115564-7
Ask Suicide-Screening Questions (ASQ) Tool
Active
115565-4 Ask the Patient:
Type of Entry
Header section - not a question [H]
Fully-Specified Name
- Component
- Ask the patient
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- ASQ
Long Common Name
Ask the patient [ASQ]
Basic Attributes
- Class
- PANEL.SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.83
- Last Updated
- Version 2.83 (ADD)
- Order vs. Observation
- Subset
- Panel Type
- Organizer
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 115564-7 | Ask Suicide-Screening Questions Tool [ASQ] |
115566-2 In the past few weeks, have you wished you were dead?
Observation ID in Form
1
Type of Entry
Question expects user entry - requires response [Q]
Skip Logic
If patient answers Yes to any of Questions #1 through #4, ask the following acuity question i.e., #5 and #[5a].
Fully-Specified Name
- Component
- In the past few weeks have you wished you were dead
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
In the past few weeks have you wished you were dead
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.83
- Last Updated
- Version 2.83 (ADD)
- Order vs. Observation
- Observation
Example Answer List LL361-7
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | LA33-6 | ||
| No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | LA32-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 115564-7 | Ask Suicide-Screening Questions Tool [ASQ] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
115567-0 In the past few weeks, have you felt that you or your family would be better off if you were dead?
Observation ID in Form
2
Type of Entry
Question expects user entry - requires response [Q]
Skip Logic
If patient answers Yes to any of Questions #1 through #4, ask the following acuity question i.e., #5 and #[5a].
Fully-Specified Name
- Component
- In the past few weeks have you felt that you or your family would be better off if you were dead
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
In the past few weeks have you felt that you or your family would be better off if you were dead
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.83
- Last Updated
- Version 2.83 (ADD)
- Order vs. Observation
- Observation
Example Answer List LL361-7
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | LA33-6 | ||
| No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | LA32-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 115564-7 | Ask Suicide-Screening Questions Tool [ASQ] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
115568-8 In the past week, have you been having thoughts about killing yourself?
Observation ID in Form
3
Type of Entry
Question expects user entry - requires response [Q]
Skip Logic
If patient answers Yes to any of Questions #1 through #4, ask the following acuity question i.e., #5 and #[5a].
Fully-Specified Name
- Component
- In the past week have you been having thoughts about killing yourself
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
In the past week have you been having thoughts about killing yourself
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.83
- Last Updated
- Version 2.83 (ADD)
- Order vs. Observation
- Observation
Example Answer List LL361-7
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | LA33-6 | ||
| No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | LA32-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 115564-7 | Ask Suicide-Screening Questions Tool [ASQ] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
115569-6 Have you ever tried to kill yourself?
Observation ID in Form
4
Type of Entry
Question expects user entry - requires response [Q]
Skip Logic
If patient answers Yes to any of Questions #1 through #4, ask the following acuity question i.e., #5 and #[5a].
Fully-Specified Name
- Component
- Have you ever tried to kill yourself
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
Have you ever tried to kill yourself
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.83
- Last Updated
- Version 2.83 (ADD)
- Order vs. Observation
- Observation
Example Answer List LL361-7
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | LA33-6 | ||
| No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | LA32-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 115564-7 | Ask Suicide-Screening Questions Tool [ASQ] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
115570-4 If yes, when was the most recent attempt?
Observation ID in Form
4a
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- If yes when was the most recent attempt
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
If yes when was the most recent attempt
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.83
- Last Updated
- Version 2.83 (ADD)
- Order vs. Observation
- Observation
Example Answer List LL7596-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Within last 12 months | LA37190-8 | ||
| Over 1 year ago | LA37191-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 115564-7 | Ask Suicide-Screening Questions Tool [ASQ] |
115571-2 Are you having thoughts of killing yourself right now?
Observation ID in Form
5
Type of Entry
Question expects user entry - requires response [Q]
Skip Logic
If yes to #5, ask question [5a]
Fully-Specified Name
- Component
- Are you having thoughts of killing yourself right now
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
Are you having thoughts of killing yourself right now
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.83
- Last Updated
- Version 2.83 (ADD)
- Order vs. Observation
- Observation
Example Answer List LL361-7
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | LA33-6 | ||
| No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | LA32-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 115564-7 | Ask Suicide-Screening Questions Tool [ASQ] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
115572-0 If yes, describe briefly:
Observation ID in Form
5a
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- If yes describe briefly
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nar
- Method
Long Common Name
If yes describe briefly
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.83
- Last Updated
- Version 2.83 (ADD)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 115564-7 | Ask Suicide-Screening Questions Tool [ASQ] |