Etiology aspects, Disease
Item
Disease under study
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C0012634 (UMLS CUI [1,4])
Adverse Event, Suicidality, Etiology aspects, Concomitant Agent
Item
Concomitant medication(s)
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C2347852 (UMLS CUI [1,4])
Adverse Event, Suicidality, Etiology aspects, Mental disorders
Item
Comorbid psychiatric condition(s)
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C0004936 (UMLS CUI [1,4])
Adverse Event, Suicidality, Etiology aspects, Other medical condition
Item
Medical condition(s)
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C3843040 (UMLS CUI [1,4])
Adverse Event, Suicidality, Etiology aspects, psychosocial stressor
Item
Psycho-social stressors
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C0748073 (UMLS CUI [1,4])
Adverse Event, Suicidality, Etiology aspects, Experimental drug, Withdraw
Item
Withdrawal of investigational product(s)
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C0304229 (UMLS CUI [1,4])
C2349954 (UMLS CUI [1,5])
Adverse Event, Suicidality, Etiology aspects, Experimental drug, Medication dose changed
Item
Investigational product dose change
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C0304229 (UMLS CUI [1,4])
C1608430 (UMLS CUI [1,5])
Adverse Event, Suicidality, Etiology aspects, Lack of Efficacy
Item
Lack of efficacy
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C0235828 (UMLS CUI [1,4])
Adverse Event, Suicidality, Etiology aspects, Experimental drug
Item
Investigational product(s)
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C0304229 (UMLS CUI [1,4])
Adverse Event, Suicidality, Etiology aspects, Other
Item
Other
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
Adverse Event, Suicidality, Etiology aspects, Other
Item
Yes, specify
text
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
Item Group
Section 4: Provide Information
C0877248 (UMLS CUI-1)
C3166387 (UMLS CUI-2)
C1533716 (UMLS CUI-3)
Adverse Event, Suicidality, Medical History, Mental disorders
Item
Has the subject had any psychiatric conditions in the past?
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0262926 (UMLS CUI [1,3])
C0004936 (UMLS CUI [1,4])
Adverse Event, Suicidality, Medical History, Active suicidal ideation; Adverse Event, Suicidality, Medical History, Suicidal behavior; Adverse Event, Suicidality, Medical History, Self-injurious Behavior
Item
Has the subject had any suicidal ideation, behavior or self-harm in the past?
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0262926 (UMLS CUI [1,3])
C0749133 (UMLS CUI [1,4])
C0877248 (UMLS CUI [2,1])
C3166387 (UMLS CUI [2,2])
C0262926 (UMLS CUI [2,3])
C1760428 (UMLS CUI [2,4])
C0877248 (UMLS CUI [3,1])
C3166387 (UMLS CUI [3,2])
C0262926 (UMLS CUI [3,3])
C0085271 (UMLS CUI [3,4])
Adverse Event, Suicidality, Illicit medication use, Current
Item
Subject's current use of illicit drugs?
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0281875 (UMLS CUI [1,3])
C0521116 (UMLS CUI [1,4])
Adverse Event, Suicidality, Alcohol consumption, Current
Item
Subject's current use of alcohol?
boolean
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0001948 (UMLS CUI [1,3])
C0521116 (UMLS CUI [1,4])
Item
Family history of suicidality?
text
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0241889 (UMLS CUI [1,3])
Code List
Family history of suicidality?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Family history of psychiatric disorders?
text
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0241889 (UMLS CUI [1,3])
C0004936 (UMLS CUI [1,4])
Code List
Family history of psychiatric disorders?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item Group
Section 5: Provide Information on the Subject's Current Psycho-social Stressors
C0877248 (UMLS CUI-1)
C3166387 (UMLS CUI-2)
C0748073 (UMLS CUI-3)
C0521116 (UMLS CUI-4)
Adverse event, Suicidality, Psychosocial stressor, Current
Item
Information of subject's current psycho-social stressors.
text
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0748073 (UMLS CUI [1,3])
C0521116 (UMLS CUI [1,4])
Item Group
Section 6: Relevant and/or Recent Suicidal Ideation
C0877248 (UMLS CUI-1)
C3166387 (UMLS CUI-2)
C0424000 (UMLS CUI-3)
Adverse Event, Suicidality, Feeling suicidal
Item
Relevant/recent suicidal ideation
text
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0424000 (UMLS CUI [1,3])
Item Group
Section 7: Suicidal Behavior Present During Study
C0877248 (UMLS CUI-1)
C3166387 (UMLS CUI-2)
C1760428 (UMLS CUI-3)
C0347984 (UMLS CUI-4)
C0008976 (UMLS CUI-5)
Adverse Event, Suicidality, Suicidal behavior, During, Clinical Trials
Item
Suicide behavior present during study
text
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C1760428 (UMLS CUI [1,3])
C0347984 (UMLS CUI [1,4])
C0008976 (UMLS CUI [1,5])
Item Group
Section 8: Comments on Medical and Psychiatric Treatment
C0877248 (UMLS CUI-1)
C3166387 (UMLS CUI-2)
C0087111 (UMLS CUI-3)
C0947611 (UMLS CUI-4)
Adverse Event, Suicidality, Therapeutic procedure, Comment
Item
Comments on medical/psych treatment
text
C0877248 (UMLS CUI [1,1])
C3166387 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,3])
C0947611 (UMLS CUI [1,4])