Form CC form CC form Child Interview

CHILD INTERVIEW CLOSE

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[# IF AGE < 5, GOTO Y_CC1. ELSE, GOTO Y_CC2.]

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That is all we need to do involving [fill CHILD]. Thank you for helping with these tests. This will help us a great deal in our research.

PRESS [ENTER] TO CONTINUE [# GOTO Y_CCEND]

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That is all the questions I have for you. Thank you very much for answering these questions. This will help us a great deal in our research.

PRESS [ENTER] TO CONTINUE

[#IF INTNUM = 5 AND AGE IS >= 18, SKIP TO Y_CCEND.]

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[#IF INTNUM = 5 AND AGE IS < 18]: INTERVIEWER: REMEMBER TO ADMINISTER THE EXECUTIVE FUNCTIONING TASKS BEFORE LEAVING THE HOME. LAUNCH THESE USING THE EPRIME INSTRUMENT ON THE CMS GRID.

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[# DISPLAY Y_CC3 NOTICE TO INTERVIEWER IF: Y_CD9a AND Y_CD9b = 1, OR Y_YB18a AND Y_YB18b = 1, OR Y_YB91a AND Y_YB91b = 1. ELSE, GOTO Y_CCEND.]

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INTERVIEWER: CHILD INDICATED HE/SHE HAS SUICIDE INTENTIONS EARLIER IN INTERVIEW (CHILD HAD SUICIDE THOUGHTS IN LAST 2 WEEKS AND A PLAN FOR CARRYING OUT THOUGHTS).

SAY: Earlier, you gave me some answers that caused me to worry about your safety. I need to talk with someone about my concerns.

FOLLOW REQUIRED STUDY PROCEDURES FOR FOLLOW-UP ACTION. DO NOT LEAVE CHILD/HOME UNTIL APPROPRIATE ACTIONS HAVE BEEN TAKEN.

AFTER RETURNING HOME, REMEMBER TO COMPLETE AN ADVERSE EVENT REPORT AND SUBMIT IT TO RTI AS SOON AS POSSIBLE.

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