Risk Assessment

1 Formulaires
  1. StudyEvent: ODM
    1. Risk Assessment
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Suicidal and Self-Injurious Behavior
C1760428 (UMLS CUI-1)
C0085271 (UMLS CUI-2)
Item
Actual suicide attempt
text
C0038663 (UMLS CUI [1])
Suicide attempt
Code List
Actual suicide attempt
CL Item
Past 3 Months (1)
CL Item
Lifetime (2)
Item
Interrupted attempt
text
C3639927 (UMLS CUI [1])
Suicide attempt
Code List
Interrupted attempt
CL Item
Past 3 Months (1)
CL Item
Lifetime (2)
Item
Aborted or Self-Interrupted attempt
text
C3639930 (UMLS CUI [1])
C3639927 (UMLS CUI [2,1])
C0036588 (UMLS CUI [2,2])
Suicide attempt
Code List
Aborted or Self-Interrupted attempt
CL Item
Past 3 Months (1)
CL Item
Lifetime (2)
Item
Other preparatory acts to kill self
text
C3639933 (UMLS CUI [1])
Suicide attempt
Code List
Other preparatory acts to kill self
CL Item
Past 3 Months (1)
CL Item
Lifetime (2)
Item
Self-injurious behavior without suicidal intent
text
C3639926 (UMLS CUI [1])
Suicide attempt
Code List
Self-injurious behavior without suicidal intent
CL Item
Past 3 Months (1)
CL Item
Lifetime (2)
Item Group
Suicidal Ideation
C0424000 (UMLS CUI-1)
Item
Suicidal Ideation - Check Most Severe in Past Month
text
C0424000 (UMLS CUI [1])
Feeling suicidal (finding)
Code List
Suicidal Ideation - Check Most Severe in Past Month
CL Item
Wish to be dead (1)
CL Item
Suicidal thoughts (2)
CL Item
Suicidal thoughts with method (but without specific plan or intent to act) (3)
CL Item
Suicidal intent (without specific plan) (4)
CL Item
Suicidal intent with specific plan (5)
Item Group
Activating Events (Recent)
C0424000 (UMLS CUI-1)
C0441471 (UMLS CUI-2)
C1879547 (UMLS CUI-3)
Item
Activating Events (Recent)
text
C0424000 (UMLS CUI [1,1])
C0441471 (UMLS CUI [1,2])
C1879547 (UMLS CUI [1,3])
Feeling suicidal (finding), Event, Activation action
Code List
Activating Events (Recent)
CL Item
Recent loss(es) or other significant negative event(s) (legal, financial, relationship, etc.), describe (1)
CL Item
Pending incarceration or homelessness (2)
CL Item
Current or pending isolation or feeling alone (3)
Item
Describe
text
C0424000 (UMLS CUI [1,1])
C0441471 (UMLS CUI [1,2])
C1879547 (UMLS CUI [1,3])
Feeling suicidal (finding), Event, Activation action
Code List
Describe
Item Group
Treatment History
C0424000 (UMLS CUI-1)
C0814462 (UMLS CUI-2)
Item
Treatment History
text
C0424000 (UMLS CUI [1,1])
C0814462 (UMLS CUI [1,2])
Feeling suicidal, Patient Treatment History
Code List
Treatment History
CL Item
Previous psychiatric diagnoses and treatments (1)
CL Item
Hopeless or dissatisfied with treatment  (2)
CL Item
Non-compliant with treatment  (3)
CL Item
Not receiving treatment (4)
Item Group
Other Risk Factors
C0424000 (UMLS CUI-1)
C0035648 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Feeling suicidal, Risk factors, Other
Item
Other Risk Factors
text
C0424000 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
Clinical Status (Recent)
C0449440 (UMLS CUI-1)
Item
Clinical Status (Recent)
text
C0449440 (UMLS CUI [1])
Clinical Status
Code List
Clinical Status (Recent)
CL Item
Hopelessness (1)
CL Item
Major depressive episode (2)
CL Item
Mixed affective episode (e.g. Bipolar) (3)
CL Item
Command hallucinations to hurt self (4)
CL Item
Highly impulsive behavior (5)
CL Item
Substance abuse or dependence (6)
CL Item
Agitation or severe anxiety (7)
CL Item
Perceived burden on family or others (8)
CL Item
Chronic physical pain or other acute medical problem (HIV/AIDS, COPD, cancer, etc.) (9)
CL Item
Homicidal ideation  (10)
CL Item
Aggressive behavior towards others (11)
CL Item
Method for suicide available (gun, pills, etc.) (12)
CL Item
Refuses or feels unable to agree to safety plan (13)
CL Item
Sexual abuse (lifetime) (14)
CL Item
Family history of suicide (lifetime) (15)
Item Group
Protective Factors (Recent)
C0424000 (UMLS CUI-1)
C0679688 (UMLS CUI-2)
Item
Protective Factors (Recent)
text
C0424000 (UMLS CUI [1,1])
C0679688 (UMLS CUI [1,2])
Feeling suicidal, Protective Factors
Code List
Protective Factors (Recent)
CL Item
Identifies reasons for living (1)
CL Item
Responsibility to family or others; living with family (2)
CL Item
Supportive social network or family (3)
CL Item
Fear of death or dying due to pain and suffering (4)
CL Item
Belief that suicide is immoral; high spirituality (5)
CL Item
Engaged in work or school (6)
Feeling suicidal, Protective Factors, Other
Item
Other Protective Factors
text
C0424000 (UMLS CUI [1,1])
C0679688 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
Describe any suicidal, self-injurious or aggressive behavior (include dates)
C1760428 (UMLS CUI-1)
C0678257 (UMLS CUI-2)
C0085271 (UMLS CUI-3)
C0678257 (UMLS CUI-4)
C0001807 (UMLS CUI-5)
C0678257 (UMLS CUI-6)
Suicidal Behavior, Description; Self-Injurious Behavior, Description, Aggressive Behavior, Discription
Item
Describe any suicidal, self-injurious or aggressive behavior (include dates)
text
C1760428 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
C0085271 (UMLS CUI [2,1])
C0678257 (UMLS CUI [2,2])
C0001807 (UMLS CUI [3,1])
C0678257 (UMLS CUI [3,2])
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