Page History

...

-P7D

Dataset wrap

Name	qs

Rowcaps

Rows 13-14:	Items 11 and 12 are presented for illustrative purposes only. When the instrument is conducted, only one will be represented based on the CRF instructions. In this example, Item 12 would not appear in the actual dataset and has result values of "XXX".
Rows 15-16:	Items 13 and 14 are presented for illustrative purposes only. When the instrument is conducted, only one will be represented based on the CRF instructions. In this example, Item 14 would not appear in the actual dataset and has result values of "XXX".
Row 33:	The total score does not have an evaluation interval value represented, since there is a mixture of evaluation interval values with items 13 and 14 that differ from the remaining items on the CRF.

Dataset2

Row

STUDYID

DOMAIN

USUBJID

QSSEQ

QSTESTCD

QSTEST

QSCAT

QSSCAT

QSORRES

QSSTRESC

QSSTRESN

QSSTAT

QSREASND

QSLOBXFL

QSDRVFL

VISITNUM

QSDTC

QSEVLINT

QSEVINTX
1	STUDYX	QS	2324-P0001	1

IDSR101

CSS0101

IDSR1-Falling Asleep

IDS-SR

I never take longer than 30 minutes to fall asleep

0

CSS01-Wish to be Dead

C-SSRS BASELINE

SUICIDAL IDEATION

Yes

Y

0

Y

1

2015-05-15

08/19/2022	BASELINE
2	STUDYX	QS	2324-P0001	2

IDSR102

CSS0101A

IDSR1-Sleep During the NightIDS-SRI do not wake up at night00Y12015-05-15

CSS01-Wish to be Dead, Describe

C-SSRS BASELINE

SUICIDAL IDEATION

Fall asleep and not wake up

Y

1

08/19/2022

BASELINE

-P7D


3	STUDYX	QS	2324-P0001	3

IDSR103

CSS0102

IDSR1-Waking Up Too EarlyIDS-SRMost of the time, I awaken no more than 30 minutes before I need to get up0

CSS01-Non-Specific Suicidal Thought

C-SSRS BASELINE

SUICIDAL IDEATION

Yes

Y

0

Y

1

2015-05-15

08/19/2022

BASELINE

-P7D


4	STUDYX	QS	2324-P0001	4

IDSR104

CSS0102A

IDSR1-Sleeping Too MuchIDS-SRI sleep no longer than 7-8 hours/night, without napping during the day00Y12015-05-15-P7D5STUDYXQS2324-P00015IDSR105IDSR1-Feeling SadIDS-SRI feel sad less than half the time11Y12015-05-15-P7D6STUDYXQS2324-P00016IDSR106IDSR1- Feeling IrritableIDS-SRI feel irritable less than half the time11Y12015-05-15-P7D7STUDYXQS2324-P00017IDSR107IDSR1-Feeling Anxious or TenseIDS-SRI feel anxious (tense) less than half the time11Y12015-05-15-P7D8STUDYXQS2324-P00018IDSR108IDSR1-Your Mood to Good/Desired EventsIDS-SRMy mood brightens but I do not feel like my normal self when good events occur11Y12015-05-15-P7D9STUDYXQS2324-P00019IDSR109IDSR1-Mood in Relation to Time of DayIDS-SRMy mood often relates to the time of day because of environmental events (e.g., being alone, working)11Y12015-05-15-P7D10STUDYXQS2324-P000110IDSR109AIDSR1-Mood Worse Morn/Afternoon/NightIDS-SRAfternoonAfternoonY12015-05-15-P7DRows 11-32 removed for ease of use of template. (fyi, this row has merged cells so don't try to overwrite it when using the template; just delete it.)

CSS01-Non-Specific Suicid Thought, Descr

C-SSRS BASELINE

SUICIDAL IDEATION

I thought about taking an overdose but I never made a specific plan as to when

Y

1

08/19/2022

BASELINE

5

STUDYX

QS

2324-P0001

5

CSS0103

CSS01-Suicidal Ideation-No Intent

C-SSRS BASELINE

SUICIDAL IDEATION

No

N

Y

1

08/19/2022

BASELINE

6

STUDYX

QS

2324-P0001

6

CSS0103A

CSS01-Suicidal Ideation-No Intent, Descr

C-SSRS BASELINE

SUICIDAL IDEATION

NOT DONE

Y

1

08/19/2022

BASELINE

7

STUDYX

QS

2324-P0001

7

CSS0104

CSS01-Ideation With Intent, No Plan

C-SSRS BASELINE

SUICIDAL IDEATION

Yes

Y

1

08/19/2022

BASELINE

8

STUDYX

QS

2324-P0001

8

CSS0104A

CSS01-Ideation With Intent No Plan Descr

C-SSRS BASELINE

SUICIDAL IDEATION

I’ve thought about killing myself and how

Y

1

08/19/2022

BASELINE

9

STUDYX

QS

2324-P0001

9

CSS0105

CSS01-Ideation With Plan/Intent

C-SSRS BASELINE

SUICIDAL IDEATION

No

N

Y

1

08/19/2022

BASELINE

10

STUDYX

QS

2324-P0001

10

CSS0105A

CSS01-Ideation With Plan/Intent, Descr

C-SSRS BASELINE

SUICIDAL IDEATION

NOT DONE

Y

1

08/19/2022

BASELINE

11

STUDYX

QS

2324-P0001

11

CSS0106

CSS01-Most Severe Ideation

C-SSRS BASELINE

INTENSITY OF IDEATION

1

Y

1

08/19/2022

BASELINE

12

STUDYX

QS

2324-P0001

12

CSS0106A

CSS01-Most Severe Ideation, Description

C-SSRS BASELINE

INTENSITY OF IDEATION

Wish to be Dead

Y

1

08/19/2022

BASELINE

13

STUDYX

QS

2324-P0001

13

CSS0107

CSS01-Most Severe Ideation, Frequency

C-SSRS BASELINE

INTENSITY OF IDEATION

Once a week

2

Y

1

08/19/2022

BASELINE

14

STUDYX

QS

2324-P0001

14

CSS0108

CSS01-Most Severe Ideation, Duration

C-SSRS BASELINE

INTENSITY OF IDEATION

4-8 hours/most of day

4

Y

1

08/19/2022

BASELINE

15

STUDYX

QS

2324-P0001

15

CSS0109

CSS01-Most Severe Ideation, Control

C-SSRS BASELINE

INTENSITY OF IDEATION

Does not attempt to control thoughts

0

Y

1

08/19/2022

BASELINE

16

STUDYX

QS

2324-P0001

16

CSS0110

CSS01-Most Severe Ideation, Deterrents

C-SSRS BASELINE

INTENSITY OF IDEATION

Does not apply

0

Y

1

08/19/2022

BASELINE

17

STUDYX

QS

2324-P0001

17

CSS0111

CSS01-Most Severe Ideation, Reasons

C-SSRS BASELINE

INTENSITY OF IDEATION

Mostly to get attention, revenge or a reaction from others

2

Y

1

08/19/2022

BASELINE

18

STUDYX

QS

2324-P0001

18

CSS0112

CSS01-Actual Attempt

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Yes

Y

1

08/19/2022

BASELINE

19

STUDYX

QS

2324-P0001

19

CSS0113

CSS01-Number of Actual Attempts

C-SSRS BASELINE

SUICIDAL BEHAVIOR

5

Y

1

08/19/2022

BASELINE

20

STUDYX

QS

2324-P0001

20

CSS0113A

CSS01-Actual Attempt, Describe

C-SSRS BASELINE

SUICIDAL BEHAVIOR

To feel better

Y

1

08/19/2022

BASELINE

21

STUDYX

QS

2324-P0001

21

CSS0114

CSS01-Non-suicidal Self-injurious Behav

C-SSRS BASELINE

SUICIDAL BEHAVIOR

No

N

Y

1

08/19/2022

BASELINE

22

STUDYX

QS

2324-P0001

22

CSS0115

CSS01-Interrupted Attempt

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Yes

Y

1

08/19/2022

BASELINE

23

STUDYX

QS

2324-P0001

23

CSS0116

CSS01-Number of Interrupted Attempts

C-SSRS BASELINE

SUICIDAL BEHAVIOR

1

Y

1

08/19/2022

BASELINE

24

STUDYX

QS

2324-P0001

24

CSS0116A

CSS01-Interrupted Attempt, Describe

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Stopped from overdose

Y

1

08/19/2022

BASELINE

25

STUDYX

QS

2324-P0001

25

CSS0117

CSS01-Aborted Attempt

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Yes

Y

1

08/19/2022

BASELINE

26

STUDYX

QS

2324-P0001

26

CSS0118

CSS01-Number of Aborted Attempts

C-SSRS BASELINE

SUICIDAL BEHAVIOR

3

Y

1

08/19/2022

BASELINE

27

STUDYX

QS

2324-P0001

27

CSS0118A

CSS01-Aborted Attempt, Describe

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Parent found my letters

Y

1

08/19/2022

BASELINE

28

STUDYX

QS

2324-P0001

28

CSS0119

CSS01-Preparatory Acts/Behavior

C-SSRS BASELINE

SUICIDAL BEHAVIOR

No

N

Y

1

08/19/2022

BASELINE

29

STUDYX

QS

2324-P0001

29

CSS0119A

CSS01-Preparatory Acts/Behavior, Descr

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

Y

1

08/19/2022

BASELINE

30

STUDYX

QS

2324-P0001

30

CSS0120

CSS01-Suicidal Behavior

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Yes

Y

1

08/19/2022

BASELINE

31

STUDYX

QS

2324-P0001

31

CSS0121A

CSS01-Most Recent Attempt Date

C-SSRS BASELINE

SUICIDAL BEHAVIOR

2/14/2016

Y

1

08/19/2022

BASELINE

32

STUDYX

QS

2324-P0001

32

CSS0121B

CSS01-Most Recent Attempt Damage

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Moderately severe physical damage; medical hospitalization and likely intensive care required

3

Y

08/19/2022

BASELINE

33

STUDYX

QS

2324-P0001

33

CSS0121C

CSS01-Most Recent Attempt Potential

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Behavior likely to result in death despite available medical care

2

Y

08/19/2022

BASELINE

34

STUDYX

QS

2324-P0001

34

CSS0122A

CSS01-Most Lethal Attempt Date

C-SSRS BASELINE

SUICIDAL BEHAVIOR

12/31/2013

Y

1

08/19/2022

BASELINE

35

STUDYX

QS

2324-P0001

35

CSS0122B

CSS01-Most Lethal Attempt Damage

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Severe physical damage; medical hospitalization with intensive care required

4

Y

08/19/2022

BASELINE

36

STUDYX

QS

2324-P0001

36

CSS0122C

CSS01-Most Lethal Attempt Potential

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Behavior likely to result in death despite available medical care

2

Y

08/19/2022

BASELINE

37

STUDYX

QS

2324-P0001

37

CSS0123A

CSS01-First Attempt Date

C-SSRS BASELINE

SUICIDAL BEHAVIOR

3/27/2009

Y

1

08/19/2022

BASELINE

38

STUDYX

QS

2324-P0001

38

CSS0123B

CSS01-First Attempt Damage

C-SSRS BASELINE

SUICIDAL BEHAVIOR

No physical damage or very minor physical damage

0

Y

08/19/2022

BASELINE

39

STUDYX

QS

2324-P0001

39

CSS0123C

CSS01-First Attempt Potential

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Behavior not likely to result in injury

0

Y

08/19/2022

BASELINE

40

STUDYX

QS

2324-P0002

1

CSS0101

CSS01-Wish to be Dead

C-SSRS BASELINE

SUICIDAL IDEATION

No

N

Y

1

07/13/2022

BASELINE

41

STUDYX

QS

2324-P0002

2

CSS0201A

CSS01-Wish to be Dead, Describe

C-SSRS BASELINE

SUICIDAL IDEATION

NOT DONE

Y

1

07/13/2022

BASELINE

42

STUDYX

QS

2324-P0002

3

CSS0102

CSS01-Non-Specific Suicidal Thought

C-SSRS BASELINE

SUICIDAL IDEATION

No

N

Y

1

07/13/2022

BASELINE

43

STUDYX

QS

2324-P0002

4

CSS0102A

CSS01-Non-Specific Suicid Thought, Descr

C-SSRS BASELINE

SUICIDAL IDEATION

NOT DONE

Y

1

07/13/2022

BASELINE

44

STUDYX

QS

2324-P0002

5

CSS0103

CSS01-Suicidal Ideation-No Intent

C-SSRS BASELINE

SUICIDAL IDEATION

NOT DONE

Y

1

07/13/2022

BASELINE

…

56

STUDYX

QS

2324-P0002

17

CSS0111

CSS01-Most Severe Ideation, Reasons

C-SSRS BASELINE

INTENSITY OF IDEATION

NOT DONE

Y

1

07/13/2022

BASELINE

57

STUDYX

QS

2324-P0002

18

CSS0112

CSS01-Actual Attempt

C-SSRS BASELINE

SUICIDAL BEHAVIOR

No

N

Y

1

07/13/2022

BASELINE

58

STUDYX

QS

2324-P0002

19

CSS0113

CSS01-Number of Actual Attempts

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

Y

1

07/13/2022

BASELINE

59

STUDYX

QS

2324-P0002

20

CSS0113A

CSS01-Actual Attempt, Describe

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

Y

1

07/13/2022

BASELINE

60

STUDYX

QS

2324-P0002

21

CSS0114

CSS01-Non-suicidal Self-injurious Behav

C-SSRS BASELINE

SUICIDAL BEHAVIOR

No

N

Y

1

07/13/2022

BASELINE

61

STUDYX

QS

2324-P0002

22

CSS0115

CSS01-Interrupted Attempt

C-SSRS BASELINE

SUICIDAL BEHAVIOR

No

N

Y

1

07/13/2022

BASELINE

62

STUDYX

QS

2324-P0002

23

CSS0116

CSS01-Number of Interrupted Attempts

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

Y

1

07/13/2022

BASELINE

63

STUDYX

QS

2324-P0002

24

CSS0116A

CSS01-Interrupted Attempt, Describe

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

Y

1

07/13/2022

BASELINE

64

STUDYX

QS

2324-P0002

25

CSS0117

CSS01-Aborted Attempt

C-SSRS BASELINE

SUICIDAL BEHAVIOR

No

N

Y

1

07/13/2022

BASELINE

65

STUDYX

QS

2324-P0002

26

CSS0118

CSS01-Number of Aborted Attempts

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

Y

1

07/13/2022

BASELINE

66

STUDYX

QS

2324-P0002

27

CSS0118A

CSS01-Aborted Attempt, Describe

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

Y

1

07/13/2022

BASELINE

67

STUDYX

QS

2324-P0002

28

CSS0119

CSS01-Preparatory Acts/Behavior

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Yes

Y

1

07/13/2022

BASELINE

68

STUDYX

QS

2324-P0002

29

CSS0119A

CSS01-Preparatory Acts/Behavior, Descr

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Bought pills, Bought a gun, suicide note

Y

1

07/13/2022

BASELINE

69

STUDYX

QS

2324-P0002

30

CSS0120

CSS01-Suicidal Behavior

C-SSRS BASELINE

SUICIDAL BEHAVIOR

Yes

Y

1

07/13/2022

BASELINE

70

STUDYX

QS

2324-P0002

31

CSS0121A

CSS01-Most Recent Attempt Date

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

Y

1

07/13/2022

BASELINE

71

STUDYX

QS

2324-P0002

32

CSS0121B

CSS01-Most Recent Attempt Damage

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

Y

1

07/13/2022

BASELINE

72

STUDYX

QS

2324-P0002

33

CSS0121C

CSS01-Most Recent Attempt Potential

C-SSRS BASELINE

SUICIDAL IDEATION

NOT DONE

Y

1

07/13/2022

BASELINE

…

78

STUDYX

QS

2324-P0002

39

CSS0123C

CSS01-First Attempt Potential

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

Y

1

07/13/2022

BASELINE

79

STUDYX

QS

2324-P0002

40

CSS0101

CSS01-Wish to be Dead

C-SSRS BASELINE

SUICIDAL IDEATION

2

80

STUDYX

QS

2324-P0002

41

CSS0201A

CSS01-Wish to be Dead, Describe

C-SSRS BASELINE

SUICIDAL IDEATION

NOT DONE

2

81

STUDYX

QS

2324-P0002

42

CSS0102

CSS01-Non-Specific Suicidal Thought

C-SSRS BASELINE

SUICIDAL IDEATION

2

82

STUDYX

QS

2324-P0002

43

CSS0102A

CSS01-Non-Specific Suicid Thought, Descr

C-SSRS BASELINE

SUICIDAL IDEATION

NOT DONE

2

83

STUDYX

QS

2324-P0002

44

CSS0103

CSS01-Suicidal Ideation-No Intent

C-SSRS BASELINE

SUICIDAL IDEATION

NOT DONE

2

…

117

STUDYX

QS

2324-P0002

78

CSS0123C

CSS01-First Attempt Potential

C-SSRS BASELINE

SUICIDAL BEHAVIOR

NOT DONE

2

33STUDYXQS2324-P000133IDSR131IDSR1-ScoreIDS-SR181818Y12015-05-15

Page tree

Versions Compared

Old Version 44

New Version 45

Key