|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
|
|
|
|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
|
|
|
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
|
|
interview_age |
Integer |
|
Required |
Age in months at the time of the interview/test/sampling/imaging. |
0 :: 1260
|
Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
|
|
|
sex |
String |
20
|
Required |
Sex of subject at birth |
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |
Query
|
aescode |
Integer |
|
Recommended |
Staff code number of person completing this form |
|
999= Missing Data
|
|
|
version_form |
String |
121
|
Recommended |
Form used/assessment name |
|
|
|
|
relashionship |
String |
255
|
Recommended |
relashionship of respondent to individual |
|
|
|
Query
|
blq1 |
Integer |
|
Recommended |
Today, would you say that All, Some, or None the medicines in your home are stored unlocked? |
0::3;8
|
0 = No medicines at home; 1 = All are stored unlocked; 2 = Some are stored unlocked; 3 = None are stored unlocked; 8 = Don't Know
|
|
Query
|
blq2b |
Integer |
|
Recommended |
You said some medicines in your home are stored unlocked. I'm going to read some types of medications. For each type, please tell me whether None, Some, or All are stored unlocked. - Prescription pain medications |
0::2;8
|
0 = None; 1 = Some; 2 = All; 8 = Don't Know
|
|
Query
|
blq2c |
Integer |
|
Recommended |
You said some medicines in your home are stored unlocked. I'm going to read some types of medications. For each type, please tell me whether None, Some, or All are stored unlocked. - Other prescription medications |
0::2;8
|
0 = None; 1 = Some; 2 = All; 8 = Don't Know
|
|
Query
|
blq2d |
Integer |
|
Recommended |
You said some medicines in your home are stored unlocked. I'm going to read some types of medications. For each type, please tell me whether None, Some, or All are stored unlocked. - Over-the-counter pain medications |
0::2;8
|
0 = None; 1 = Some; 2 = All; 8 = Don't Know
|
|
Query
|
blq2e |
Integer |
|
Recommended |
You said some medicines in your home are stored unlocked. I'm going to read some types of medications. For each type, please tell me whether None, Some, or All are stored unlocked. - Other over-the-counter medications |
0::2;8
|
0 = None; 1 = Some; 2 = All; 8 = Don't Know
|
|
Query
|
blq3 |
Integer |
|
Recommended |
If at least some medications are locked, could you access any of the locked medications? |
0::2;8
|
0 = No; 1 = Yes, easily; 2 = Yes, but it might be difficult; 8 = Don't Know
|
|
Query
|
blq4 |
Integer |
|
Recommended |
Today, how many firearms do you have in your home - one or more than one? |
1::3;8
|
1 = One; 2 = More than one; 3 = None; 8 = Don't Know
|
bl_guns |
Query
|
blq4a |
Integer |
|
Recommended |
If your home has only one gun, is this gun stored unlocked? |
0;1;8
|
0 = No; 1 = Yes; 8 = Don't Know
|
|
Query
|
blq4b |
Integer |
|
Recommended |
If your home has only one gun, is this gun stored loaded? |
0;1;8
|
0 = No; 1 = Yes; 8 = Don't Know
|
|
Query
|
blq4c |
Integer |
|
Recommended |
If your home has more than one gun, how many of these guns are stored unlocked? |
0;1;2;8
|
0 = None; 1 = One; 2 = More than one; 8= Don't Know
|
|
Query
|
blq4d |
Integer |
|
Recommended |
If your home has more than one gun, how many of the guns you have at home are stored loaded? |
0;1;2;8
|
0 = None; 1 = One; 2 = More than one; 8 = Don't Know
|
|
Query
|
blq4e |
Integer |
|
Recommended |
If your home has an unknown number of guns, to the best of your knowledge, is there at least one gun in your home stored unlocked? |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
blq4f |
Integer |
|
Recommended |
If your home has an unknown number of guns, to the best of your knowledge, is there at least one gun in your home stored loaded? |
0;1
|
0 = No; 1 = Yes
|
|
|
blq4g |
String |
20
|
Recommended |
For any guns that are locked, can you please describe which devices are used? (Check all that apply) |
|
1 = Gun safe; 2 = Locked closet or cabinet; 3 = Locked room; 4 = Locking device like cable lock or trigger lock; 5 = Intrinsic lock; 8 = Don't Know
|
|
Query
|
blq5 |
Integer |
|
Recommended |
For any guns that are locked, could you personally unlock at least one? |
0::2;8
|
0 = No; 1 = Yes, easily; 2 = Yes, but it might be difficult; 8 = Don't Know
|
|
Query
|
blq6 |
Integer |
|
Recommended |
Do you have any guns stored away from your home? |
0;1;8
|
0 = No; 1 = Yes; 8 = Don't Know
|
|
Query
|
blq6b |
String |
25
|
Recommended |
If you have guns stored away from your home, where are they currently stored? |
|
1 = At a relative's home; 2 = At a friend's home; 3 = At a gun range or sports club; 4 = At a gun store; 5 = With the police/law enforcement; 6 = At a pawn shop; 7 = Other; 9 = Refused; 8 = Don't know
|
|
|
blq6b_other |
String |
50
|
Recommended |
If you have guns stored away from your home, where are they currently stored? Other: specify |
|
|
|
Query
|
blq7 |
Integer |
|
Recommended |
Do you personally own the guns we've been talking about? |
0::2; 8;9
|
0 = No; 1 = Yes, at least one but not all; 2 = Yes, all of them; 9 = Refused; 8 = Don't know
|
|
Query
|
blq8 |
Integer |
|
Recommended |
Who makes decisions about how guns in your home are stored? |
1::3;8;9
|
1 = I do, by myself; 2 = I do, with someone else in the home; 3 = Someone else in the home does; 9 = Refused; 8 = Don't know/not sure
|
|
|
blq8b |
String |
25
|
Recommended |
If someone else makes or helps to make decisions about how guns in your home are stored, who is that person? (Choose all that apply) |
|
1 = My spouse/partner/significant other; 2 = Brother/brother-in-law; 3 = Sister/sister-in-law; 4 = Parent/parent-in-law; 5 = Adult child (at least 18 years old); 6 = Child; 7 = Other adult (including roommates or friends); 9 = Refused; 8 = Don't know
|
|
Query
|
blq8c |
Integer |
|
Recommended |
If someone else makes or helps to make decisions about how guns in your home are stored, is/was that person in the ER with you today? |
0;1;8;9
|
0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
|
|
Query
|
blq9 |
Integer |
|
Recommended |
Do you remember any ER provider talking with you today how you store medications in your home? |
0;1;8;9
|
0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
|
|
Query
|
blq10 |
Integer |
|
Recommended |
Do you remember any ER provider talking with you today whether you have access to guns at home? |
0;1;8;9
|
0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
|
|
Query
|
blq11b |
Integer |
|
Recommended |
How much do you agree with the following statements: Having access to a gun in the home increases the likelihood of death by suicide when someone is at risk |
1::5
|
1 = Strongly agree; 2 = Agree; 3 = Neither agree nor disagree; 4 = Disagree; 5 = Strongly disagree
|
|
Query
|
blq11c |
Integer |
|
Recommended |
How much do you agree with the following statements: Locking up firearms or storing them away from the home reduces the likelihood of death by suicide when someone is at risk |
1::5
|
1 = Strongly agree; 2 = Agree; 3 = Neither agree nor disagree; 4 = Disagree; 5 = Strongly disagree
|
|
Query
|
blq12 |
Integer |
|
Recommended |
For every 10 people who survive a suicide attempt, how many do you think will later die by suicide? |
1;3;5;7;9
|
1 = One; 3 = Three; 5 = Five; 7 = Seven; 9 = Nine
|
|
Query
|
blq13 |
Integer |
|
Recommended |
For every 10 people who attempt suicide using a gun, how many (on average) do you think will die? |
1;3;5;7;9
|
1 = One; 3 = Three; 5 = Five; 7 = Seven; 9 = Nine
|
|
Query
|
blq14a |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Do you know which options are available to you? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14b |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Do you know the benefits of each option? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14c |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Do you know the risks or drawbacks of each option? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14d |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Are you clear about which benefits matter most to me? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14e |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Are you clear about which risks and drawbacks matter to me? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14f |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Do you have enough support from others to make a choice? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14g |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Are you choosing without pressure from others? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14h |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Do you have enough advice to make a choice? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14i |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Are you clear about the best choice for you? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14j |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Do you feel sure about what to choose? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14k |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Is this decision easy for you to make? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14l |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Do you feel you have made an informed choice? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14m |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Does your decision who what is important to you? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14n |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Do you expect to stick with your decision? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq14o |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer: Are you satisfied with your decision? |
|
0 = No; 1 = Yes; 3 = Unsure
|
|
Query
|
blq15a |
Integer |
|
Recommended |
I feel confident that I can: Get the facts about the firearm storage choices available to me |
1::5
|
1 = Not at all confident; 5 = Very confident
|
|
Query
|
blq15b |
Integer |
|
Recommended |
I feel confident that I can: Get the facts about the benefits of each choice |
1::5
|
1 = Not at all confident; 5 = Very confident
|
|
Query
|
blq15c |
Integer |
|
Recommended |
I feel confident that I can: Get the facts about the risks and downsides of each choice |
1::5
|
1 = Not at all confident; 5 = Very confident
|
|
Query
|
blq15d |
Integer |
|
Recommended |
I feel confident that I can: Understand the information enough to be able to make a choice |
1::5
|
1 = Not at all confident; 5 = Very confident
|
|
Query
|
blq15e |
Integer |
|
Recommended |
I feel confident that I can: Ask questions without feeling dumb |
1::5
|
1 = Not at all confident; 5 = Very confident
|
|
Query
|
blq15f |
Integer |
|
Recommended |
I feel confident that I can: Express my concerns about each choice |
1::5
|
1 = Not at all confident; 5 = Very confident
|
|
Query
|
blq15g |
Integer |
|
Recommended |
I feel confident that I can: Ask for advice |
1::5
|
1 = Not at all confident; 5 = Very confident
|
|
Query
|
blq15h |
Integer |
|
Recommended |
I feel confident that I can: Figure out the choice that best suits me |
1::5
|
1 = Not at all confident; 5 = Very confident
|
|
Query
|
blq15i |
Integer |
|
Recommended |
I feel confident that I can: Handle unwanted pressure from others in making my choice |
1::5
|
1 = Not at all confident; 5 = Very confident
|
|
Query
|
blq16a |
Integer |
|
Recommended |
After today's visit, how likely is it that you will change the way you store these things at home? - Medications |
1::7;9
|
1 = Extremely likely; 7 = Extremely unlikely; -888 = I don't have any potentially toxic medications
|
|
Query
|
blq16b |
Integer |
|
Recommended |
After today's visit, how likely is it that you will change the way you store these things at home? - Firearms |
1::7
|
1 = Extremely likely; 7 = Extremely unlikely
|
|
|
blq16c |
String |
20
|
Recommended |
If the likelihood of changing firearm storage habits was 1 - 5 (moderately to extremely likely), what changes do you think you will make? Choose all that apply |
|
0 = I will use a/more locking devices (such as trigger locks) in my home; 1 = I will use a/more locking safes or gun lockboxes in my home; 2 = I will give a/more guns to a trusted family member for safekeeping; 3 = I will give a/more guns to a trusted friend for safekeeping; 4 = I will store a/more guns at a store or range that has firearm storage; 5 = I will give a /more guns to a law enforcement agency that has firearm storage; 7 = Other; NA - not applicable
|
|
|
blq16c_other |
String |
665
|
Recommended |
If the likelihood of changing firearm storage habits was 1 - 5 (moderately to extremely likely), what changes do you think you will make? Choose all that apply - Other: specify |
|
|
|
|
blq16d |
String |
300
|
Recommended |
If the likelihood of changing firearm storage habits was 6 or 7 (change extremely unlikely), why is it unlikely that you will make changes? |
|
|
|
Query
|
blq17 |
Integer |
|
Recommended |
The length of the web tool was |
1::3;8;9
|
1 = Too long; 2 = Just right; 3 = Too short; 98 = Refused; 97 = Don't know
|
|
Query
|
blq18 |
Integer |
|
Recommended |
The amount of information was |
1::3;8;9
|
1 = Too much information; 2 = Just right; 3 = Too little information; 9 = Refused; 8 = Don't know
|
|
Query
|
blq19 |
Integer |
|
Recommended |
I found the web tool |
1::3;8;9
|
1 = Slanted towards option in the home (locked up and inaccessible to the person at risk); 2 = Slanted towards option outside the home (like storage elsewhere); 3 = Balanced; 9 = Refused; 8 = Don't know
|
|
Query
|
blq20 |
Integer |
|
Recommended |
Did you find this web tool useful in helping you make a decision about changing firearm access? |
0;1;8;9
|
0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
|
|
|
blq20b |
String |
250
|
Recommended |
If you did not find the web tool useful in helping you make a decision about changing firearm access, then why? |
|
|
|
Query
|
blq21 |
Integer |
|
Recommended |
Do you think the web tool included enough information to help a person decide on ways to change home access to firearms? |
0;1;8;9
|
0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
|
|
|
blq21b |
String |
250
|
Recommended |
If you do not think the web tool included enough information to help a person decide on ways to change home access to firearms, then why? |
|
|
|
Query
|
blq22 |
Integer |
|
Recommended |
Was the web tool respectful of your and your family's values about guns? |
0;1
|
0 = No; 1 = Yes
|
|
|
blq22b |
String |
250
|
Recommended |
If the web tool was not respectful of your and your family's values about guns, then why? |
|
|
|
Query
|
blq23 |
Integer |
|
Recommended |
Did the web tool explain legal issues related to how guns are stored? |
0;1;8;9
|
0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
|
|
|
blq23b |
String |
250
|
Recommended |
If the web tool did not explain legal issues related to how guns are stored, then why? |
|
|
|
Query
|
blq24 |
Integer |
|
Recommended |
Did the options presented feel realistic for your family - that is, something that you feel you might be able and willing to do? |
0;1;8;9
|
0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
|
|
|
blq24b |
String |
250
|
Recommended |
If the options presented did not feel realistic for your family, then why? |
|
|
|
Query
|
blq25 |
Integer |
|
Recommended |
Would you recommend this tool to a friend or family member in a similar situation? |
0;1;8;9
|
0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
|
|
|
blq25b |
String |
250
|
Recommended |
If you would not recommend this tool to a friend or family member in a similar situation, then why? |
|
|
|
Query
|
blq26 |
Integer |
|
Recommended |
Would you want the option to email web tool responses to yourself (rather than printing)? |
0;1;8;9
|
0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
|
|
|
blq27 |
String |
25
|
Recommended |
Where, if anywhere, do you think this web tool could be useful? |
|
1 = Outpatient mental health clinics/settings; 2 = Emergency departments; 3 = On suicide prevention websites; 4 = On firearm websites (like the NRA or other gun education, retail, or advocacy groups); 4 = On other public websites; 5 = In settings for veterans/at the VA; 6 = In the military; 7 = None of the above; 9 = Refused; 8 = Don't know
|
|
|
pr_knowhop5 |
String |
150
|
Recommended |
Is there anything else that you would like to tell us? |
|
|
blq28 |
Query
|
blq_ff2 |
Integer |
|
Recommended |
Do you live with the patient, even part of the time? |
0;1;9
|
0 = No; 1 = Yes; 9 = Refused
|
|
Query
|
blq_ff4 |
Integer |
|
Recommended |
If you live with the patient (even part of the time), then are there firearms in the home where you and the patient live? |
0;1;8;9
|
0 = No; 1 = Yes; 9 = Refused; 8 = Don't know/not sure
|
|
Query
|
blq_ff6e1 |
Integer |
|
Recommended |
If there is more than one gun stored in the patient's home, then how many guns are stored both unlocked and loaded? |
0::2;8
|
0 = None; 1 = One; 2 = More than one; 8 = Don't Know
|
|
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
|
Query
|
fpq1 |
Integer |
|
Recommended |
At the end of your ER visit were you discharged home or admitted for mental health treatment? |
1;2;8;9
|
1 = Discharged; 2 = Admitted; 8 = Refused; 9 = Don't Know
|
|
|
fpq1b |
Date |
|
Recommended |
If, after ER visit, you were admitted for mental health treatment, what date were you discharged from the facility? |
|
|
|
|
fpq1c |
String |
2,665
|
Recommended |
If, after ER visit, you were admitted for mental health treatment, what is the name of the facility you were at? |
|
|
|
Query
|
fpq2 |
Integer |
|
Recommended |
During your ER visit, do you remember being seen by a mental health consultant (like a social worker, psychologist, or behavioral health evaluator)? |
0;1;8;9
|
0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq3 |
Integer |
|
Recommended |
At the time you came into the ER, were you already enrolled in some kind of outpatient mental healthcare (like with a therapist or psychiatrist)? |
0;1;8;9
|
0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq4 |
Integer |
|
Recommended |
Since your ER visit, have you seen an outpatient mental healthcare provider (like with a therapist or psychiatrist)? |
0;1;8;9
|
0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq4b |
Integer |
|
Recommended |
Since your ER visit, if you have not seen an outpatient mental healthcare provider, are you planning to see one? |
0::2;8;9
|
0 = No; 1 = Yes, I have an appointment; 2 = Yes, but I don't have an appointment yet; 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq5 |
Integer |
|
Recommended |
Since your ER visit, have you called the Colorado Crisis Hotline? |
0;1;8;9
|
0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq5b |
Integer |
|
Recommended |
If you have been in contact with the Colorado Crisis Hotline since your ER visit, did you call the hotline or did the hotline call you? |
1::3;8;9
|
1 = I called the hotline; 2 = The hotline called me; 3 = Both (I called and it called me); 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq13 |
Integer |
|
Recommended |
Since your ER visit, have you (or your family) made any changes in how you store your guns? |
0;1;8;9
|
0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
|
|
|
fpq13b |
String |
20
|
Recommended |
Since your ER visit, if you (or your family) made any changes in how you store your guns, then what were they? Choose all that apply |
|
0 = Locking devices; 1 = Locking safes or gun lockboxes; 2 = Gave guns to a trusted family member for safekeeping; 3 = Gave guns to a trusted friend for safekeeping; 4 = Storing guns at a store or range that has firearm storage; 5 = Gave guns to a law enforcement agency that has firearm storage; 7 = Other
|
|
|
fpq13b_other |
String |
665
|
Recommended |
Since your ER visit, if you (or your family) made any changes in how you store your guns, then what were they? Specify other method |
|
|
|
Query
|
fpq17a |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer, please answer the following questions: Do you know which options are available to you? |
0;2;4
|
0 = Yes; 2 = Unsure; 4 = Very Unsure
|
|
Query
|
fpq17b |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer, please answer the following questions: Do you know the benefits of each option? |
0;2;4
|
0 = Yes; 2 = Unsure; 4 = Very Unsure
|
|
Query
|
fpq17c |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer, please answer the following questions: Do you know the risks and side effects of each option? |
0;2;4
|
0 = Yes; 2 = Unsure; 4 = Very Unsure
|
|
Query
|
fpq17d |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer, please answer the following questions: Are you clear about which benefits matter most to you? |
0;2;4
|
0 = Yes; 2 = Unsure; 4 = Very Unsure
|
|
Query
|
fpq17e |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer, please answer the following questions: Are you clear about which risks and side effects matter most to you? |
0;2;4
|
0 = Yes; 2 = Unsure; 4 = Very Unsure
|
|
Query
|
fpq17f |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer, please answer the following questions: Do you have enough support from others to make a choice? |
0;2;4
|
0 = Yes; 2 = Unsure; 4 = Very Unsure
|
|
Query
|
fpq17g |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer, please answer the following questions: Are you choosing without pressure from others? |
0;2;4
|
0 = Yes; 2 = Unsure; 4 = Very Unsure
|
|
Query
|
fpq17h |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer, please answer the following questions: Do you have enough advice to make a choice? |
0;2;4
|
0 = Yes; 2 = Unsure; 4 = Very Unsure
|
|
Query
|
fpq17i |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer, please answer the following questions: Are you clear about the best choice for you? |
0;2;4
|
0 = Yes; 2 = Unsure; 4 = Very Unsure
|
|
Query
|
fpq17j |
Integer |
|
Recommended |
Considering the firearm storage option(s) you prefer, please answer the following questions: Do you feel sure about what to choose? |
0;2;4
|
0 = Yes; 2 = Unsure; 4 = Very Unsure
|
|
Query
|
fpq18a |
Integer |
|
Recommended |
In the next month, how likely is it that you will change the way you store medications at home? |
1::7;9
|
1 = Extremely likely; 7 = Extremely unlikely; 9 = I don't have any potentially toxic medications
|
|
Query
|
fpq18b |
Integer |
|
Recommended |
In the next month, how likely is it that you will change the way you store firearms at home? |
1::7; 9
|
1 = Extremely likely; 7 = Extremely unlikely; 9 = Not applicable (does not have firearms)
|
|
Query
|
fpq19 |
Integer |
|
Recommended |
Do you remember viewing general information about suicide prevention? |
0;1;8;9
|
0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq19b |
Integer |
|
Recommended |
Do you remember viewing general information about suicide prevention? If yes, do you remember viewing information about firearm safety? |
0;1;8;9
|
0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq20 |
Integer |
|
Recommended |
Do you remember completing an educational tool about firearm storage? |
0;1;8;9
|
0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq22 |
Integer |
|
Recommended |
Did you have a family member or friend with you at any time during your ER visit? |
0;1;8;9
|
0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq22b |
Integer |
|
Recommended |
If you had a family member or friend with you at any time during your ER visit, did the ER providers include that person(s) in discussions about firearm storage? |
0::2;8;9
|
0 = No; 1 = Yes, family; 2 = Yes, friend; 8 = Refused; 9 = Don't Know
|
|
Query
|
fpq22c |
Integer |
|
Recommended |
If you did not have a family member or friend with you during your ER visit, do you wish there had been a friend or family member with you? |
0;1;8;9
|
0 = No; 1 = Yes; 8 = Refused; 9 = Don't Know
|
|
|
fpq23 |
String |
665
|
Recommended |
Is there anything else you would like to tell me? Record final comments, verbatim, for follow-up to ER visit for suicide attempt |
|
|
|