S3Q7 | Blood transfusions in the last 12 months: 1. No 2. Yes (specify number) Taking hydroxyurea: 1. No 2. Yes If yes, since when? |
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S3Q8 | Taking hydroxyurea: 1. No 2. Yes If yes, since when? |
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SECTION 4 :PREVALENCE OF SUICIDAL BEHAVIOR | ||
S4Q1 | Have you ever felt like you'd be better off not being alive anymore? 1. Never, 2. Rarely, 3. Often, 4. Constantly |
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S4Q2 | Have you ever wanted to hurt yourself? 1. Never, 2. Rarely, 3. Often, 4. Constantly |
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S4Q3 | Have you ever thought about ending your life? 1. Never, 2. Rarely, 3. Often, 4. Constantly |
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S4Q4 | Have you already established how you plan to end your life? 1. No 2. Yes |
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S4Q5 | Have you ever attempted suicide? 1. No 2. Yes If yes, how many times? 1. Once, 2. Twice, 3. Three times, 4. More than three times |
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SECTION 5 : CHARACTERISTICS OF SUICIDAL BEHAVIOR | ||
S5Q1 | Was there an event that triggered suicidal thoughts/attempts? 1. No 2. Yes |
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S5Q2 | If yes, what was it (specify the problem)? 1. Emotional problems, 2. Family problem, 3. School or professional problems, 4. Problem related to sickle cell anemia, 5. Death of a loved one (brother, sister, companion, friend with sickle cell disease or not), 6. Others |
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S5Q3 | As a result of the problem, was the suicide attempt: 1. Premeditated 2. Impulsive |
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S5Q4 | What method did you use to attempt to end your life (Patients who answered yes to the question)? 1. Drugs, 2. Chemicals, 3. Firearm, 4. Bladed weapon, 5. Other (Specify) |
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S5Q5 | Have you informed loved ones of your death wish? 1. No 2. Yes |
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S5Q6 | If you didn't talk about it, what was the reason? 1. Just like that, 2. Guilt, 3. Lack of friends, 4. Fear that the person will divulge the information |
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S5Q7 | If you talked about it, what was the reason? 1. Just like that, 2. Need help, 3. Liberation |
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SECTION 6: INDIVIDUAL AND FAMILY FACTORS ASSOCIATED WITH SUICIDAL BEHAVIOR | ||
S6Q1 | Do you consume alcohol? 1. No 2.Yes |
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S6Q2 | Do you take drugs? 1. No 2. Yes If yes, specify: amphetamine, cocaine, weed, etc. |
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S6Q3 | Is there a history of suicide attempts or suicide in those close to you or in the family? 1. No 2. Yes |
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SECTION 7: SOCIOPROFESSIONAL FACTORS ASSOCIATED WITH CONDUCT SUICIDAL | ||
S7Q1 | Do you have community support/advice? 1. No 2. Yes |
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S7Q2 | Is your family practically supportive of your problems of all kinds? 1. No 2. Yes |
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S7Q3 | Do you have children who rely on you and depend on your well-being? 1. No 2. Yes |
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S7Q4 | Does your faith or spirituality help you deal with your problems? 1. No 2. Yes |
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S7Q5 | Do you think you are worthy of living? 1. No 2. Yes |
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S7Q6 | Have you ever suffered abuse (physical, sexual) or trauma? 1. No 2. Yes |
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S7Q7 | Are you comfortable in your living environment? 1. No 2. Yes |
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