General Questions | |||||
G01. Did you participate in the original investigation of this event? Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. | |||||
G01a. Respondent 1 | G01b. Respondent 2 | G01c. Respondent 3 | G01d. Respondent 4 | G01e. Respondent 5 | |
1=yes | 1=yes | 1=yes | 1=yes | 1=yes | |
2=no | 2=no | 2=no | 2=no | 2=no | |
7=not applicable | 7=not applicable | 7=not applicable | 7=not applicable | 7=not applicable | |
8=unknown | 8=unknown | 8=unknown | 8=unknown | 8=unknown | |
9=refused to answer | 9=refused to answer | 9=refused to answer | 9=refused to answer | 9=refused to answer | |
_ | _ | _ | _ | _ | |
*If respondent did not participate in the original investigation, skip to Question #G03, page P3 .... otherwise, proceed with Question #G02 | |||||
G02. What role(s) did you play in the investigation? | |||||
G02a. Respondent 1 Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
G02b. Respondent 2 Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
G02c. Respondent 3 Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
G02d. Respondent 4 Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
G02e. Respondent 5 Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
G03. Where did the injury event occur? | |||||
Read options | |||||
1= on school property | |||||
2= on the way to or from the campus* | |||||
3= at an off-campus school-sponsored event* | |||||
4= on the way to or from a school sponsored event* | |||||
6= other* (specify..............................................................................................) | |||||
8= unknown* | |||||
9= refused to answer | |||||
_ | |||||
*If option 1 is selected, proceed to Question #S01 | |||||
*If option 3 is selected, skip to Question # SOC01, page 6 | |||||
*If option 2, 4, or 6 are selected, skip to Question #E03, page P10 | |||||
QUESTIONS about the school (for events occurring on school property) | |||||
S01. Our study defines a school associated violent death as a suicide, homicide or legal intervention related death that occurred on school property, on the way to or from school, or at or on the way to or from a school sponsored event. Has this school ever experienced another violent death that meets this definition? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
S02. During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services--- | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
Code | |||||
S02.a) At any time during school hours | |||||
S02.b) While students were arriving and/or leaving | |||||
S02.c) At selected school activities (e.g., athletic and social events, open houses, science fairs) | |||||
S02.d) When school/school activities not occurring | |||||
S02.e) Other (please specify) | |||||
S03. At the time when the event occurred did the school use full-time security personnel? _ | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
*If school did not use full-time security personnel, skip to Question #S04 otherwise, proceed with Question #S03.a [If no, SKIP TO S04] | |||||
S03.a Number of School Resource Officers/Sworn Law Enforcement Officers __ | |||||
S03.b Number of Private Security Officers __ | |||||
S04. Were any of the following security measures in use at the time of this event? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
Measure | Location or Type of Measure | Code | |||
S04.a) Walk Through Metal Detectors | |||||
S04.a1) | If yes, how often? | ||||
1 Daily | |||||
2 2 to 3 times per week | |||||
3 Weekly | |||||
4 Biweekly | |||||
5 As warranted | |||||
6 Never | |||||
S04.a2) | Where were the walk through metal detectors used? | ||||
S04a2.a) Main entry | |||||
S04a.2b) Secondary entries | |||||
SS04a2.c) Other | |||||
Specify | |||||
S04.b) Hand Held Metal Detectors | |||||
S04.b1) | If yes, how often? | ||||
1 Daily | |||||
2 2 to 3 times per week | |||||
3 Weekly | |||||
4 Biweekly | |||||
5 As warranted | |||||
6 Never | |||||
S04.b2) | Where were the walk through metal detectors used? | ||||
S04b2.a) Main entry | |||||
S04b2.b) Secondary entries | |||||
S04b2.c) Other | |||||
Specify | |||||
S04.c) Surveillance Cameras | |||||
S04.c1) | If yes, When were they used? (Check all that apply) | ||||
1 on school days before classes or official school activities began | |||||
2 While classes were being held | |||||
3 During lunch, recess, or other breaks, | |||||
4 During class changes | |||||
5 immediately after school | |||||
6 During after school practice or detention | |||||
5 After official activities | |||||
6 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||
7 Cameras only used as visual detterent | |||||
S04.c2) | Where were the surveillance cameras used? | ||||
S04c2.a) Entry/exit areas – exterior | |||||
S04c2.b) Athletic areas | |||||
S04c2.c) Entry/exit areas – interior | |||||
S04c2.d) Corridors | |||||
S04c2.e) Other | |||||
Specify | |||||
S04.d) Communication Devices | |||||
S04d.1) 2-way radios | |||||
S04d.2) 2-way intercom in most classrooms | |||||
S04d.3) Other | |||||
Specify | |||||
S04.e) Access Restrictions | |||||
S04e.1) Proximity or card swipe access for staff | |||||
S04e.2) Intrusion Alarm Systems | |||||
S04.e3) | If yes, where? | ||||
S04e3.a) Main building(s) / areas | |||||
S04e3.b) Parking lot(s) | |||||
S04e3.c) Other | |||||
Specify | |||||
S04.e4) | If yes, When were they used? (Check all that apply) | ||||
1 on school days before classes or official school activities began | |||||
2 While classes were being held | |||||
3 During lunch, recess, or other breaks, | |||||
4 During class changes | |||||
5 immediately after school | |||||
6 During after school practice or detention | |||||
5 After official activities | |||||
6 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||
skip to Question #E01, page P9 . | |||||
QUESTIONS about the off-campus school sponsored event | |||||
SOC01. Our study defines a school associated violent death as a suicide, homicide or legal intervention related death that occurred on school property, on the way to or from school, or at or on the way to or from a school sponsored event. Has this school ever experienced another violent death that meets this definition? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
SOC02. During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services at selected school activities (e.g., athletic and social events, open houses, science fairs)? | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
*If school did not use paid law enforcement or security services, skip to Question # SOC04 otherwise, proceed with Question # SOC03 [If no, SKIP TO S18] | |||||
SOC03a . Please indicate the nNumber of Sworn Law Enforcement Officers used. _ _ | |||||
D o NOT read options, code leading zero | |||||
00-∞=actual number | |||||
777=not applicable | |||||
888=unknown | |||||
999=refused to answer | |||||
SOC03b. Please indicate the Number of Private Security Officers used __Do NOT read options, code leading zero | |||||
00-∞=actual number | |||||
777=not applicable | |||||
888=unknown | |||||
999=refused to answer | |||||
SOC04. Were any of the following security measures in use at the time of this event? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
Measure | Location or Type of Measure | Code | |||
SOC04.a) Walk Through Metal Detectors | |||||
SOC04.a1) | If yes, how often? | ||||
1 Daily | |||||
2 2 to 3 times per week | |||||
3 Weekly | |||||
4 Biweekly | |||||
5 As warranted | |||||
6 Never | |||||
SOC04.a2) | Where were the walk through metal detectors used? | ||||
SOC04a2.a) Main entry | |||||
SOC04a2.b) Secondary entries | |||||
SOC04a2.c) Other | |||||
Specify | |||||
SOC04.b) Hand Held Metal Detectors | |||||
SOC04.b1) | If yes, how often? | ||||
1 Daily | |||||
2 2 to 3 times per week | |||||
3 Weekly | |||||
4 Biweekly | |||||
5 As warranted | |||||
6 Never | |||||
SOC04.b2) | Where were the walk through metal detectors used? | ||||
SOC04b2.a) Main entry | |||||
SOC04b2.b) Secondary entries | |||||
SOC04b2.c) Other | |||||
Specify | |||||
SOC04.c) Surveillance Cameras | |||||
SOC04.c1) | If yes, When were they used? (Check all that apply) | ||||
1 on school days before classes or official school activities began | |||||
2 While classes were being held | |||||
3 During lunch, recess, or other breaks, | |||||
4 During class changes | |||||
5 immediately after school | |||||
6 During after school practice or detention | |||||
5 After official activities | |||||
6 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||
7Cameras only used as visual detterent | |||||
SOC04.c2) | Where were the surveillance cameras used? | ||||
SOC04c2.a) Entry/exit areas – exterior | |||||
SOC04c2.b) Athletic areas | |||||
SOC04c2.c) Entry/exit areas – interior | |||||
SOC04c2.d) Corridors | |||||
SOC04c2.e) Other | |||||
Specify | |||||
SOC04.d) Communication Devices | |||||
SOC04d.1) 2-way radios | |||||
SOC04d.2) 2-way intercom in most classrooms | |||||
SOC04d.3) Other | |||||
Specify | |||||
SOC04e) Access Restrictions | |||||
SOC04e.1) Proximity or card swipe access for staff | |||||
SOC04e.2) Intrusion Alarm Systems | |||||
SOC04.e3) | If yes, where? | ||||
SOC04e3.a) Main building(s) / areas | |||||
SOC04e3.b Parking lot(s) | |||||
SOC04e3.c) Other | |||||
Specify | |||||
SOC04.e4) | If yes, When were they used? (Check all that apply) | ||||
1 on school days before classes or official school activities began | |||||
2 While classes were being held | |||||
3 During lunch, recess, or other breaks, | |||||
4 During class changes | |||||
5 immediately after school | |||||
6 During after school practice or detention | |||||
5 After official activities | |||||
6 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||
Skip to Question #E02, page P10 | |||||
QUESTIONS about the event | |||||
E01. Where on the campus did the injury event occur? | |||||
Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable locations | |||||
Location | Code | ||||
01= in a classroom | |||||
02= in a hallway | |||||
03= in a cafeteria | |||||
04= in a gymnasium | |||||
05= in a locker room | |||||
06= in an office | |||||
07= in a stairwell | |||||
08= in a restroom | |||||
09= in a break room or lounge | |||||
10= in an auditorium | |||||
11= on campus lawn or gardens | |||||
12= on sporting fields or playground | |||||
13= in a parking lot | |||||
14= in a driveway | |||||
15= at a bus pickup or drop off point | |||||
66= other indoor location | |||||
Specify. | |||||
67= other outdoor location | |||||
Specify | |||||
77= not applicable | |||||
88= unknown | |||||
99= refused to answer | |||||
After completing E01, skip to Question #E03. | |||||
E02. Where did the off-campus injury event occur? _ _ | |||||
Read options; code written responses later; code leading zeros | |||||
01= on the street, sidewalk, footpath | |||||
02= on a bus or public transport vehicle | |||||
03= waiting for or getting on or off a bus or public transport vehicle | |||||
04= in a privately-owned vehicle / car | |||||
05= on private property (specify________________________) | |||||
06= at a sporting complex (pool, stadium, off campus gym, rec center etc…) | |||||
66= other (specify..............................................................................................) | |||||
77= not applicable | |||||
88= unknown | |||||
99= refused to answer | |||||
E03. Which of the following best describes the context in which the injury event occurred? _ _ | |||||
Read options; code written responses later; code leading zeros | |||||
01= on a day when no classes or school events were held (e.g., a weekend, holiday, or an | |||||
official school break) | |||||
02= on a school day before classes began | |||||
03= while classes were being held | |||||
04= during a school assembly | |||||
04= on a school day during lunch, recess or other break, including class changes | |||||
05= immediately after school | |||||
06= on a school day during after-school practice or detention | |||||
07= on a school day after official activities | |||||
08= at a school sporting activity | |||||
09= at another official school-sponsored activity | |||||
10= on the way to or from a school-sponsored activity | |||||
66= other (specify..............................................................................................) | |||||
77= not applicable | |||||
88= unknown | |||||
99= refused to answer | |||||
E04. What were the motives for the fatal injury? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable motives. | |||||
Motive | Code | ||||
a) single suicide | |||||
b) suicide pact | |||||
c) drug related | |||||
d) gang related | |||||
e) robbery, attempted robbery | |||||
f) rape, attempted sex crime | |||||
g) dispute over money or property | |||||
h) dispute over romantic relationship | |||||
i) dispute related to sporting event | |||||
j) dispute, other or unspecified | |||||
k) racially or hate crime motivated | |||||
l) victim killed by law enforcement or security personnel | |||||
m) victim killed by civilian during commission of a crime | |||||
n) expressed act of terrorism | |||||
o) random victim | |||||
p) victim was a bystander | |||||
q) victim was intervener assisting a crime victim | |||||
r) other | |||||
specif y | |||||
E05. Briefly describe the circumstances of the fatal injury and events leading up to it, including history of prior conflicts between the principles, etc. | |||||
Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
E06. What was the method of fatal injury? | |||||
Read options; | |||||
Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable methods used | |||||
Method | Code | ||||
01= firearm | |||||
Specify | |||||
02= knife, razor, box cutter or other blade | |||||
03= beaten with club, bat, pipe, chain, or other object | |||||
04= beaten, no weapon used | |||||
05= motor vehicle | |||||
06= hanging/strangulation/asphyxiation by hanging | |||||
07= poisoning, solid or liquid | |||||
08= asphyxiation by gas | |||||
09= other asphyxiation | |||||
66= other | |||||
Specify | |||||
77= not applicable | |||||
88= unknown | |||||
99= refused to answer | |||||
E07. After a tragedy such as this people look for things, such as comments, notes, threats, or actions that took place prior to the incident that could have signaled a potential risk for this type of behavior. Which of the following did any of the offenders, or victims in the case of suicide, leave as signs that they were considering this action? Please include as many signs as you can think of even if they were things that nooneno one could have recognized as a sign at the time they happened. | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code all applicable signs. | |||||
Sign | Code | ||||
{E07a} notes | |||||
{E07b} journal entry | |||||
{E07c} sSocial media (e.g. blogs, Twitter, wall postings on social networking sites) | |||||
{E07d} verbal threats___ | |||||
{E07e} electronic media (e.g., email messages, IM, or texts via cellphone, voice mail, video, ect.) | |||||
{E07f} other actions (e.g., playful suggestion that person might commit act, voiced suicidal | |||||
thoughts) | |||||
Specify | |||||
E08. Did anyone know about the possibility of this event before it happened? _ _ | |||||
Do NOT read options | |||||
1=yes (specify........................................................................................................... ) | |||||
2=no* | |||||
7=not applicable | |||||
9=unknown/refused to answer | |||||
*If option 2 is selected, skip to Question #V01, page P15 | |||||
E09. What information was known by the bystander(s) in advance of the attack? | |||||
Instructions: Capture information for up to five bystanders. | |||||
E09a. | |||||
Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
E10. What relationship did the bystander have to the perpetrator(s)? | |||||
Read options; code written responses later | |||||
E10a. Bystander #1 | E10b. Bystander #2 | E10c. Bystander #3 | E10d. Bystander #4 | E10e. Bystander #5 | |
01= relatives (specify..................) | 01= relatives (specify..................) | 01= relatives (specify..................) | 01= relatives (specify..................) | 01= relatives (specify..................) | |
02= romantic partner | 02= romantic partner | 02= romantic partner | 02= romantic partner | 02= romantic partner | |
03= close friend | 03= close friend | 03= close friend | 03= close friend | 03= close friend | |
04= classmate | 04= classmate | 04= classmate | 04= classmate | 04= classmate | |
05= faculty/staff | 05= faculty/staff | 05= faculty/staff | 05= faculty/staff | 05= faculty/staff | |
06= fellow student at school, but not classmate | 06= fellow student at school, but not classmate | 06= fellow student at school, but not classmate | 06= fellow student at school, but not classmate | 06= fellow student at school, but not classmate | |
07= community / neighborhood acquaintance | 07= community / neighborhood acquaintance | 07= community / neighborhood acquaintance | 07= community / neighborhood acquaintance | 07= community / neighborhood acquaintance | |
08= strangers | 08= strangers | 08= strangers | 08= strangers | 08= strangers | |
66= other (specify......................) | 66= other (specify......................) | 66= other (specify......................) | 66= other (specify......................) | 66= other (specify......................) | |
77=not applicable | 77=not applicable | 77=not applicable | 77=not applicable | 77=not applicable | |
88=unknown | 88=unknown | 88=unknown | 88=unknown | 88=unknown | |
99=refused to answer | 99=refused to answer | 99=refused to answer | 99=refused to answer | 99=refused to answer | |
_ _ | |||||
E11. Did the bystander share the information he or she learned of the planned violence with others? | |||||
Do NOT read options | |||||
1=yes (specify........................................................................................................... ) | |||||
2=no | |||||
7=not applicable | |||||
9=unknown/refused to answer | |||||
E12. With whom was this information shared? | |||||
Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. Select all applicable options. | |||||
E12a. | Code | ||||
01=no one | |||||
02=parents | |||||
03=other family | |||||
04=peers | |||||
05=school staff | |||||
06=other medical/mental health professional | |||||
66=other | |||||
Specify | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
QUESTIONS about the Victim | |||||
CaseID. Case ID Number | |||||
To be assigned by study coordinator, record 5-digit number _ _ _ _ _ | |||||
V01. How many victims were fatally injured in this event? | |||||
Write in actual number _ _ | |||||
V01a. Victim Number | |||||
Number for this victim, is assigned by the primary data collector. _ | |||||
V02. What was the date of the injury event? | |||||
Record month/date/year, code leading zeros (code four-digit years) | |||||
_ _/_ _/_ _ _ _ | |||||
V03. What was the time of the injury event? | |||||
Record in military time | |||||
_ _ _ _ | |||||
V04. What was the date of death? | |||||
Record month/date/year, code leading zeros (code four-digit years) | |||||
_ _/_ _/_ _ _ _ | |||||
V05. What was this victim's date of birth? | |||||
Record month/date/year, code leading zeros (code four-digit years) | |||||
_ _/_ _/_ _ _ _ | |||||
V06. What was this victim's age in years at the time of death? _ _ | |||||
Do NOT read options, code leading zero | |||||
01-∞=actual age in years | |||||
777=not applicable | |||||
888=unknown | |||||
999=refused to answer | |||||
V07. What was this victim's gender? _ _ | |||||
Do NOT read options | |||||
1=male | |||||
2=female | |||||
3=transgender | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
V08. What was the victim's race? _ _ | |||||
Do NOT read Options | |||||
1 | White | ||||
2 | Black or African American | ||||
3 | American Indian or Alaska Native | ||||
4 | Asian Indian | ||||
5 | Chinese | ||||
6 | Filipino | ||||
7 | Japanese | ||||
8 | Korean | ||||
9 | Vietnamese | ||||
10 | Other Asian | ||||
11 | Native Hawaiian | ||||
12 | Guamanian or Chamorro | ||||
13 | Samoan | ||||
14 | Other Pacific Islander | ||||
15 | Other (Specify) ______________ | ||||
88 | Unknown—a person’s race is unknown | ||||
99 | Refused to Answer | ||||
V09. Was this victim of Hispanic, Latino/a ,or Spanish Origin? _ | |||||
(One or more categories may be selected) | |||||
Do NOT read options | |||||
1 | Not Hispanic or Latino/a or Spanish origin | ||||
2 | Yes, Mexican, Mexican American, Chicano/a | ||||
3 | Yes, Puerto Rican | ||||
4 | Yes, Cuban | ||||
5 | Yes, another Hispanic, Latino, or Spanish origin | ||||
8 | Unknown if victim is of Hispanic or Latino origin | ||||
9 | Refused to Answer | ||||
V10. Which of the following best describes the victim's family structure/living arrangements at the time of death? _ _ | |||||
Read options | |||||
01= two-parent nuclear family | |||||
02= single parent household | |||||
03= lives with adult relative other than parent | |||||
04= lives with legal guardian | |||||
05= lives independently | |||||
06= foster care | |||||
07= residential institution | |||||
66= other (specify:...................) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
V11. Individuals often affiliate with distinct peer groups. To your knowledge, was the victim associated with any distinct peer group? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused | |||||
*If answer is no, skip to Question # V14.… otherwise, proceed with Question # V11a. | |||||
V11a. What group(s) were they affiliated with? _ _ | |||||
Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
V12. In the year prior to this event, did the victim leave an existing peer group? _ | |||||
Do not read options | |||||
1=yes Specify____________ | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
V13. In the year prior to this event, did the victim join a new peer group? _ | |||||
Do not read options | |||||
1=yes Specify____________ | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
V14. Did the victim use alcohol or drugs? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
*If answer is not yes, skip to Question # V15 .… otherwise, proceed with Question # V14a. | |||||
V14a. What types of substances did the victim use? | |||||
Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
V15. Was there evidence that the victim was intoxicated with alcohol or drugs at the time of death? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
V16. At the time of death, was the victim perceived by self or others to have a problem with, or to be addicted to, alcohol or other drugs? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
V17. Was the victim carrying a weapon at the time of the fatal injury? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
*If no, Go to Question #V20. | |||||
V18. At the time of the fatal injury, which of the following types of weapon was this victim carrying? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
Weapon | Code | ||||
a) firearm | |||||
Specify | |||||
b) knife, razor, box cutter or other blade | |||||
c) bat, pipe, chain, or other object | |||||
d) rope or wire | |||||
e) other | |||||
Specify | |||||
V19. Where did this victim obtain these weapons? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
Weapons source | Code | ||||
a) from home | |||||
specify weapon | |||||
b) from friend or relative outside household | |||||
specify weapon | |||||
c) purchased for himself/herself | |||||
specify weapon | |||||
d) stolen | |||||
e) home-made weapon | |||||
f) weapon of opportunity (used weapon already present in environment / used object in environment as weapon) | |||||
g) from the victim | |||||
specify weapon | |||||
h) other _ | |||||
specify weapon | |||||
V20. What was the highest grade or year of school this victim completed? _ _ | |||||
Do NOT read options, code leading zero | |||||
00-12=last completed grades K-12 | |||||
13=high school equivalency (GED) | |||||
14=some college or trade school | |||||
15=college graduate or more | |||||
16=never attended | |||||
66=other (specify........................................................................................................) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
V21. What was the victim's affiliation with the school associated with this death? _ _ | |||||
Do NOT read options, code leading zero | |||||
01=a student at this school | |||||
02=former student at this school | |||||
03=a student at another school | |||||
04=a teacher at this school* | |||||
05=administrator at this school* | |||||
06=other staff at this school* | |||||
07=security guard or law enforcement officer (SRO)* | |||||
08=family member of a student* | |||||
09=family member of staff member | |||||
10=resident of surrounding community* | |||||
11=not associated with the school or community* | |||||
12=unidentified victim* | |||||
66=other* (specify.............................................................................................................) | |||||
77=not applicable* | |||||
88=unknown* | |||||
99=refused to answer* | |||||
*If the victim is NOT a student, gGo to Question #V26, P22. | |||||
V22. How many years had the victim attended his or her school? | |||||
Do NOT read options; code leading zeros | |||||
00=less than one school year | |||||
01-12=number of years | |||||
13=more than 12 years | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
_ _ | |||||
V23. What extracurricular activities was the victim involved in? | |||||
To be coded later | |||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
V24. Did the victim experience any school-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
*If no, , not applicable, unknown, or refuse, g Go to Question #V25. | |||||
V24a. Please briefly describe the specific school-related crises or traumatic events experienced. | |||||
Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
V25. Was a school-related crisis or traumatic event imminent within two weeks of this incident? If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
V25a. Please briefly describe the specific school-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
V26. Did any the victim experience any community-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
V26a. Please briefly describe the specific community-related crises or traumatic events experienced. | |||||
Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
V27. Was a community-related crisis or traumatic event imminent within two weeks of the this incident? If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
V27a. Please briefly describe the specific community-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
V28. Did any the victim experience any family-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
V28a. Please briefly describe the specific family-related crises or traumatic events experienced. | |||||
Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
V29. Was a family-related crisis or traumatic event imminent within two weeks of the this incident? If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
V29a. Please briefly describe the specific family-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
V30. To the best of your knowledge, in the 12 months prior to this event did the victim engage in any of the following behaviors? | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Behavior | Code | ||||
{V30a} disobeying authority figure | |||||
{V30b} namecalling, taunting, or teasing peers | |||||
V30b.1 Face to face? | |||||
V30b.2 Using Electronic means? | |||||
{V30c} Verbal threats | |||||
{V30d} sent written threats | |||||
{V30e} sent electronic threats | |||||
{V30f} Bullied peers | |||||
{V30f} physically threatened peers | |||||
{V30g} physically fought with peers | |||||
{V30h} damaged another's personal property | |||||
{V30i} damaged school property (tagging, vandalism etc…) | |||||
{V30j}stole another's personal property | |||||
{V30k} truancy (skipped school) | |||||
{V30l} possessed / used illegal substances | |||||
{V30m}possessed a weapon | |||||
V31. To the best of your knowledge, in the 12 months prior to this event was this individual victimized in any of the following ways? | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Type | Code | ||||
{V31.a} called names by peers | |||||
{V31.b} bullied by peers | |||||
{V31.c} had personal property damaged or stolen | |||||
{V31.d}verbally threatened by peers | |||||
{V31.e}received written threats | |||||
{V31.f} electronic threats | |||||
{V31.g}physically threatened by peers | |||||
{V31.h}physically assaulted by peers | |||||
V32. At the time of the event, did this victim have a diagnosed Learning Disability? _ | |||||
Do not read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
V33. In the year prior to this event, did this victim receive any of the following services? _ | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Services | Code | ||||
{ V33a} guidance counseling / advising | |||||
{ V33b} psychological counseling | |||||
{V33c} Psychiatric or mental health services | |||||
{V33d} social services | |||||
{V33e} supplemental educational services (including efforts to address learning disabilities) | |||||
{V33f} other services | |||||
Specify | |||||
V34. In the year prior to this event, was this victim ever treated for depression? _ | |||||
Do not read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
V35. Had the victim ever received professional treatment for any other emotional or mental health problem? _ | |||||
Do not read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
V36. If yes, What specific kinds of emotional or mental health problems were treated? | |||||
To be coded later | |||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
V37. Did this victim have a documented family history of ..... | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Code | |||||
{V37.a} alcoholism | |||||
{V37.b} drug abuse | |||||
{V37.c} intimate partner violence | |||||
{V37.d.} sexual violence | |||||
{V37.e}attempted / completed suicide | |||||
{V37.f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) | |||||
V38. Did this victim suffer | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Code | |||||
{V38.a} physical child abuse | |||||
{V38.b} sexual child abuse | |||||
{V38.c} emotional / psychological abuse as a child | |||||
{V38. d} neglect | |||||
{V38.e} victimization in intimate partner violence_/ teen dating violence | |||||
{V38.f} victimization in sexual violence | |||||
V39. To the best of your knowledge, did this victim have a suspected family history of ..... | |||||
Read only those options not confirmed above, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Code | |||||
{V39.1} alcoholism | |||||
{V39.2} drug abuse | |||||
{V39.3} intimate partner violence | |||||
{V39.4.} sexual violence | |||||
{V39.5}attempted / completed suicide | |||||
{V39.6} arrests / convictions for violent offenses (e.g., assault, homicide etc…) | |||||
V40. Which of the following situations best describes this victim's death? _ _ | |||||
Read options; code leading zero | |||||
01= single victim suicide* | |||||
02= multiple victim suicide* | |||||
03= single victim homicide; unknown number of offenders | |||||
04= single victim homicide; single offender | |||||
05= single victim homicide; multiple offenders | |||||
06= multiple victim homicide; unknown number of offenders | |||||
07= multiple victim homicide; single offender | |||||
08= multiple victim homicide; multiple offenders | |||||
09= combination murder/suicide | |||||
10= intention undetermined | |||||
66= other (specify........................................................................................................) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
V41. Do you have any knowledge that this victim had, in the year prior to this event exhibited any of the following signs and symptoms of suicide? | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Signs | Code | ||||
{V41.a} Thoughts/threats of suicide | |||||
{V41.b} Plans of suicide | |||||
{V41.c} Previous suicide attempts | |||||
*If no to all, skip to V44, page P27. | |||||
V42. To whom was this suicidal behavior reported? | |||||
Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. Select all applicable options. | |||||
Code | |||||
01=no one | |||||
02=parents | |||||
03=other family | |||||
04=peers | |||||
05=school staff | |||||
06=other medical/mental health professional | |||||
66=other | |||||
Specify | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
V43. What, if any, actions were taken in response to this suicidal behavior? | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
V44. Did perceptions about the victim being gay, bisexual, or transgendered contribute to their victimization? _ | |||||
Do not read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
*If there is more than one victim, complete a "Victim" section for each victim, starting with Question V01...Otherwise go to Question V45. | |||||
V45. Were there any victims that suffered nonfatal injuries at the time of this event? _ | |||||
Do not read options | |||||
1=yes | |||||
2=no* (insert prompt to skip the next set of questions) | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
*If no to all, skip to Questions on Alleged Offender #O01 Page P29 | |||||
V46. How many persons suffered non-fatal injuries at the time of this event? _ _ | |||||
01-##=actual number of nonfatal injuries | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
V47. How many victims that suffered nonfatal injuries required hospital admission? _ _ | |||||
00-##=actual number of nonfatal injuries that required hospital admission | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
V48. How many alleged offenders were responsible for the victim's death? | |||||
Do NOT read options (PROBE: alleged offender = legally charged as offender) | |||||
0=none, death was self-inflicted | |||||
1-5=actual number of offenders* | |||||
6=more than 5* | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
_ | |||||
*If there are no data available on any alleged offender, conclude the interview...Otherwise, complete "Offender" section, starting with question #O01 Page P29 | |||||
QUESTIONS about Alleged Offender | |||||
CaseID. Case ID Number | |||||
Case number is assigned by study coordinator. _ _ _ _ _ | |||||
O01. How many alleged offenders were officially charged for this incident? | |||||
Write in actual number. _ _ | |||||
O01a. Offender Number | |||||
Number for this alleged offender is assigned by the primary data collector. _ | |||||
O02. What was this alleged offender's date of birth? | |||||
Record month/date/year, code leading zeros, code four-digit years _ _/_ _/_ _ _ _ | |||||
O03. What was this alleged offender's age in years at time of victim's death? _ _ | |||||
Do NOT read options, code leading zero | |||||
01-∞=actual age in years | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
O04. What was this alleged offender's gender? _ _ | |||||
Do NOT read options | |||||
1=male | |||||
2=female | |||||
3=transgender | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O05. What was this alleged offender's race? _ | |||||
Do NOT read options | |||||
1 | White | ||||
2 | Black or African American | ||||
3 | American Indian or Alaska Native | ||||
4 | Asian Indian | ||||
5 | Chinese | ||||
6 | Filipino | ||||
7 | Japanese | ||||
8 | Korean | ||||
9 | Vietnamese | ||||
10 | Other Asian | ||||
11 | Native Hawaiian | ||||
12 | Guamanian or Chamorro | ||||
13 | Samoan | ||||
14 | Other Pacific Islander | ||||
15 | Other (Specify) ______________ | ||||
88 | Unknown—a person’s race is unknown | ||||
99 | Refused to Answer | ||||
O06. Was this alleged offender of Hispanic, Latino/a ,or Spanish Origin? _ | |||||
(One or more categories may be selected) origin? | |||||
Do NOT read options | |||||
1 | Not Hispanic or Latino/a or Spanish origin | ||||
2 | Yes, Mexican, Mexican American, Chicano/a | ||||
3 | Yes, Puerto Rican | ||||
4 | Yes, Cuban | ||||
5 | Yes, another Hispanic, Latino, or Spanish origin | ||||
9 | Unknown if elder is of Hispanic or Latino origin | ||||
O07. Which of the following best describes this alleged offender's family structure or living arrangements at the time of the victim's death? _ _ | |||||
Read options | |||||
01= two-parent nuclear family | |||||
02= single parent household | |||||
03= lives with adult relative other than parent | |||||
04= lives with legal guardian | |||||
05= lives independently | |||||
06= foster care | |||||
07= residential institution | |||||
66= other (specify:...................) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
O08. Had this alleged offender ever been arrested before the victim's death? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O09. Had this alleged offender ever been charged with a crime before the victim's death? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
*If answer is no, skip to Question # O10 page P31.... otherwise, proceed with Question # O09a | |||||
O09a. What types of charges did the alleged offender face? | |||||
Code later | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O09b. Which charges resulted in convictions? | |||||
Code later | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O10. Youth often affiliate with distinct peer groups. To your knowledge, was the alleged offender associated with any distinct peer group? | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused | |||||
*If answer is not yes, skip to Question # O13.page P32 .... otherwise, proceed with Question # O10a | |||||
O10a. What group(s) were they affiliated with? | |||||
Code later | |||||
.....................................................................................................................................................................................................................................................................................................................................................________________ | |||||
...................................................................................................................................................................................................................................................................................................................................................._________________ | |||||
.....................................................................................................................................................................................................................................................................................................................................................________________ | |||||
.....................................................................................................................................................................................................................................................................................................................................................________________ | |||||
O11. In the year prior to this event, did the offender leave an existing peer group? _ | |||||
Do NOT read options | |||||
1=yes Specify _________________________ | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O12. In the year prior to this event, did the offender or join a new peer group? _ | |||||
Do NOT read options | |||||
1=yes Specify_____________ | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O13. Did this alleged offender use alcohol or drugs at the time of the victim's death? _ | |||||
Do NOT read options | |||||
1=yes Specify ___________________________ | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
*If answer is no skip to Question # O14.. . otherwise, proceed with Question # O13a. | |||||
O13a. What types of substances did the alleged offender use? | |||||
Code later | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O14. Was there evidence that this alleged offender was intoxicated with alcohol or drugs at the time of the victim's death? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O15. At the time of death, was the alleged offender perceived by self or others to have a problem with, or to be addicted to, alcohol or other drugs? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O16. What was the relationship of this alleged offender to the victim? _ _ | |||||
Read options; code written responses later | |||||
01= relatives (specify..................) | |||||
02= romantic partner | |||||
03= close friend | |||||
04= classmate | |||||
05= faculty/staff | |||||
06= fellow student at school, but not classmate | |||||
07= community / neighborhood acquaintance | |||||
08= strangers | |||||
66= other (specify......................) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
O17. Was this alleged offender carrying a weapon at the time of the fatal injury? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
*If no, Skip to Question #O20, page P34_. | |||||
O18. At the time of the fatal injury, which of the following types of weapon was this alleged offender carrying? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
Weapon | Code | ||||
a) firearm | |||||
Specify | |||||
b) knife, razor, box cutter or other blade | |||||
c), bat, pipe, chain, or other object | |||||
d) rope or wire | |||||
e) other | |||||
Specify | |||||
O19. Where did this alleged offender obtain these weapons? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
Weapons source | Code | ||||
a) from home | |||||
specify weapon | |||||
b) from friend or relative outside household | |||||
specify weapon | |||||
c) purchased for himself/herself | |||||
specify weapon | |||||
d) stolen | |||||
specify weapon | |||||
e) home-made weapon | |||||
f) weapon of opportunity (used weapon already present in environment / used object in environment as weapon) | |||||
g) from the victim | |||||
specify weapon | |||||
h) other _ | |||||
specify weapon | |||||
O20. What was the highest grade or year of school this alleged offender completed? _ _ | |||||
Do NOT read options, code leading zero | |||||
00-12=last completed grades K-12 | |||||
13=high school equivalency (GED) | |||||
14=some college or trade school | |||||
15=college graduate or more | |||||
16=never attended | |||||
66=other (specify..................) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
O21. What was this alleged offender's affiliation with the school associated with the victim's death? _ _ | |||||
Do NOT read options, code leading zero | |||||
02=former student at this school | |||||
03=a student at another school | |||||
04=a teacher at this school* | |||||
05=administrator at this school* | |||||
06=other staff at this school* | |||||
07=security guard or law enforcement officer (SRO)* | |||||
08=family member of a student* | |||||
09family member of staff member | |||||
10=resident of surrounding community* | |||||
11=not associated with the school or community* | |||||
12=unidentified victim* | |||||
66=other* (specify.............................................................................................................) | |||||
77=not applicable* | |||||
88=unknown* | |||||
99=refused to answer* | |||||
*If this alleged offender is NOT a student, Go to Question O26, page P36 . | |||||
O22. For how many years has this alleged offender attended his or her school? _ _ | |||||
Do NOT read options; code leading zeros | |||||
00=less than one school year | |||||
01-12=number of years | |||||
13=more than 12 years | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
O23. What extracurricular activities was this alleged offender involved in at the time of the victim's death? | |||||
to be coded later; please note the sources. | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O24. Did any the offender experience any school-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
*If no, not applicable, unknown, or refuse Go to Question #O25. | |||||
O24a. Please briefly describe the specific school-related crises or traumatic events experienced. | |||||
Code later | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O25. Was a school-related crisis or traumatic event imminent within two weeks of the this incident? | |||||
If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
O25a. Please briefly describe the specific school-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O26. Did any the offender experience any community-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
O26a. Please briefly describe the specific community-related crises or traumatic events experienced. | |||||
Code later | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O27. Was a community-related crisis or traumatic event imminent within two weeks of the this incident? If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
O27a. Please briefly describe the specific community-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O28. Did the alleged offender experience any family-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
O28a. Please briefly describe the specific family-related crises or traumatic events experienced. | |||||
Code later | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O29. Was a family-related crisis or traumatic event imminent within two weeks of the this incident? _ | |||||
If yes, please specify : | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
O29a. Please briefly describe the specific family-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O30. To the best of your knowledge, in the 12 months prior to this event did the alleged offender engage in any of the following behaviors? | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Behavior | Code | ||||
{O30.a} disobeying authority figure | |||||
{O30.b} namecalling, taunting, or teasing peers | |||||
O30b.1 Face to face? | |||||
O30b.2 Using Electronic means? | |||||
{O30.c} Verbal threats | |||||
{O30.d} sent written threats | |||||
{O30.e} sent electronic threats | |||||
{O30.f} Bullied peers | |||||
{O30.f} physically threatened peers | |||||
{O30.g} physical fought with peers | |||||
{O30.h} damaged another's personal property | |||||
{O30.i} damaged school property (tagging, vandalism etc…) | |||||
{O30.j}stole another's personal property | |||||
{O30.k} truancy (skipped school) | |||||
{O30.l} possessed / used illegal substances | |||||
{O30.m}possessed a weapon | |||||
O31. To the best of your knowledge, in the 12 months prior to this event was this alleged offender victimized in any of the following ways? | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Type | Code | ||||
{O31.a} called names by peers | |||||
{O31.b} bullied by peers | |||||
{O31.c} had personal property damaged or stolen | |||||
{O31.d}verbally threatened by peers | |||||
{O31.e}received written threats | |||||
{O31.f} electronic threats | |||||
{O31.g}physically threatened by peers | |||||
{O31.h}physically assaulted by peers | |||||
O32. At the time of the event, did this alleged offender have a diagnosed Learning Disability? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
_ | |||||
O33. In the year prior to this event, did this alleged offender receive any of the following services? | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Services | Code | ||||
{O33.a} guidance counseling / advising | |||||
{O33.b} psychological counseling | |||||
{O33.c} Psychiatric or mental health services | |||||
{O33.d} social services | |||||
{O33.e} supplemental educational services (including efforts to address learning disabilities) | |||||
{O33.f} other services | |||||
Specify | |||||
O34. In the year prior to this event, was this alleged offender ever treated for depression? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O35. Had the alleged offender ever received professional treatment for any other emotional or mental health problem? | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O35a. If yes, what specific kinds of emotional or mental health problems were treated? | |||||
To be coded later | |||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ | |||||
O36. Did this alleged offender have a documented family history of ..... | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Code | |||||
{O36.a} alcoholism | |||||
{O36.b} drug abuse | |||||
{O36.c} intimate partner violence | |||||
{O36.d.} sexual violence | |||||
{O36.e}attempted / completed suicide | |||||
{O36.f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) | |||||
O37. Did this alleged offender suffer | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Code | |||||
{O37.a} physical child abuse | |||||
{O37.b} sexual child abuse | |||||
{O37.c} emotional / psychological abuse as a child | |||||
{O37.d} neglect | |||||
{O37.e} victimization in intimate partner violence_/ teen dating violence | |||||
{O37.f} victimization in sexual violence | |||||
*If yes to all of the above, then skip to O39 below. | |||||
O38. Do you have any knowledge that this alleged offender had, in the year prior to this event exhibited any of the following signs and symptoms of suicide? | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||
Signs | Code | ||||
{O39.a} Thoughts/threats of suicide | |||||
{O39.b} Plans of suicide | |||||
{O39.c} Previous suicide attempts | |||||
*If no to all, skip to Om08 O42 below. | |||||
O39. To whom was this suicidal behavior reported? | |||||
Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. Select all applicable options. | |||||
Code | |||||
01=no one | |||||
02=parents | |||||
03=other family | |||||
04=peers | |||||
05=school staff | |||||
06=other medical/mental health professional | |||||
66=other | |||||
Specify | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
O40. What, if any, actions were taken in response to this suicidal behavior? | |||||
To be coded later | |||||
.................................................................................................................................................................................................................................................................................................................................................................. | |||||
O41. Was this alleged offender fatally injured during the event _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
*If no then skip to O49 page P43. Otherwise proceed to question O42. | |||||
O42. What was the date of the injury event? | |||||
Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ | |||||
O43. What was the time of the injury event? | |||||
Record in military time _ _ _ _ | |||||
O44. What was the date of death? | |||||
Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ | |||||
O45. What were the motives for the fatal injury? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable motives. | |||||
Motive | Code | ||||
a) single suicide | |||||
b) suicide pact | |||||
c) alleged offender killed by law enforcement or security personnel | |||||
d) alleged offender killed by civilian during commission of a crime | |||||
e) other | |||||
specif y | |||||
O46. Briefly describe the circumstances of the fatal injury and events leading up to it, including history of prior conflicts between the principles, etc. | |||||
Code later | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||
O47. What was the method of fatal injury? | |||||
Weapon | Code | ||||
a) firearm | |||||
Specify | |||||
b) knife, razor, box cutter or other blade | |||||
c), bat, pipe, chain, or other object | |||||
d) rope or wire | |||||
e) other | |||||
O48. Did perceptions about the offender being gay, bisexual, or transgendered contribute to their perpetration? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O49. Was there evidence that this alleged offender was targeting a specific person or group? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O50. Was there another alleged offender, in addition to the one we just discussed, involved in this event? _ | |||||
Do NOT read options | |||||
1=yes* | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
*If there is a second alleged offender identified as Offender Y, complete a second "Offender" section, starting with Question O01.......otherwise, conclude the interview. |
General Questions | |||||||||
G01. Did you participate in the original investigation of this event? Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. | |||||||||
G01a. Respondent 1 | G01b. Respondent 2 | G01c. Respondent 3 | G01d. Respondent 4 | G01e. Respondent 5 | |||||
1=yes | 1=yes | 1=yes | 1=yes | 1=yes | |||||
2=no* | 2=no* | 2=no* | 2=no* | 2=no* | |||||
7=not applicable* | 7=not applicable* | 7=not applicable* | 7=not applicable* | 7=not applicable* | |||||
8=unknown* | 8=unknown* | 8=unknown* | 8=unknown* | 8=unknown* | |||||
9=refused to answer* | 9=refused to answer* | 9=refused to answer* | 9=refused to answer* | 9=refused to answer* | |||||
If yes, proceed to G02. | |||||||||
*If answer is 2 -9, skip to Question #G03. | |||||||||
G02. What role(s) did you play in the investigation? | |||||||||
G02a. Respondent 1 | |||||||||
Code later | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
G02b. Respondent 2 | |||||||||
Code later | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
G02c. Respondent 3 | |||||||||
Code later | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
G02d. Respondent 4 | |||||||||
Code later | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
G02e. Respondent 5 | |||||||||
Code later | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
G03. Where did the injury event occur? _ | |||||||||
Read options | |||||||||
1= on school property | |||||||||
2= on the way to or from the campus* | |||||||||
3= at an off-campus school-sponsored event* | |||||||||
4= on the way to or from a school sponsored event* | |||||||||
6= other* (G03a- If Other selected, please specify...................................................................) | |||||||||
8= unknown* | |||||||||
9= refused to answer | |||||||||
*If option 1 is selected, proceed to Question #S01, page 5. | |||||||||
*If option 3 is selected, skip to Question # SOC01, page 8. | |||||||||
*If option 2, 4, or 6 are selected, skip to Question #E02, page 11. | |||||||||
QUESTIONS about the school (for events occurring on school property) | |||||||||
S01. Our study defines a school associated violent death as a suicide, homicide or legal intervention related death that occurred on school property, on the way to or from school, or at or on the way to or from a school sponsored event. Has this school ever experienced another violent death that meets this definition? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
S02. At the time when the event occurred did the school use security personnel? _ | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to S02a & S02b. | |||||||||
*If answer is 2 -9, skip to Question #S03. | |||||||||
S02a. Number of School Resource Officers/Sworn Law Enforcement Officers __ | |||||||||
S02b. Number of Private Security Officers __ | |||||||||
S03. During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services. | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||||||
Code | |||||||||
S03a) Were they full time? (e.g., 8 hours/day) | |||||||||
S03b) At any time during school hours | |||||||||
S03c) While students were arriving and/or leaving | |||||||||
S03d) At selected school activities (e.g., athletic and social events, open houses, science fairs) | |||||||||
S03e) When school/school activities not occurring | |||||||||
S03f) Other | |||||||||
S03f.1) If Other selected, please specify: | |||||||||
S04. Were any of the following security measures in use at the time of this event? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||||||
Measure | Location or Type of Measure | Code | |||||||
S04a) Walk Through Metal Detectors | |||||||||
If yes, proceed to S04a1 & S04a2; if no, proceed to S04b. | |||||||||
S04a1) If yes, how often? | |||||||||
1 - Daily | |||||||||
2 - 2 to 3 times per week | |||||||||
3 - Weekly | |||||||||
4 - Biweekly | |||||||||
5 - As warranted | |||||||||
6 - Randomly | |||||||||
7 - Never | |||||||||
S04a2) Where were the walk through metal detectors used? (Answer each option) | |||||||||
S04a2.a) Main entry | |||||||||
S04a2.b) Secondary entries | |||||||||
S04a2.c) Other | |||||||||
S04a2.c1) If Other selected, please specify: | |||||||||
S04b) Hand Held Metal Detectors | |||||||||
If yes, proceed to S04b1 & S04b2; if no, proceed to S04c. | |||||||||
S04b1) If yes, how often? | |||||||||
1 - Daily | |||||||||
2 - 2 to 3 times per week | |||||||||
3 - Weekly | |||||||||
4 - Biweekly | |||||||||
5 - As warranted | |||||||||
6 - Randomly | |||||||||
7 - Never | |||||||||
S04b2) Where were the walk through metal detectors used? (Answer each option) | |||||||||
S04b2.a) Main entry | |||||||||
S04b2.b) Secondary entries | |||||||||
S04b2.c) Other | |||||||||
S04b2.c1) If Other selected, please specify: | |||||||||
S04c) Surveillance Cameras | |||||||||
If yes, proceed to S04c1 – S064e3; if no, proceed to S04d. | |||||||||
S04c1) If yes, When were they used? (Answer each option) | |||||||||
S04c1.a) On school days before classes or official school activities began | |||||||||
S04c1.b) While classes were being held | |||||||||
S04c1.c) During lunch, recess, or other breaks, | |||||||||
S04c1.d) During class changes | |||||||||
S04c1.e) Immediately after school | |||||||||
S04c1.f) During after school practice or detention | |||||||||
S04c1.g) After official activities | |||||||||
S04c1.h) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||||||
S04c1.i) Cameras only used as visual detterent | |||||||||
S04c2) If yes, where were the surveillance cameras used? (Answer each option) | |||||||||
S04c2.a) Entry/exit areas – exterior | |||||||||
S04c2.b) Athletic areas | |||||||||
S04c2.c) Entry/exit areas – interior | |||||||||
S04c2.d) Corridors | |||||||||
S04c2.e) Other | |||||||||
S04c2.e1) If Other selected, please specify: | |||||||||
S04c3) If yes, when were the surveillance cameras monitored? (Answer each option) | |||||||||
S04c3.a) Always | |||||||||
S04c3.b) Occasionally | |||||||||
S04c3.c) After an incident | |||||||||
S04c3.d) Rarely | |||||||||
S04d) Communication Devices | |||||||||
If yes, proceed to S04d1; if no, proceed to S04e. | |||||||||
S04d1) If yes, what types of devices were used? (Answer each option) | |||||||||
S04d1.a) 2-way radios | |||||||||
S04d1.b) 2-way intercom in most classrooms | |||||||||
S04d1.c) Mass text messages | |||||||||
S04d1.d) Mass emails | |||||||||
S04d1.e) Other | |||||||||
S04d1.e.1) If Other selected, please specify: | |||||||||
S04e) Access Restrictions | |||||||||
If yes, proceed to S04e1; if no, proceed to SOC01. | |||||||||
S04e1) Proximity or card swipe access for staff | |||||||||
If yes, proceed to S04e1a; if no, proceed to S04e2. | |||||||||
S04e1.a) If yes, where? (Answer each option) | |||||||||
S04e1.a1) Main building(s) / areas | |||||||||
S04e1.a2) Parking lot(s) | |||||||||
S04e1.a3) Other | |||||||||
S04e1.a3.1) If Other selected, please specify: | |||||||||
S04e2) Intrusion Alarm Systems | |||||||||
If yes, proceed to S04e2a & S04e2b; if no, proceed to SOC01. | |||||||||
S04e2.a) If yes, where? (Answer each option) | |||||||||
S04e2.a1) Main building(s) / areas | |||||||||
S04e2.a2) Parking lot(s) | |||||||||
S04e2.a3) Other | |||||||||
S04e2.a1.1) If Other selected, please specify: | |||||||||
S04e2.b) If yes, When were they used? (Answer each option) | |||||||||
S04e2.b1) on school days before classes or official school activities began | |||||||||
S04e2.b2) While classes were being held | |||||||||
S04e2.b3) During lunch, recess, or other breaks, | |||||||||
S04e2.b4) During class changes | |||||||||
S04e2.b5) immediately after school | |||||||||
S04e2.b6) During after school practice or detention | |||||||||
S04e2.b7) After official activities | |||||||||
S04e2.b8) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||||||
QUESTIONS about the off-campus school sponsored event | |||||||||
SOC01. Our study defines a school associated violent death as a suicide, homicide or legal intervention related death that occurred on school property, on the way to or from school, or at or on the way to or from a school sponsored event. Has this school ever experienced another violent death that meets this definition? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
SOC02. During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services at selected school activities (e.g., athletic and social events, open houses, science fairs)? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to SOC02a – SOC02b; | |||||||||
*If answer is 2 -9, skip to Question #SOC03. | |||||||||
SOC02a. Please indicate the number of Sworn Law Enforcement Officers used. _ _ _ | |||||||||
Do NOT read options, code leading zero | |||||||||
00-∞=actual number | |||||||||
777=not applicable | |||||||||
888=unknown | |||||||||
999=refused to answer | |||||||||
SOC02b. Please indicate the Number of Private Security Officers used _ _ _ | |||||||||
Do NOT read options, code leading zero | |||||||||
00-∞=actual number | |||||||||
777=not applicable | |||||||||
888=unknown | |||||||||
999=refused to answer | |||||||||
SOC03. Were any of the following security measures in use at the time of this event? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||||||
Measure | Location or Type of Measure | Code | |||||||
SOC03a) Walk Through Metal Detectors | |||||||||
If yes, proceed to SOC03a1 & SOC03a2; if no, proceed to SOC03b. | |||||||||
SOC03a1) If yes, how often? | |||||||||
1 - Daily | |||||||||
2 - 2 to 3 times per week | |||||||||
3 - Weekly | |||||||||
4 - Biweekly | |||||||||
5 - As warranted | |||||||||
6 - Randomly | |||||||||
7 - Never | |||||||||
SOC03a2) Where were the walk through metal detectors used? (Answer each option) | |||||||||
SOC03a2.a) Main entry | |||||||||
SOC03a2.b) Secondary entries | |||||||||
SOC03a2.c) Other | |||||||||
SOC03a2.c1) If Other selected, please specify: | |||||||||
SOC03b) Hand Held Metal Detectors | |||||||||
If yes, proceed to SOC03b1 & SOC03b2; if no, proceed to SOC03c. | |||||||||
SOC03b1) If yes, how often? | |||||||||
1 - Daily | |||||||||
2 - 2 to 3 times per week | |||||||||
3 - Weekly | |||||||||
4 - Biweekly | |||||||||
5 - As warranted | |||||||||
6 - Randomly | |||||||||
7 - Never | |||||||||
SOC03b2) If yes, where were the walk through metal detectors used? (Answer each option) | |||||||||
SOC03b2.a) Main entry | |||||||||
SOC03b2.b) Secondary entries | |||||||||
SOC03b2.c) Other | |||||||||
SOC03b2.c1) If Other selected, please specify: | |||||||||
SOC03c) Surveillance Cameras | |||||||||
If yes, proceed to SOC03c1 - SOC03c3; if no, proceed to SOC03d. | |||||||||
SOC03c1) If yes, When were they used? (Answer each option) | |||||||||
1 - On school days before classes or official school activities began | |||||||||
2 - While classes were being held | |||||||||
3 - During lunch, recess, or other breaks, | |||||||||
4 - During class changes | |||||||||
5 - Immediately after school | |||||||||
6 - During after school practice or detention | |||||||||
7 - After official activities | |||||||||
8 - On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||||||
9 - Cameras only used as visual detterent | |||||||||
SOC03c2) If yes, where were the surveillance cameras used? (Answer each option) | |||||||||
SOC03c2.a) Entry/exit areas – exterior | |||||||||
SOC03c2.b) Athletic areas | |||||||||
SOC03c2.c) Entry/exit areas – interior | |||||||||
SOC03c2.d) Corridors | |||||||||
SOC03c2.e) Other | |||||||||
SOC03c2.e1) If Other selected, please specify: | |||||||||
SOC03d) Communication Devices | |||||||||
If yes, proceed to SOC03.d1; if no, proceed to SOC03e. | |||||||||
SOC03d1 If yes, what types of devices were used? (Answer each option) | |||||||||
SOC03d1.a) 2-way radios | |||||||||
SOC03d1.b) 2-way intercom in most classrooms | |||||||||
SOC03d1.c) Mass text messages | |||||||||
SOC03d1.d) Mass emails | |||||||||
SOC03d1.e) Other | |||||||||
SOC03d1.e1) If Other selected, please specify: | |||||||||
SOC03e) Access Restrictions | |||||||||
If yes, proceed to SOC03e1; if no, proceed to SOC03f. | |||||||||
SOC03e1) Proximity or card swipe access for staff | |||||||||
SOC03e2) If yes, where? (Answer each option) | |||||||||
SOC03e2.a) Main building(s) / areas | |||||||||
SOC03e2.b) Parking lot(s) | |||||||||
SOC03e2.c) Other | |||||||||
SOC03e2.c1) If Other selected, please specify: | |||||||||
SOC03f) Intrusion Alarm Systems | |||||||||
If yes, proceed to SOC03f1 & SOC03f2; if no, proceed to E01. | |||||||||
SOC03f1) If yes, where? (Answer each option) | |||||||||
SOC03e4.a) Main building(s) / areas | |||||||||
SOC03e4.b) Parking lot(s) | |||||||||
SOC03e4.c) Other | |||||||||
SOC03e4.c1) If Other selected, please specify: | |||||||||
SOC03f2) If yes, when were they used? (Answer each option) | |||||||||
1 - On school days before classes or official school activities began | |||||||||
2 - While classes were being held | |||||||||
3 - During lunch, recess, or other breaks, | |||||||||
4 - During class changes | |||||||||
5 - Immediately after school | |||||||||
6 - During after school practice or detention | |||||||||
5 - After official activities | |||||||||
6 - On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||||||
QUESTIONS about the event | |||||||||
E01. Where on the campus did the injury event occur? | |||||||||
Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; (answer each option) | |||||||||
Location | Code | ||||||||
E01a) in a classroom | |||||||||
E01b) in a hallway | |||||||||
E01c) in a cafeteria | |||||||||
E01d) in a gymnasium | |||||||||
E01e) in a locker room | |||||||||
E01f) in an office | |||||||||
E01g) in a stairwell | |||||||||
E01h) in a restroom | |||||||||
E01i) in a break room or lounge | |||||||||
E01j) in an auditorium | |||||||||
E01k) on campus lawn or gardens | |||||||||
E01l) on sporting fields or playground | |||||||||
E01m) in a parking lot | |||||||||
E01n) in a driveway | |||||||||
E01o) at a bus pickup or drop off point | |||||||||
E01p) other indoor location | |||||||||
E01p1) If Other selected, please specify: | |||||||||
E01q) other outdoor location | |||||||||
E01q1) If Other selected, please specify: | |||||||||
E01r) not applicable | |||||||||
E01s) unknown | |||||||||
E01t) refused to answer | |||||||||
If yes to any of 01 - 67 above, Skip to Question #E03, otherwise proceed to question E02. | |||||||||
E02. Where did the off-campus injury event occur? _ _ | |||||||||
Read options; code written responses later; code leading zeros | |||||||||
01= on the street, sidewalk, footpath | |||||||||
02= on a bus or public transport vehicle | |||||||||
03= waiting for or getting on or off a bus or public transport vehicle | |||||||||
04= in a privately-owned vehicle / car | |||||||||
05= on private property (E02a: If Private property selected, specify ...................................) | |||||||||
06= at a sporting complex (pool, stadium, off campus gym, rec center etc…) | |||||||||
66= other (E02b: If Other selected, please specify:........................................................) | |||||||||
77= not applicable | |||||||||
88= unknown | |||||||||
99= refused to answer | |||||||||
E03. Which of the following best describes the context in which the injury event occurred? _ _ | |||||||||
Read options; code written responses later; code leading zeros | |||||||||
01= on a day when no classes or school events were held (e.g., a weekend, holiday, or an | |||||||||
official school break) | |||||||||
02= on a school day before classes began | |||||||||
03= while classes were being held | |||||||||
04= during a school assembly | |||||||||
05= on a school day during lunch, recess or other break, including class changes | |||||||||
06= immediately after school | |||||||||
07= on a school day during after-school practice or detention | |||||||||
08= on a school day after official activities | |||||||||
09= at a school sporting activity | |||||||||
10= at another official school-sponsored activity | |||||||||
11= on the way to or from a school-sponsored activity | |||||||||
66= other (E03a: If Other selected, please specify:........................................................) | |||||||||
77= not applicable | |||||||||
88= unknown | |||||||||
99= refused to answer | |||||||||
E04. What were the motives for the fatal injury? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; (answer each option) | |||||||||
Motive | Code | ||||||||
E04a) single suicide | |||||||||
E04b) suicide pact | |||||||||
E04c) drug related | |||||||||
E04d) gang related | |||||||||
E04e) robbery, attempted robbery | |||||||||
E04f) rape, attempted sex crime | |||||||||
E04g) dispute over money or property | |||||||||
E04h) dispute over romantic relationship | |||||||||
E04i) dispute related to sporting event | |||||||||
E04j) dispute, other or unspecified | |||||||||
E04k) racially or hate crime motivated | |||||||||
E04l) victim killed by law enforcement or security personnel | |||||||||
E04m) victim killed by civilian during commission of a crime | |||||||||
E04n) act of terrorism | |||||||||
E04o) random victim | |||||||||
E04p) victim was a bystander | |||||||||
E04q) victim was intervener assisting a crime victim | |||||||||
E04r) mimicking a video game, tv, movie, or other violent media | |||||||||
E04s) media-related coverage of a similar event (e.g., violence contagion) | |||||||||
E04t) other | |||||||||
E04t1) If Other selected, please specify | |||||||||
E05. Briefly describe the circumstances of the fatal injury and events leading up to it, including history of prior conflicts between those involved, etc. | |||||||||
Code later | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ ............................................................................................................................................................................ | |||||||||
E06. What was the method of fatal injury? | |||||||||
Read options; | |||||||||
Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; (answer each option) | |||||||||
Method | Code | ||||||||
E06a) firearm | |||||||||
E06a1) If Other selected, please specify | |||||||||
E06b) knife, razor, box cutter or other blade | |||||||||
E06c) beaten with club, bat, pipe, chain, or other object | |||||||||
E06d) beaten, no weapon used | |||||||||
E06e) motor vehicle | |||||||||
E06f) hanging/strangulation/asphyxiation by hanging | |||||||||
E06g) poisoning, solid or liquid | |||||||||
E06h) asphyxiation by gas | |||||||||
E06i) other asphyxiation | |||||||||
E06j) other | |||||||||
E06j1) If Other selected, please specify | |||||||||
E06k) not applicable | |||||||||
E06l) unknown | |||||||||
E06m) refused to answer | |||||||||
E07. After a tragedy such as this people look for things, such as comments, notes, threats, or actions that took place prior to the incident that could have signaled a potential risk for this type of behavior. Which of the following did any of the offenders, or victims in the case of suicide, leave as signs that they were considering this action? Please include as many signs as you can think of even if they were things that no one could have recognized as a sign at the time they happened. | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (answer each option) | |||||||||
Sign | Code | ||||||||
{E07a} notes | |||||||||
{E07a1} If yes, specify: | |||||||||
{E07b} journal entry | |||||||||
{E07b1} If yes, specify: | |||||||||
{E07c} social media (e.g. blogs, Twitter, wall postings on social networking sites) | |||||||||
{E07c1} If yes, specify | |||||||||
{E07d} verbal threats | |||||||||
{E07d1} If yes, specify | |||||||||
{E07e} electronic media (e.g., email messages, IM, or texts via cellphone, voice mail, video etc..) | |||||||||
{E07e1} If yes, specify | |||||||||
{E07f} other actions (e.g., playful suggestion that person might commit act, voiced suicidal thoughts) | |||||||||
{E07f1} If yes, specify | |||||||||
E08. Did anyone know about the possibility of this event before it happened? _ | |||||||||
Do NOT read options | |||||||||
1=yes (E08a. If yes, please specify _________________________________) | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
9=unknown/refused to answer* | |||||||||
If yes, proceed to E08a; | |||||||||
*If answer 2 - 9, skip to Question #V01. | |||||||||
E09. What information was known by the bystander(s) in advance of the attack? | |||||||||
Instructions: Capture information for up to five bystanders. | |||||||||
E09a. Code later | E09b. Code later | E09c. Code later | E09d. Code later | E09e. Code later | |||||
_______________________________________________________________________________________________________________________________________________________________________________ | _______________________________________________________________________________________________________________________________________ | _______________________________________________________________________________________________________________________________________________________________________________ | _______________________________________________________________________________________________________________________________________________________________________________ | _______________________________________________________________________________________________________________________________________________________________________________ | |||||
E10. What relationship did the bystander have to the perpetrator(s)? _ _ | |||||||||
Read options; code written responses later | |||||||||
E10a. Bystander #1 | E10b. Bystander #2 | E10c. Bystander #3 | E10d. Bystander #4 | E10e. Bystander #5 | |||||
01= relatives (E10a1) specify.............) | 01= relatives (E10b1) specify.........) | 01= relatives (E10c1) specify......) | 01= relatives (E10d1) specify........) | 01= relatives (E10e1) specify........) | |||||
02= romantic partner | 02= romantic partner | 02= romantic partner | 02= romantic partner | 02= romantic partner | |||||
03= close friend | 03= close friend | 03= close friend | 03= close friend | 03= close friend | |||||
04= classmate | 04= classmate | 04= classmate | 04= classmate | 04= classmate | |||||
05= faculty/staff | 05= faculty/staff | 05= faculty/staff | 05= faculty/staff | 05= faculty/staff | |||||
06= fellow student at | 06= fellow student at | 06= fellow student | 06= fellow student | 06= fellow student at | |||||
school, but not | school, but not | at school, but | at school, but | school, but not | |||||
classmate | classmate | not classmate | not classmate | classmate | |||||
07= community / | 07= community / | 07= community / | 07= community / | 07= community / | |||||
neighborhood | neighborhood | neighborhood | neighborhood | neighborhood | |||||
acquaintance | acquaintance | acquaintance | acquaintance | acquaintance | |||||
08= strangers | 08= strangers | 08= strangers | 08= strangers | 08= strangers | |||||
66= other (E10a2)specify.............) | 66= other (E10b2)specify...........) | 66= other (E10c2) specify.......) | 66= other (E10d2) specify.........) | 66= other (E10e2) specify..........) | |||||
77=not applicable | 77=not applicable | 77=not applicable | 77=not applicable | 77=not applicable | |||||
88=unknown | 88=unknown | 88=unknown | 88=unknown | 88=unknown | |||||
99=refused to answer | 99=refused to answer | 99=refused to answer | 99=refused to answer | 99=refused to answer | |||||
E11. Did the bystander share the information he or she learned of the planned violence with others? | |||||||||
Do NOT read options | |||||||||
1= (E11a. If yes, please specify ________________________________________) | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
9=unknown/refused to answer* | |||||||||
If yes, proceed to E11a & E11b; | |||||||||
*If answer is 2 -9, skip to Question #V01. | |||||||||
E11b. With whom was this information shared? | |||||||||
Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. (answer each option) | |||||||||
Code | |||||||||
{E11b1} no one | |||||||||
{E11b2} parents | |||||||||
{E11b3} other family | |||||||||
{E11b4} peers | |||||||||
{E11b5} school staff | |||||||||
{E11b6} other medical/mental health professional | |||||||||
{E11b7} other | |||||||||
{E11b7a} If Other selected, please specify | |||||||||
{E11b8} not applicable | |||||||||
{E11b9} unknown | |||||||||
{E11b10} refused to answer | |||||||||
QUESTIONS about the Victim | |||||||||
V01. How many victims were fatally injured in this event? _ _ Write in actual number | |||||||||
V01a. Victim Identification Number _ Number for this victim, is assigned by the primary data collector. | |||||||||
V02. What was the date of the injury event? _ _/_ _/_ _ _ _ | |||||||||
Record month/date/year, code leading zeros (code four-digit years) | |||||||||
V03. What was the time of the injury event? _ _: _ _ | Record in military time | ||||||||
V04. What was the date of death? _ _/_ _/_ _ _ _ Record month/date/year, code leading zeros (code four-digit years) | |||||||||
V05. What was this victim's date of birth? _ _/_ _/_ _ _ _ Record month/date/year, code leading zeros (code four-digit years) | |||||||||
V06. What was this victim's age in years at the time of death? | _ _ _Do NOT read options, code leading zero | ||||||||
01-∞=actual age in years | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
V07. What was this victim's gender? _ _ Do NOT read options | |||||||||
1=male | |||||||||
2=female | |||||||||
3=transgender | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
V08. What was the victim's race? _ _ Do NOT read Options | |||||||||
1 White | |||||||||
2 Black or African American | |||||||||
3 American Indian or Alaska Native | |||||||||
4 Asian Indian | |||||||||
5 Chinese | |||||||||
6 Filipino | |||||||||
7 Japanese | |||||||||
8 Korean | |||||||||
9 Vietnamese | |||||||||
10 Other Asian | |||||||||
11 Native Hawaiian | |||||||||
12 Guamanian or Chamorro | |||||||||
13 Samoan | |||||||||
14 Other Pacific Islander | |||||||||
15 Other (V08a. If Other selected, please specify:________________ ) | |||||||||
88 Unknown—a person’s race is unknown | |||||||||
99 Refused to Answer | |||||||||
V09. Was this victim of Hispanic, Latino/a ,or Spanish Origin? _ | |||||||||
(One or more categories may be selected) | |||||||||
Do NOT read options | |||||||||
1 Not Hispanic or Latino/a or Spanish origin | |||||||||
2 Yes, Mexican, Mexican American, Chicano/a | |||||||||
3 Yes, Puerto Rican | |||||||||
4 Yes, Cuban | |||||||||
5 Yes, another Hispanic, Latino, or Spanish origin | |||||||||
8 Unknown if victim is of Hispanic or Latino origin | |||||||||
9 Refused to Answer | |||||||||
V10. Which of the following best describes the victim's family structure/living arrangements at the time of death? _ _ Read options | |||||||||
01= two-parent nuclear family | |||||||||
02= single parent household | |||||||||
03= lives with adult relative other than parent | |||||||||
04= lives with legal guardian | |||||||||
05= lives independently | |||||||||
06= foster care | |||||||||
07= residential institution | |||||||||
66= other (V10a: If Other selected, please specify:_________________ ) | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
V11. Individuals often affiliate with distinct peer groups. To your knowledge, was the victim associated with any distinct peer group? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused* | |||||||||
If yes, proceed to V11a; | |||||||||
*If answer is 2 -9, skip to Question # V12. | |||||||||
V11a. If yes, what group(s) were they affiliated with? | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
V12. In the year prior to this event, did the victim leave an existing peer group? _ | |||||||||
Do not read options | |||||||||
1=yes (V12a. If yes, please specify _______________________________________) | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V12a; | |||||||||
*If answer is 2 -9, skip to Question # V13. | |||||||||
V13. In the year prior to this event, did the victim join a new peer group? _ | |||||||||
Do not read options | |||||||||
1=yes (V13a. If yes, please specify _______________________________________) | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V13a; | |||||||||
*If answer is 2 -9, skip to Question # V14. | |||||||||
V14. Did the victim use alcohol or other drugs? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V15a; | |||||||||
*If answer is 2 -9, skip to Question # V16. | |||||||||
V14a. If yes, what types of substances did the victim use? | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
V15. Was there evidence that the victim was intoxicated with alcohol or drugs at the time of the fatal incident? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
V16. At the time of the fatal incident, was the victim perceived by self or others to have a problem with, or to be addicted to, alcohol or other drugs? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
V17. Was the victim carrying a weapon at the time of the fatal injury? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V17a & V17b; | |||||||||
*If answer is 2 -9, skip to Question # V18. | |||||||||
V17a. At the time of the fatal injury, which of the following types of weapon was this victim carrying? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||||||
Weapon | Code | ||||||||
{O17a1} firearm | |||||||||
{O17a1.1} If firearm selected, please specify | |||||||||
{O17a2} knife, razor, box cutter or other blade | |||||||||
{O17a3} bat, pipe, chain, or other object | |||||||||
{O17a4} rope or wire | |||||||||
{O17a5} other | |||||||||
{O17a5.1} If other selected, please specify | |||||||||
V17b. Where did this victim obtain these weapons? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||||||
Weapons source | Code | ||||||||
{O17b1} from home | |||||||||
{O17b1.1} specify weapon | |||||||||
{O17b2} from friend or relative outside household | |||||||||
{O17b2.1} specify weapon | |||||||||
{O17b3} purchased for himself/herself | |||||||||
{O17b3.1} specify weapon | |||||||||
{O17b4} stolen | |||||||||
{O17b4.1} specify weapon | |||||||||
{O17b5} home-made weapon | |||||||||
{O17b6} weapon of opportunity (used weapon already present in environment / used object in environment as weapon} | |||||||||
{O17b7} from the victim | |||||||||
{O17b7.1} specify weapon | |||||||||
V18. What was the highest grade or year of school this victim completed? _ _ | |||||||||
Do NOT read options, code leading zero | |||||||||
00-12=last completed grades K-12 | |||||||||
13=high school equivalency (GED) | |||||||||
14=some college or trade school | |||||||||
15=college graduate or more | |||||||||
16=never attended | |||||||||
66=other (V18a: If Other selected, please specify: ________________ ) | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
V19. What was the victim's affiliation with the school associated with this death? _ _ | |||||||||
Do NOT read options, code leading zero | |||||||||
01=a student at this school | |||||||||
02=former student at this school | |||||||||
03=a student at another school | |||||||||
04=a teacher at this school* | |||||||||
05=administrator at this school* | |||||||||
06=other staff at this school* | |||||||||
07=security guard or law enforcement officer (SRO)* | |||||||||
08=family member of a student* | |||||||||
09=family member of staff member | |||||||||
10=resident of surrounding community* | |||||||||
11=not associated with the school or community* | |||||||||
12=unidentified victim* | |||||||||
66=other* (V19a: If Other selected, please specify:.................................................) | |||||||||
77=not applicable* | |||||||||
88=unknown* | |||||||||
99=refused to answer* | |||||||||
*If the victim is NOT a student, go to Question #V39. | |||||||||
V20. How many years had the victim attended his or her school? _ _ | |||||||||
Do NOT read options; code leading zeros | |||||||||
00=less than one school year | |||||||||
01-12=number of years | |||||||||
13=more than 12 years | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
V21. What extracurricular activities was the victim involved in? | |||||||||
To be coded later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V22. Did the victim experience any school-related crises or traumatic events during the 2 weeks before this incident? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V22a; | |||||||||
*If answer is 2 -9, skip to Question V23. | |||||||||
V22a. Please briefly describe the specific school-related crises or traumatic events experienced. | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V23. Was a school-related crisis or traumatic event imminent within two weeks of this incident? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V23a; | |||||||||
*If answer is 2 -9, skip to Question V24. | |||||||||
V23a. Please briefly describe the specific school-related crises or traumatic events that may have been imminent. | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V24. Did the victim experience any community-related crises or traumatic events during the 2 weeks before this incident? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V24a; | |||||||||
*If answer is 2 -9, skip to Question V26. | |||||||||
V24a. Please briefly describe the specific community-related crises or traumatic events experienced. | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V25. Was a community-related crisis or traumatic event imminent within two weeks of this incident? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V25a; | |||||||||
*If answer is 2 -9, skip to Question V26. | |||||||||
V25a. Please briefly describe the specific community-related crises or traumatic events that may have been imminent. | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V26. Did the victim experience any family-related crises or traumatic events during the 2 weeks before this incident? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V26a; | |||||||||
*If answer is 2 -9, skip to Question V27. | |||||||||
V26a. Please briefly describe the specific family-related crises or traumatic events experienced. | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V27. Was a family-related crisis or traumatic event imminent within two weeks of this incident? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V27a; | |||||||||
*If answer is 2 -9, skip to Question V28. | |||||||||
V27a. Please briefly describe the specific family-related crises or traumatic events that may have been imminent. | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V28. Did the victim experience any relationship-related crises or traumatic events during the 2 weeks before the incident? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V30a; | |||||||||
*If answer is 2 -9, skip to Question V31. | |||||||||
V28a. Please briefly describe the specific relationship-related crises or traumatic events experienced. | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V29. Was a relationship-related crisis or traumatic event imminent within two weeks of this incident? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V29a; | |||||||||
*If answer is 2 -9, skip to Question V30. | |||||||||
V29a. Please briefly describe the specific relationship-related crises or traumatic events that may have been imminent. | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V30. To the best of your knowledge, in the 12 months prior to this event did the victim engage in any of the following behaviors? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||||||
Behavior | Code | ||||||||
{V30a} disobeying authority figure | |||||||||
{V30b} name-calling, taunting, or teasing peers | |||||||||
If yes to V30b, please complete V30b.1 & V30b.2: | |||||||||
V30b.1 Face to face? | |||||||||
V30b.2 Using Electronic means? (e.g., phone, computer) | |||||||||
{V30c} Verbal threats | |||||||||
{V30d} sent written threats | |||||||||
{V30e} sent electronic threats | |||||||||
{V30f} Bullied peers | |||||||||
{V30g} physically threatened peers | |||||||||
{V30h} physically fought with peers | |||||||||
{V30i} damaged another's personal property | |||||||||
{V30j} damaged school property (tagging, vandalism etc…) | |||||||||
{V30k} stole another's personal property | |||||||||
{V30l} truancy (skipped school) | |||||||||
{V30m} possessed / used illegal substances | |||||||||
{V30n} possessed a weapon | |||||||||
{V30o} physically threatened an authority figure | |||||||||
V31. To the best of your knowledge, in the 12 months prior to this event was this individual victimized in any of the following ways? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||||||
Type | Code | ||||||||
{V31a} called names by peers | |||||||||
{V31b} bullied by peers | |||||||||
{V31c} had personal property damaged or stolen | |||||||||
{V31d} verbally threatened by peers | |||||||||
{V31e} received written threats | |||||||||
{V31f} electronic threats | |||||||||
{V31g} physically threatened by peers | |||||||||
{V31h} physically assaulted by peers | |||||||||
V32. At the time of the event, did this victim have a diagnosed Learning Disability, physical disability, or physical health problem? _ | |||||||||
Do not read options | |||||||||
1=yes (V32a. If yes, please specify. ____________________________) | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
V33. In the year prior to this event, did this victim receive any of the following services? _ | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||||||
Services | Code | ||||||||
{V33a} guidance counseling / advising | |||||||||
{V33b} social services | |||||||||
{V33c} supplemental educational services (including efforts to address learning disabilities, such as a formal school psychoeducational evaluation) | |||||||||
{V33d} other services | |||||||||
{V33d.1} If Other selected, please specify: | |||||||||
V34. In the year prior to this event, was this victim ever treated for depression? _ | |||||||||
Do not read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
V35. Had the victim ever received professional treatment for any other emotional or mental health problem, such as by a psychiatrist/psychologist? _ | |||||||||
Do not read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V35a & V35b. | |||||||||
*If answer 2 - 9, skip to Question #V36. | |||||||||
V35a. If yes, what specific kinds of emotional or mental health problems were treated? | |||||||||
To be coded later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V35b. In what type of setting were they treated? | |||||||||
To be coded later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V36. Did this victim have a documented family history of .... | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | (Answer all options) | ||||||||
Code | |||||||||
{V36a} alcoholism | |||||||||
{V36b} drug abuse | |||||||||
{V36c} intimate partner violence | |||||||||
{V36d} sexual violence | |||||||||
{V36e} attempted / completed suicide | |||||||||
{V36f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) | |||||||||
V37. Did this victim suffer | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | (Answer all options) | ||||||||
Code | |||||||||
{V37a} physical child abuse | |||||||||
{V37b} sexual child abuse | |||||||||
{V37c} emotional / psychological abuse as a child | |||||||||
{V37d} neglect | |||||||||
{V37e} victimization in intimate partner violence_/ teen dating violence | |||||||||
{V37f} victimization in sexual violence | |||||||||
V38. To the best of your knowledge, did this victim have a suspected family history of .... | |||||||||
Read only those options not confirmed above, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||||||
Code | |||||||||
{V38a} alcoholism | |||||||||
{V38b} drug abuse | |||||||||
{V38c} intimate partner violence | |||||||||
{V38d} sexual violence | |||||||||
{V38e} attempted / completed suicide | |||||||||
{V38f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) | |||||||||
V39. Which of the following situations best describes this victim's death? _ _ | |||||||||
Read options; code leading zero | |||||||||
01= single victim suicide* | |||||||||
02= multiple victim suicide* (i.e., suicide pact) | |||||||||
03= single victim homicide; unknown number of offenders | |||||||||
04= single victim homicide; single offender | |||||||||
05= single victim homicide; multiple offenders | |||||||||
06= multiple victim homicide; unknown number of offenders | |||||||||
07= multiple victim homicide; single offender | |||||||||
08= multiple victim homicide; multiple offenders | |||||||||
09= combination murder/suicide | |||||||||
10= intention undetermined | |||||||||
66= other (V39a: If Other selected, please specify..........................................................) | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
V40. Did the victim ever do something to purposely hurt him/herself without wanting to die, such as cutting or burning him/herself on purpose, engaging in the choking game, etc.? _ | |||||||||
Do not read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
If yes, proceed to V40a & V40b. | |||||||||
*If answer 2 - 9, skip to Question #V41. | |||||||||
V40a. To whom was this self-harm behavior reported? Do not read options (Answer all options) | |||||||||
Code | |||||||||
{V40a1} no one | |||||||||
{V40a2} parents | |||||||||
{V40a3} other family | |||||||||
{V40a4} peers | |||||||||
{V40a5} school staff | |||||||||
{V40a6} other medical/mental health professional | |||||||||
{V40a7} other | |||||||||
{V40a7a} If Other selected, please specify: | |||||||||
{V40a8} not applicable | |||||||||
{V40a9} unknown | |||||||||
{V40a10} refused to answer | |||||||||
V40b. What, if any, actions were taken in response to this self-harm behavior? | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V41. Do you have any knowledge that this victim had, in the year prior to this event exhibited any of the following signs and symptoms of suicide? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) | |||||||||
Signs | Code | ||||||||
{V41a} Thoughts/threats of suicide | |||||||||
{V41b} Plans of suicide | |||||||||
{V41c} Previous suicide attempts | |||||||||
If yes to any of V41a – V41c, proceed to V41d & V41e. | |||||||||
*If no to all of V41a – V41c, skip to V42. | |||||||||
V41d. To whom was this suicidal behavior reported? | |||||||||
Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. Select all applicable options. | |||||||||
Code | |||||||||
{V41d1} no one | |||||||||
{V41d2} parents | |||||||||
{V41d3} other family | |||||||||
{V41d4} peers | |||||||||
{V41d5} school staff | |||||||||
{V41d6} other medical/mental health professional | |||||||||
{V41d7} other | |||||||||
{V41d7a}: If Other selected, please specify | |||||||||
{V41d8} not applicable | |||||||||
{V41d9} unknown | |||||||||
{V41d10} refused to answer | |||||||||
V41e. What, if any, actions were taken in response to this suicidal behavior? | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
V42. Did perceptions about the victim being gay, bisexual, or transgendered contribute to their victimization? _ | |||||||||
Do not read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
*If there is more than one victim, complete a "Victim" section for each victim, starting with Question V01...Otherwise go to Question V43. | |||||||||
V43. Were there any victims that suffered nonfatal injuries at the time of this event? _ | |||||||||
Do not read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to V43a & V43b. | |||||||||
*If answer 2 - 9, skip to V44. | |||||||||
V43a. How many persons suffered non-fatal injuries at the time of this event? _ _ | |||||||||
01-##=actual number of nonfatal injuries | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
V43b. How many victims that suffered non-fatal injuries required hospital admission? _ _ | |||||||||
00-##=actual number of nonfatal injuries that required hospital admission | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
V44. How many alleged offenders were responsible for the victim's death? _ _ | |||||||||
Do NOT read options (PROBE: alleged offender = legally charged as offender) | |||||||||
0=none, death was self-inflicted | |||||||||
1-5=actual number of offenders* | |||||||||
6=more than 5* | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
*If there are no data available on any alleged offender, conclude the interview...Otherwise, complete "Offender" section, starting with question #O01, Page 30. | |||||||||
QUESTIONS about Alleged Offender | |||||||||
Case ID Number _ _ _ _ Case number is assigned by study coordinator. | |||||||||
O01. How many alleged offenders were officially charged for this incident? _ _ Write in actual number. | |||||||||
O01a. | Offender Number _ Number for this alleged offender is assigned by the primary data collector. | ||||||||
O02. | What was this alleged offender's date of birth? | _ _/_ _/_ _ _ _ | |||||||
Record month/date/year, code leading zeros, code four-digit years | |||||||||
O03. | What was this alleged offender's age in years at time of victim's death? _ _ _ | ||||||||
Do NOT read options, code leading zero | |||||||||
01-100=actual age in years | |||||||||
777=not applicable | |||||||||
888=unknown | |||||||||
999=refused to answer | |||||||||
O04. | What was this alleged offender's gender? _ _ | ||||||||
Do NOT read options | |||||||||
1=male | |||||||||
2=female | |||||||||
3=transgender | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
O05. | What was this alleged offender's race? _ | ||||||||
Do NOT read options | |||||||||
1 =White | |||||||||
2 =Black or African American | |||||||||
3 =American Indian or Alaska Native | |||||||||
4 =Asian Indian | |||||||||
5 =Chinese | |||||||||
6=Filipino | |||||||||
7=Japanese | |||||||||
8=Korean | |||||||||
9=Vietnamese | |||||||||
10=Other Asian | |||||||||
11=Native Hawaiian | |||||||||
12=Guamanian or Chamorro | |||||||||
13=Samoan | |||||||||
14=Other Pacific Islander | |||||||||
15=Other (O05a: If Other selected, please specify__________________________________) | |||||||||
88 =Unknown—a person’s race is unknown | |||||||||
99=Refused to Answer | |||||||||
O06. Was this alleged offender of Hispanic, Latino/a ,or Spanish Origin? | |||||||||
(One or more categories may be selected) Do NOT read options | |||||||||
Coding instructions: 1=yes, 2=no | |||||||||
Code | |||||||||
{O06a} Hispanic or Latino/a or Spanish origin | |||||||||
{O06b} Mexican, Mexican American, Chicano/a | |||||||||
{O06c} Puerto Rican | |||||||||
{O06d} Cuban | |||||||||
{O06e} Another Hispanic, Latino, or Spanish origin | |||||||||
{O06f} Unknown | |||||||||
{O06g} Refused to answer | |||||||||
O07. Which of the following best describes this alleged offender's family structure or living arrangements at the time of the victim's death? _ _ | |||||||||
Read options | |||||||||
01= two-parent nuclear family | |||||||||
02= single parent household | |||||||||
03= lives with adult relative other than parent | |||||||||
04= lives with legal guardian | |||||||||
05= lives independently | |||||||||
06= foster care | |||||||||
07= residential institution | |||||||||
66= other (O07a: If Other selected, please specify__________________________________) | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
O08. Had this alleged offender ever been arrested before the victim's death? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
O09. Had this alleged offender ever been charged with a crime before the victim's death? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes, proceed to O09a –O09b. | |||||||||
*If answer 2 - 9, skip to Question O10. | |||||||||
O09a. What types of charges did the alleged offender face? | |||||||||
Code later | |||||||||
O09b. Which charges resulted in convictions? | |||||||||
Code later | |||||||||
O10. Youth often affiliate with distinct peer groups. To your knowledge, was the alleged offender | associated with any distinct peer group? | ||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused* | |||||||||
If yes, proceed to O10a. | |||||||||
*If answer 2 - 9, skip to Question O11. | |||||||||
O10a. What group(s) were they affiliated with? | |||||||||
Code later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ ....................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... | |||||||||
O10b. In the year prior to this event, did the alleged offender leave an existing peer group? _ | |||||||||
Do NOT read options | |||||||||
1=yes (O10b1. If yes, please specify ____________________) | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O10b, proceed to O10b1. | |||||||||
*If answers 2 – 9, skip to O10c. | |||||||||
O10c. In the year prior to this event, did the alleged offender or join a new peer group? _ | |||||||||
Do NOT read options | |||||||||
1=yes (O10c1. If yes, please specify _____________________) | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O10c, proceed to O10c1. | |||||||||
*If answers 2 – 9, skip to O11. | |||||||||
O11. Did this alleged offender use alcohol or drugs at the time of the incident? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
If yes to O11, proceed to O11a. | |||||||||
*If answers 2 – 9, skip to O12. | |||||||||
O11a. If yes, what types of substances did the alleged offender use? | |||||||||
Code later | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
O12. Was there evidence that this alleged offender was intoxicated with alcohol or drugs at the time of the victim's death? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
O13. At the time of death, was the alleged offender perceived by self or others to have a problem with, or to be addicted to, alcohol or other drugs? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
O14. What was the relationship of this alleged offender to the victim? _ _ | |||||||||
Read options; code written responses later | |||||||||
01= relatives (O14a: If relatives selected, specify relationship_______________________) | |||||||||
02= romantic partner | |||||||||
03= close friend | |||||||||
04= classmate | |||||||||
05= faculty/staff | |||||||||
06= fellow student at school, but not classmate | |||||||||
07= community / neighborhood acquaintance | |||||||||
08= strangers | |||||||||
66= other (O14b: If Other selected, please specify__________________________________) | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
O15. Was this alleged offender carrying a weapon at the time of the fatal injury? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O15, proceed to O15a – O15b. | |||||||||
*If answers 2 – 9, skip to O16. | |||||||||
O15a. At the time of the fatal injury, which of the following types of weapon was this alleged | |||||||||
offender carrying? (Answer all options) | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||||||
Weapon | Code | ||||||||
{O15a1} firearm | |||||||||
{O15a1.1} If firearm selected, please specify | |||||||||
{O15a2} knife, razor, box cutter or other blade | |||||||||
{O15a3} bat, pipe, chain, or other object | |||||||||
{O15a4} rope or wire | |||||||||
{O15a5} other | |||||||||
{O15a5.1} If other selected, please specify | |||||||||
O15b. Where did this alleged offender obtain these weapons? (Answer all options) | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||||||
Weapons source | Code | ||||||||
{O15b1} from home | |||||||||
{O15b1.1} specify weapon | |||||||||
{O15b2} from friend or relative outside household | |||||||||
{O15b2.1} specify weapon | |||||||||
{O15b3} purchased for himself/herself | |||||||||
{O15b3.1} specify weapon | |||||||||
{O15b4} stolen | |||||||||
{O15b4.1} specify weapon | |||||||||
{O15b5} home-made weapon | |||||||||
{O15b6} weapon of opportunity (used weapon already present in environment / used | |||||||||
object in environment as weapon} | |||||||||
{O15b7} from the victim | |||||||||
{O15b7.1} specify weapon | |||||||||
{O15b8} other | |||||||||
{O15b8.1} specify weapon | |||||||||
O16. What was the highest grade or year of school this alleged offender completed? _ _ | |||||||||
Do NOT read options, code leading zero | |||||||||
00-12=last completed grades K-12 | |||||||||
13=high school equivalency (GED) | |||||||||
14=some college or trade school | |||||||||
15=college graduate or more | |||||||||
16=never attended | |||||||||
66=other (O16a: If Other selected, please specify__________________________________) | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
O17. What was this alleged offender's affiliation with the school associated with the victim's death? _ _ | |||||||||
Do NOT read options, code leading zero | |||||||||
02=former student at this school | |||||||||
03=a student at another school | |||||||||
04=a teacher at this school* | |||||||||
05=administrator at this school* | |||||||||
06=other staff at this school* | |||||||||
07=security guard or law enforcement officer (SRO)* | |||||||||
08=family member of a student* | |||||||||
09family member of staff member | |||||||||
10=resident of surrounding community* | |||||||||
11=not associated with the school or community* | |||||||||
12=unidentified victim* | |||||||||
66=other* (O17a: If Other selected, please specify__________________________________) | |||||||||
77=not applicable* | |||||||||
88=unknown* | |||||||||
99=refused to answer* | |||||||||
*If this alleged offender is NOT a student, skip to Question O22. | |||||||||
O18. For how many years has this alleged offender attended his or her school? _ _ | |||||||||
Do NOT read options; code leading zeros | |||||||||
00=less than one school year | |||||||||
01-12=number of years | |||||||||
13=more than 12 years | |||||||||
77=not applicable | |||||||||
88=unknown | |||||||||
99=refused to answer | |||||||||
O19. What extracurricular activities was this alleged offender involved in at the time of the victim's death? | |||||||||
to be coded later; please note the sources. | |||||||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||||||
O20. Did the alleged offender experience any school-related crises or traumatic events during the 2 weeks before this incident? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O20, proceed to O20a. | |||||||||
*If answers 2 – 9, skip to O21. | |||||||||
O20a. Please briefly describe the specific school-related crises or traumatic events experienced. | |||||||||
Code later | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
O21. Was a school-related crisis or traumatic event imminent within two weeks of this incident? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O21, proceed to O21a. | |||||||||
*If answers 2 – 9, skip to O22. | |||||||||
O21a. Please briefly describe the specific school-related crises or traumatic events that may have | |||||||||
been imminent. Code later | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
O22. Did the alleged offender experience any community-related crises or traumatic events during the 2 weeks before this incident? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O22, proceed to O22a. | |||||||||
*If answers 2 – 9, skip to O23. | |||||||||
O22a. Please briefly describe the specific community-related crises or traumatic events | |||||||||
experienced. Code later | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
O23. Was a community-related crisis or traumatic event imminent within two weeks of this incident? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O23, proceed to O23a. | |||||||||
*If answers 2 – 9, skip to O24. | |||||||||
O23a. Please briefly describe the specific community-related crises or traumatic events that may | |||||||||
have been imminent. Code later | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
O24. Did the alleged offender experience any family-related crises or traumatic events during the 2 weeks before this incident? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O24, proceed to O24a. | |||||||||
*If answers 2 – 9, skip to O25. | |||||||||
O24a. Please briefly describe the specific family-related crises or traumatic events experienced. | |||||||||
Code later | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
O25. Was a family-related crisis or traumatic event imminent within two weeks of this incident? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O25, proceed to O25a. | |||||||||
*If answers 2 – 9, skip to O26. | |||||||||
O25a. Please briefly describe the specific family-related crises or traumatic events that may have | |||||||||
been imminent. Code later | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
O26. Did the alleged offender experience any relationship-related crises or traumatic events during the 2 weeks before this incident? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O26, proceed to O26a. | |||||||||
*If answers 2 – 9, skip to O27. | |||||||||
O26a. Please briefly describe the specific relationship-related crises or traumatic events | |||||||||
experienced. Code later | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
O27. Was a relationship-related crisis or traumatic event imminent within two weeks of this incident? | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O27, proceed to O27a. | |||||||||
*If answers 2 – 9, skip to O28. | |||||||||
O27a. Please briefly describe the specific relationship-related crises or traumatic events that may | |||||||||
have been imminent. Code later | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | |||||||||
O28. To the best of your knowledge, in the 12 months prior to this event did the alleged offender engage in any of the following behaviors? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||||||
Behavior | Code | ||||||||
{O28a} disobeying authority figure | |||||||||
{O28b} name-calling, taunting, or teasing peers | |||||||||
If yes to O28b, please complete O28b.1 & O28b.2: | |||||||||
O28b.1 Face to face? | |||||||||
O28b.2 Using Electronic means? (e.g., phone, computer) | |||||||||
{O28c} verbal threats | |||||||||
{O28d} sent written threats | |||||||||
{O28e} sent electronic threats | |||||||||
{O28f} bullied peers | |||||||||
{O28g} physically threatened peers | |||||||||
{O28h} physically fought with peers | |||||||||
{O28i} damaged another's personal property | |||||||||
{O28j} damaged school property (tagging, vandalism etc…) | |||||||||
{O28k} stole another's personal property | |||||||||
{O28l} truancy (skipped school) | |||||||||
{O28m} possessed / used illegal substances | |||||||||
{O28n} possessed a weapon | |||||||||
O29. To the best of your knowledge, in the 12 months prior to this event was this alleged offender victimized in any of the following ways? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||||||
Type | Code | ||||||||
{O29a} called names by peers | |||||||||
{O29b} bullied by peers | |||||||||
{O29c} had personal property damaged or stolen | |||||||||
{O29d} verbally threatened by peers | |||||||||
{O29e} received written threats | |||||||||
{O29f} electronic threats | |||||||||
{O29g} physically threatened by peers | |||||||||
{O29h} physically assaulted by peers | |||||||||
O30. At the time of the event, did this alleged offender have a diagnosed Learning Disability, physical disability, or physical health problem? _ | |||||||||
Do NOT read options | |||||||||
1=yes (O30a: If yes, please specify__________________________________) | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
O31. In the year prior to this event, did this alleged offender receive any of the following services? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||||||
Services | Code | ||||||||
{O31a} guidance counseling / advising | |||||||||
{O31b} social services | |||||||||
{O31c} supplemental educational services (including efforts to address learning disabilities), such as a formal school psychoeducational evaluation | |||||||||
{O31d} other services | |||||||||
{O31d.1} If Other selected, please specify | |||||||||
O32. In the year prior to this event, was this alleged offender ever treated for depression? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
O33. Had the alleged offender ever received professional treatment for any other emotional or mental health problem, such as by a psychiatrist/psychologist? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to O33, proceed to O33a & O33b. | |||||||||
*If answer 2 - 9, skip to Question #O34. | |||||||||
O33a. If yes, what specific kinds of emotional or mental health problems were treated? | |||||||||
To be coded later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
O33b. In what type of setting were they treated (e.g., inpatient, outpatient)? | |||||||||
To be coded later | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
O34. Did this alleged offender have a documented family history of .... | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) | |||||||||
Code | |||||||||
{O34a} alcoholism | |||||||||
{O34b} drug abuse | |||||||||
{O34c} intimate partner violence | |||||||||
{O34d} sexual violence | |||||||||
{O34e} attempted / completed suicide | |||||||||
{O34f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) | |||||||||
O35. Did this alleged offender suffer | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) | |||||||||
Code | |||||||||
{O35a} physical child abuse | |||||||||
{O35b} sexual child abuse | |||||||||
{O35c} emotional / psychological abuse as a child | |||||||||
{O35d} neglect | |||||||||
{O35e} victimization in intimate partner violence_/ teen dating violence | |||||||||
{O35f} victimization in sexual violence | |||||||||
O36. Did the alleged offender ever do something to purposely hurt him/herself without wanting to die, such as cutting or burning him/herself on purpose, engaging in the choking game, etc.? | |||||||||
Do not read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to Q36, proceed to V36a & V36b. | |||||||||
*If answer 2 - 9, skip to Question #V37. | |||||||||
O36a. To whom was this self-harm behavior reported? Do not read options (Answer all options) | |||||||||
Code | |||||||||
{O36a1} no one | |||||||||
{O36a2} parents | |||||||||
{O36a3} other family | |||||||||
{O36a4} peers | |||||||||
{O36a5} school staff | |||||||||
{O36a6} other medical/mental health professional | |||||||||
{O36a7} other | |||||||||
{O36a7a} If Other selected, please specify: | |||||||||
{O36a8} not applicable | |||||||||
{O36a9} unknown | |||||||||
{O36a10} refused to answer | |||||||||
O36b. What, if any, actions were taken in response to this self-harm behavior? | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
O37. Do you have any knowledge that this alleged offender had, in the year prior to this event exhibited any of the following signs and symptoms of suicide? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. | |||||||||
Signs | Code | ||||||||
{O37a} Thoughts/threats of suicide | |||||||||
{O37b} Plans of suicide | |||||||||
{O37c} Previous suicide attempts | |||||||||
If yes to any of O37a – O37c, proceed to O37d – O37e. | |||||||||
*If answers 2 – 9, skip to O38. | |||||||||
O37d. To whom was this suicidal behavior reported? | |||||||||
Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. Select all applicable options. | |||||||||
Code | |||||||||
{O37d1} no one | |||||||||
{O37d2} parents | |||||||||
{O37d3} other family | |||||||||
{O37d4} peers | |||||||||
{O37d5} school staff | |||||||||
{O37d6} other medical/mental health professional | |||||||||
{O37d7} other | |||||||||
{O37d7a}) If Other selected, please specify | |||||||||
{O37d8} not applicable | |||||||||
{O37d9} unknown | |||||||||
{O37d10} refused to answer | |||||||||
O37e. What, if any, actions were taken in response to this suicidal behavior? | To be coded later | ||||||||
........................................................................................................................................................................................................................................................................................................................................................ | |||||||||
............................................................................................................................................................................ | ............................................................................................................................................................................ | ||||||||
O38. Was this alleged offender fatally injured during the event? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no* | |||||||||
7=not applicable* | |||||||||
8=unknown* | |||||||||
9=refused to answer* | |||||||||
If yes to Q38, proceed to O39. | |||||||||
*If answer 2 - 9, skip to O44. | |||||||||
O39. What was the date of the injury event? _ _/_ _/_ _ _ _ | |||||||||
Record month/date/year, code leading zeros (code four-digit years) | |||||||||
O40. What was the time of the injury event? _ _: _ _ Record in military time | |||||||||
O41. What was the date of death? _ _/_ _/_ _ _ _ | |||||||||
Record month/date/year, code leading zeros (code four-digit years) | |||||||||
O42. What were the motives for the fatal injury? | |||||||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable motives. | |||||||||
Motive | Code | ||||||||
{O42a} single suicide | |||||||||
{O42b} suicide pact | |||||||||
{O42c} victim killed by law enforcement or security personnel | |||||||||
{O42d} victim killed by civilian during commission of a crime | |||||||||
{O42e} other | |||||||||
{O42e1} If Other selected, please specify: | |||||||||
O43. Briefly describe the circumstances of the fatal injury and events leading up to it, including history of prior conflicts between those involved, etc. | |||||||||
Code later | |||||||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||||||
..................................................................................................................................................................................................................................................................................................................................................................................... | |||||||||
O44. What was the method of fatal injury? | |||||||||
Weapon | Code | ||||||||
{O44a} firearm | |||||||||
{O44a1}) - If firearm selected, please specify | |||||||||
{O44b} knife, razor, box cutter or other blade | |||||||||
{O44c} bat, pipe, chain, or other object | |||||||||
{O44d} rope or wire | |||||||||
{O44e} other | |||||||||
{O44e1} - If Other selected, please specify | |||||||||
O45. Did perceptions about the alleged offender being gay, bisexual, or transgendered contribute to their perpetration? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
O46. Was there evidence that this alleged offender was targeting a specific person or group? _ | |||||||||
Do NOT read options | |||||||||
1=yes | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
O47. Was there another alleged offender, in addition to the one we just discussed, involved in this event? _ | |||||||||
Do NOT read options | |||||||||
1=yes* | |||||||||
2=no | |||||||||
7=not applicable | |||||||||
8=unknown | |||||||||
9=refused to answer | |||||||||
*If there is a second alleged offender identified as Offender Y, complete a second "Offender" section, starting with Question O01.......otherwise, conclude the interview. | |||||||||
Also add relationship crisis – could be death of a friend, move of a friend, break-up, pregnancy, etc. |
Revision Nature Of Items | Items | Old question format | |
Eliminated Question | CaseID. | Case ID Number _ _ _ _ _ To be assigned by study coordinator, record 5-digit number |
Completely New Items | ||
New Question | V28. | Did the victim experience any relationship-related crises or traumatic events during the 2 weeks before the incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* If yes, proceed to V28a; *If answer is 2 -9, skip to Question V29. |
New Question | V28a | Please briefly describe the specific relationship-related crises or traumatic events experienced. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question | V29. | Was a relationship-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* If yes, proceed to V29a; *If answer is 2 -9, skip to Question V30. |
New Question | V29A. | Please briefly describe the specific relationship-related crises or traumatic events that may have been imminent. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question | V35b | In what type of setting were they treated? To be coded later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question | V40. | Did the victim ever do something to purposely hurt him/herself without wanting to die, such as cutting or burning him/herself on purpose, engaging in the choking game, etc.? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
New Question | V40a.. | To whom was this self-harm behavior reported? Do not read options (Answer all options) Code {V40a1} no one {V40a2} parents {V40a3} other family {V40a4} peers {V40a5} school staff {V40a6} other medical/mental health professional {V40a7} other {V40a7a} If Other selected, please specify: {V40a8} not applicable {V40a9} unknown {V40a10} refused to answer |
New Question | V40b. | What, if any, actions were taken in response to this self-harm behavior? .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question | Q26. | Did the alleged offender experience any relationship-related crises or traumatic events during the 2 weeks before this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
New Question | Q26a. | Please briefly describe the specific relationship-related crises or traumatic events experienced. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question | Q27. | Was a relationship-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
New Question | O27a. | Please briefly describe the specific relationship-related crises or traumatic events that may have been imminent. Code later .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question | O33b. | In what type of setting were they treated (e.g., inpatient, outpatient)? To be coded later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question | O36. | Did the alleged offender ever do something to purposely hurt him/herself without wanting to die, such as cutting or burning him/herself on purpose, engaging in the choking game, etc.? Do not read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
New Question | O36a. | To whom was this self-harm behavior reported? Do not read options (Answer all options) Code {O36a1} no one {O36a2} parents {O36a3} other family {O36a4} peers {O36a5} school staff {O36a6} other medical/mental health professional {O36a7} other {O36a7a} If Other selected, please specify: {O36a8} not applicable {O36a9} unknown {O36a10} refused to answer |
New Question | O36b. | What, if any, actions were taken in response to this self-harm behavior? ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
Section | PREVIOUS LE INTERVIEW | REVISED LE INTERVIEW | ||
Revised to include additional motives. See LE 2015, item number S03. | S02. | During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services--- Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Code S02.a) At any time during school hours S02.b) While students were arriving and/or leaving S02.c) At selected school activities (e.g., athletic and social events, open houses, science fairs) S02.d) When school/school activities not occurring S02.e) Other (please specify) |
S03. | During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services. Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Code S03a) Were they full time? (e.g., 8 hours/day) S03b) At any time during school hours S03c) While students were arriving and/or leaving S03d) At selected school activities (e.g., athletic and social events, open houses, science fairs) S03e) When school/school activities not occurring S03f) Other S03f.1) If Other selected, please specify: |
Revised to include additional motives. See LE 2015, item number E04. | E04. | What were the motives for the fatal injury? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable motives. Motive Code a) single suicide b) suicide pact c) drug related d) gang related e) robbery, attempted robbery f) rape, attempted sex crime g) dispute over money or property h) dispute over romantic relationship i) dispute related to sporting event j) dispute, other or unspecified k) racially or hate crime motivated l) victim killed by law enforcement or security personnel m) victim killed by civilian during commission of a crime n) expressed act of terrorism o) random victim p) victim was a bystander q) victim was intervener assisting a crime victim r) other specif y |
E04. | What were the motives for the fatal injury? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; (answer each option) Motive Code E04a) single suicide E04b) suicide pact E04c) drug related E04d) gang related E04e) robbery, attempted robbery E04f) rape, attempted sex crime E04g) dispute over money or property E04h) dispute over romantic relationship E04i) dispute related to sporting event E04j) dispute, other or unspecified E04k) racially or hate crime motivated E04l) victim killed by law enforcement or security personnel E04m) victim killed by civilian during commission of a crime E04n) act of terrorism E04o) random victim E04p) victim was a bystander E04q) victim was intervener assisting a crime victim E04r) mimicking a video game, tv, movie, or other violent media E04s) media-related coverage of a similar event (e.g., violence contagion) E04t) other E04t1) If Other selected, please specify |
Revised - added 4 additional response options. See LE 2015, E09. | E09. | What information was known by the bystander(s) in advance of the attack? Instructions: Capture information for up to five bystanders. E09a. Code later ................................................................................................................................................................................................................................................................................ |
E09. | What information was known by the bystander(s) in advance of the attack? Instructions: Capture information for up to five bystanders E09a. Code later ______________________________________________________________________________________________________________________________________________________________________________ E09b. Code later ______________________________________________________________________________________________________________________________________________________________________________ E09c. Code later ______________________________________________________________________________________________________________________________________________________________________________ E09d. Code later ______________________________________________________________________________________________________________________________________________________________________________ E09e. Code later ______________________________________________________________________________________________________________________________________________________________________________ |
Revised - add word "Identification" | V01a. | Victim Number _ Number for this victim, is assigned by the primary data collector. | V01a. | Victim Identification Number _ Number for this victim, is assigned by the primary data collector. |
Revised - options reworded in order to capture multiple responses to question. See LE 2015, question O07. | V09. | Was this victim of Hispanic, Latino/a ,or Spanish Origin? _ (One or more categories may be selected) 1 Not Hispanic or Latino/a or Spanish origin 2 Yes, Mexican, Mexican American, Chicano/a 3 Yes, Puerto Rican 4 Yes, Cuban 5 Yes, another Hispanic, Latino, or Spanish origin 8 Unknown if victim is of Hispanic or Latino origin 9 Refused to Answer |
V09. | Was this victim of Hispanic, Latino/a, or Spanish Origin? (One or more categories may be selected) Coding instructions: 1=yes, 2=no Code {V09a} Hispanic or Latino/a or Spanish origin {V09b} Mexican, Mexican American, Chicano/a {V09c} Puerto Rican {V09d} Cuban {V09e} Another Hispanic, Latino, or Spanish origin {V09f} Unknown {V09g} Refused to Answer |
Revised - word changed from "death" to " the fatal Incident" . See LE 2015, question V15. | V15. | Was there evidence that the victim was intoxicated with alcohol or drugs at the time of death? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V15. | Was there evidence that the victim was intoxicated with alcohol or drugs at the time of the fatal incident? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
Revised - word changed from "death" to "fatal Incident" . See LE 2015, question V16. | V16. | At the time of death, was the victim perceived by self or others to have a problem with, or to be addicted to, alcohol or other drugs? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V16. | At the time of the fatal incident, was the victim perceived by self or others to have a problem with, or to be addicted to, alcohol or other drugs? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
Revised wording of question to only before the incident. See LE 2015 question V24. | V24. | Did the victim experience any school-related crises or traumatic events during the 2 weeks before or after this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V22. | Did the victim experience any school-related crises or traumatic events during the 2 weeks before this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised wording of question to only before the incident. See LE 2015 question V24. | V26 | Did any the victim experience any community-related crises or traumatic events during the 2 weeks before or after this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V24 | Did the victim experience any community-related crises or traumatic events during the 2 weeks before this incident? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised - rephrased time-frame of question.See LE 2015, question V26. | V28. | Did any the victim experience any family-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V26. | Did the victim experience any family-related crises or traumatic events during the 2 weeks before this incident? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* If yes, proceed to V26a; *If answer is 2 -9, skip to Question V27. |
Revised to include additional behaviors. See LE 2015, item number V30. | V30. | To the best of your knowledge, in the 12 months prior to this event did the victim engage in any of the following behaviors? Coding instructions: 1=yes, 2=no, 8=unknown. Behavior Code {V30a} disobeying authority figure {V30b} namecalling, taunting, or teasing peers V30b.1 Face to face? V30b.2 Using Electronic means? {V30c} Verbal threats {V30d} sent written threats {V30e} sent electronic threats {V30f} Bullied peers {V30f} physically threatened peers {V30g} physically fought with peers {V30h} damaged another's personal property {V30i} damaged school property (tagging, vandalism etc…) {V30j}stole another's personal property {V30k} truancy (skipped school) {V30l} possessed / used illegal substances {V30m}possessed a weapon |
V30. | To the best of your knowledge, in the 12 months prior to this event did the victim engage in any of the following behaviors? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Behavior Code {V30a} disobeying authority figure {V30b} name-calling, taunting, or teasing peers If yes, please complete V30b.1 & V30b.2: V30b.1 Face to face? V30b.2 Using Electronic means? (e.g., phone, computer) {V30c} Verbal threats {V30d} sent written threats {V30e} sent electronic threats {V30f} Bullied peers {V30g} physically threatened peers {V30h} physically fought with peers {V30i} damaged another's personal property {V30j} damaged school property (tagging, vandalism etc…) {V30k} stole another's personal property {V30l} truancy (skipped school) {V30m} possessed / used illegal substances {V30n} possessed a weapon {V30o} physically threatened an authority figure |
Revised. - expanded question to include additional services and specification. See LE 2015, item number V32. | V32 | At the time of the event, did this victim have a diagnosed Learning Disability? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V32 | At the time of the event, did this victim have a diagnosed Learning Disability, physical disability, or physical health problem? Do not read options 1=yes (V32a. If yes, please specify. ____________________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised. - two items removed reflecting behaviors. See LE 2015, item number V33. | V33. | In the year prior to this event, did this victim receive any of the following services? Coding instructions: 1=yes, 2=no, 8=unknown. Services Code { V33a} guidance counseling / advising { V33b} psychological counseling {V33c} Psychiatric or mental health services {V33d} social services {V33e} supplemental educational services (including efforts to address learning disabilities) {V33f} other services Specify |
V33. | In the year prior to this event, did this victim receive any of the following services? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Services Code {V33a} guidance counseling / advising {V33b} social services {V33c} supplemental educational services (including efforts to address learning disabilities, such as a formal school psychoeducational evaluation) {V33d} other services {V33d.1} If Other selected, please specify: |
Revised. - wording added to include example of professional treatment and question renumbered as O35. | V35. | Had the victim ever received professional treatment for any other emotional or mental health problem? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V35. | Had the victim ever received professional treatment for any other emotional or mental health problem, such as by a psychiatrist/psychologist? _ Do not read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised age to 3 digit field to allow 100 years of age. | O03. | What was this alleged offender's age in years at time of victim's death?_ _ 01-∞=actual age in years 77=not applicable 88=unknown 99=refused to answer |
O03. | What was this alleged offender's age in years at time of victim's death? _ _ _ Do NOT read options, code leading zero 01-100=actual age in years 777=not applicable 888=unknown 999=refused to answer |
Revised - options reworded in order to capture multiple responses to question. See LE 2015, question O07. | O06. | Was this alleged offender of Hispanic, Latino/a ,or Spanish Origin? (One or more categories may be selected) origin? 1 Not Hispanic or Latino/a or Spanish origin 2 Yes, Mexican, Mexican American, Chicano/a 3 Yes, Puerto Rican 4 Yes, Cuban 5 Yes, another Hispanic, Latino, or Spanish origin 9 Unknown if elder is of Hispanic or Latino origin |
O06. | Was this alleged offender of Hispanic, Latino/a, or Spanish Origin? (One or more categories may be selected)? Do NOT read options Coding instructions: 1=yes, 2=no Code {O06a} Hispanic or Latino/a or Spanish origin {O06b} Mexican, Mexican American, Chicano/a {O06c} Puerto Rican {O06d} Cuban {O06e} Another Hispanic, Latino, or Spanish origin {O06f} Unknown {O06g} Refused to answer |
Revised. - wording added "alleged" and question renumbered as O10b. | O11 | In the year prior to this event, did the offender leave an existing peer group? 1=yes Specify _________________________ 2=no 7=not applicable 8=unknown 9=refused to answer |
O10b. | In the year prior to this event, did the alleged offender leave an existing peer group? Do NOT read options 1=yes (O10b1. If yes, please specify ____________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised. - wording added "alleged" and question renumbered as O10c. | O12 | In the year prior to this event, did the offender or join a new peer group? 1=yes Specify_____________ 2=no 7=not applicable 8=unknown 9=refused to answer |
O10c. | In the year prior to this event, did the alleged offender or join a new peer group? Do NOT read options 1=yes (O10c1. If yes, please specify _____________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised. - wording change from "death" to "incident" and renumbered to O11. | O13. | Did this alleged offender use alcohol or drugs at the time of the victim's death? 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O11. | Did this alleged offender use alcohol or drugs at the time of the incident? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
Revised - rephrased time-frame of question.See SH 2015, question O20. | O24. | Did any the offender experience any school-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O20. | Did the alleged offender experience any school-related crises or traumatic events during the 2 weeks before this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised - rephrased time-frame of question.See SH 2015, question O22. | O26. | Did any the offender experience any community-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O22. | Did the alleged offender experience any community-related crises or traumatic events during the 2 weeks before this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised. - wording added to include example of professional treatment and question renumbered as O30. | O32. | At the time of the event, did this alleged offender have a diagnosed Learning Disability? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O30. | At the time of the event, did this alleged offender have a diagnosed Learning Disability, physical disability, or physical health problem? Do NOT read options 1=yes (O30a: If yes, please specify__________________________________) 2=no 7=not applicable 8=unknown 9=refused to answer |
Revised. - wording added to include example of professional treatment and question renumbered as O35. | O35. | Had the alleged offender ever received professional treatment for any other emotional or mental health problem? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O33. | Had the alleged offender ever received professional treatment for any other emotional or mental health problem, such as by a psychiatrist/psychologist? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Attachment L Crosswalk for SAVD Survey Tools Law Enforcement | ||||
Section | PREVIOUS LAW ENFORCEMENT INTERVIEW | REVISED LAW ENFORCEMENT INTERVIEW | ||
General Questions | ||||
No Change | G01 | Did you participate in the original investigation of this event? Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. G01a. Respondent 1 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer _ G01b. Respondent 2 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer G01c. Respondent 3 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer G01d. Respondent 4 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer G01e. Respondent 5 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
G01 | Did you participate in the original investigation of this event? Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. G01a. Respondent 1 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* G01b. Respondent 2 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* G01c. Respondent 3 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* G01d. Respondent 4 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* G01e. Respondent 5 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change | G02. | G02. What role(s) did you play in the investigation? G02a. Respondent 1Code later ................................................................................................................................................................................................................................................ G02b. Respondent 2 Code later ................................................................................................................................................................................................................................................ G02c. Respondent 3 Code later ................................................................................................................................................................................................................................................ G02d. Respondent 2 Code later .......................................................................................................................................................................................................... G02e. Respondent 3 Code later .......................................................................................................................................................................................................... |
G02. | G02. What role(s) did you play in the investigation? G02a. Respondent 1 Code later .......................................................................................................................................................................................................... G02b. Respondent 2 Code later .......................................................................................................................................................................................................... G02c. Respondent 3 Code later .......................................................................................................................................................................................................... G02d. Respondent 2 Code later .......................................................................................................................................................................................................... G02e. Respondent 3 Code later .......................................................................................................................................................................................................... |
No Change | G03. | Where did the injury event occur? 1= on school property 2= on the way to or from the campus* 3= at an off-campus school-sponsored event* 4= on the way to or from a school sponsored event* 6= other* (specify.....................................................................) 8= unknown* 9= refused to answer |
G03. | Where did the injury event occur? _ Read options 1= on school property 2= on the way to or from the campus* 3= at an off-campus school-sponsored event* 4= on the way to or from a school sponsored event* 6= other* (G03a- If Other selected, please specify.......................) 8= unknown* 9= refused to answer |
QUESTIONS about the school | ||||
No change | S01. | Our study defines a school associated violent death as a suicide, homicide or legal intervention related death that occurred on school property, on the way to or from school, or at or on the way to or from a school sponsored event. Has this school ever experienced another violent death that meets this definition? 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
S01. | Our study defines a school associated violent death as a suicide, homicide or legal intervention related death that occurred on school property, on the way to or from school, or at or on the way to or from a school sponsored event. Has this school ever experienced another violent death that meets this definition? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
No Change in question - renumbered as S02. | S03. | At the time when the event occurred did the school use full-time security personnel? 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer S03a. Number of School Resource Officers/Sworn Law Enforcement Officers __ S03b. Number of Private Security Officers __ |
S02. | At the time when the event occurred did the school use security personnel? _ 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* S02a. Number of School Resource Officers/Sworn Law Enforcement Officers __ S02b. Number of Private Security Officers __ |
Revised to include whether security services were used full time. See LE 2015, item number S03. | S02. | During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services--- Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Code S02.a) At any time during school hours S02.b) While students were arriving and/or leaving S02.c) At selected school activities (e.g., athletic and social events, open houses, science fairs) S02.d) When school/school activities not occurring S02.e) Other (please specify) |
S03. | During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services. Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Code S03a) Were they full time? (e.g., 8 hours/day) S03b) At any time during school hours S03c) While students were arriving and/or leaving S03d) At selected school activities (e.g., athletic and social events, open houses, science fairs) S03e) When school/school activities not occurring S03f) Other S03f.1) If Other selected, please specify: |
Revised to include additional options for whether metal detectors were used randomly and the frequency with which surveillance cameras were monitored. | S04. | Were any of the following security measures in use at the time of this event? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Measure Location or Type of Measure Code S04.a) Walk Through Metal Detectors S04.a1) If yes, how often? 1 Daily 2 2 to 3 times per week 3 Weekly 4 Biweekly 5 As warranted 6 Never S04.a2) Where were the walk through metal detectors used? S04a2.a) Main entry S04a.2b) Secondary entries SS04a2.c) Other Specify .b) Hand Held Metal Detectors S04.b1) If yes, how often? 1 Daily 2 2 to 3 times per week 3 Weekly 4 Biweekly 5 As warranted 6 Never S04.b2) Where were the walk through metal detectors used? S04b2.a) Main entry S04b2.b) Secondary entries S04b2.c) Other Specify S04.c) Surveillance Cameras S04.c1) If yes, When were they used? (Check all that apply) 1 on school days before classes or official school activities began 2 While classes were being held 3 During lunch, recess, or other breaks, 4 During class changes 5 immediately after school 6 During after school practice or detention 5 After official activities 6 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) 7 Cameras only used as visual detterent S04.c2) Where were the surveillance cameras used? S04c2.a) Entry/exit areas – exterior S04c2.b) Athletic areas S04c2.c) Entry/exit areas – interior S04c2.d) Corridors S04c2.e) Other Specify S04.d) Communication Devices S04d.1) 2-way radios S04d.2) 2-way intercom in most classrooms S04d.3) Other Specify S04.e) Access Restrictions S04e.1) Proximity or card swipe access for staff S04e.2) Intrusion Alarm Systems S04.e3) If yes, where? S04e3.a) Main building(s) / areas S04e3.b) Parking lot(s) S04e3.c) Other Specify S04.e4) If yes, When were they used? (Check all that apply) 1 on school days before classes or official school activities began 2 While classes were being held 3 During lunch, recess, or other breaks, 4 During class changes 5 immediately after school 6 During after school practice or detention 5 After official activities 6 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) |
S04. | Were any of the following security measures in use at the time of this event? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Measure Location or Type of Measure Code S04a) Walk Through Metal Detectors If yes, proceed to S04a1 & S04a2; if no, proceed to S04b. S04a1) If yes, how often? 1 - Daily 2 - 2 to 3 times per week 3 - Weekly 4 - Biweekly 5 - As warranted 6 - Randomly 7 - Never S04a2)Where were the walk through metal detectors used? (Answer each option) S04a2.a) Main entry S04a2.b) Secondary entries S04a2.c) Other S04a2.c1) If Other selected, please specify: S04b) Hand Held Metal Detectors If yes, proceed to S04b1 & S04b2; if no, proceed to S04c. S04b1) If yes, how often? 1 - Daily 2 - 2 to 3 times per week 3 - Weekly 4 - Biweekly 5 - As warranted 6 - Randomly 7 - Never S04b2)Where were the walk through metal detectors used? (Answer each option) S04b2.a) Main entry S04b2.b) Secondary entries S04b2.c) Other S04b2.c1) If Other selected, please specify: S04c) Surveillance Cameras If yes, proceed to S04c1 – S064e3; if no, proceed to S04d. S04c1) If yes, When were they used? (Answer each option) S04c1.a) On school days before classes or official school activities began S04c1.b) While classes were being held S04c1.c) During lunch, recess, or other breaks, S04c1.d) During class changes S04c1.e) Immediately after school S04c1.f) During after school practice or detention S04c1.g) After official activities S04c1.h) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) S04c1.i) Cameras only used as visual detterent S04c2)If yes, where were the surveillance cameras used? (Answer each option) S04c2.a) Entry/exit areas – exterior S04c2.b) Athletic areas S04c2.c) Entry/exit areas – interior S04c2.d) Corridors S04c2.e) Other S04c2.e1) If Other selected, please specify: S04c3)If yes, when were the surveillance cameras monitored? (Answer each option) S04c3.a) Always S04c3.b) Occasionally S04c3.c) After an incident S04c3.d) Rarely S04d) Communication Devices If yes, proceed to S04d1; if no, proceed to S04e. S04d1) If yes, what types of devices were used? (Answer each option) S04d1.a) 2-way radios S04d1.b) 2-way intercom in most classrooms S04d1.c) Mass text messages S04d1.d) Mass emails S04d1.e) Other S04d1.e.1) If Other selected, please specify: S04e) Access Restrictions If yes, proceed to S04e1; if no, proceed to SOC01. S04e1) Proximity or card swipe access for staff If yes, proceed to S04e1a; if no, proceed to S04e2. S04e1.a) If yes, where? (Answer each option) S04e1.a1) Main building(s) / areas S04e1.a2) Parking lot(s) S04e1.a3) Other S04e1.a3.1) If Other selected, please specify: S04e2) Intrusion Alarm Systems If yes, proceed to S04e2a & S04e2b; if no, proceed to SOC01. S04e2.a) If yes, where? (Answer each option) S04e2.a1) Main building(s) / areas S04e2.a2) Parking lot(s) S04e2.a3) Other S04e2.a1.1) If Other selected, please specify: S04e2.b)If yes, When were they used? (Answer each option) S04e2.b1) on school days before classes or official school activities began S04e2.b2) While classes were being held S04e2.b3) During lunch, recess, or other breaks, S04e2.b4) During class changes S04e2.b5) immediately after school S04e2.b6) During after school practice or detention S04e2.b7) After official activities S04e2.b8) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) |
QUESTIONS about the off-campus school sponsored event | ||||
No change. | SOC01 | Our study defines a school associated violent death as a suicide, homicide or legal intervention related death that occurred on school property, on the way to or from school, or at or on the way to or from a school sponsored event. Has this school ever experienced another violent death that meets this definition? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
SOC01 | Our study defines a school associated violent death as a suicide, homicide or legal intervention related death that occurred on school property, on the way to or from school, or at or on the way to or from a school sponsored event. Has this school ever experienced another violent death that meets this definition? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
No change. | SOC02. | During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services at selected school activities (e.g., athletic and social events, open houses, science fairs)? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
SOC02. | During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services at selected school activities (e.g., athletic and social events, open houses, science fairs)? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No change. | SOC03a. | Please indicate the number of Sworn Law Enforcement Officers used. Do NOT read options, code leading zero 00-∞=actual number 777=not applicable 888=unknown 999=refused to answer |
SOC02a. | Please indicate the number of Sworn Law Enforcement Officers used. _ _ _ Do NOT read options, code leading zero 00-∞=actual number 777=not applicable 888=unknown 999=refused to answer |
No change. | SOC03b. | Please indicate the Number of Private Security Officers used __Do NOT read options, code leading zero 00-∞=actual number 777=not applicable 888=unknown 999=refused to answer |
SOC02b. | Please indicate the Number of Private Security Officers used _ _ _ Do NOT read options, code leading zero 00-∞=actual number 777=not applicable 888=unknown 999=refused to answer |
Revised to include additional options for whether metal detectors were used randomly. | SOC04. | Were any of the following security measures in use at the time of this event? Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Measure Location or Type of Measure Code SOC04.a) Walk Through Metal Detectors SOC04.a1) If yes, how often? 1 Daily 2 2 to 3 times per week 3 Weekly 4 Biweekly 5 As warranted 6 Never SOC04.a2) Where were the walk through metal detectors used? SOC04a2.a) Main entry SOC04a2.b) Secondary entries SOC04a2.c) Other Specify SOC04.b) Hand Held Metal Detectors SOC04.b1) If yes, how often? 1 Daily 2 2 to 3 times per week 3 Weekly 4 Biweekly 5 As warranted 6 Never SOC04.b2) Where were the walk through metal detectors used? SOC04b2.a) Main entry SOC04b2.b) Secondary entries SOC04b2.c) Other Specify SOC04.c) Surveillance Cameras SOC04.c1) If yes, When were they used? (Check all that apply) 1 on school days before classes or official school activities began 2 While classes were being held 3 During lunch, recess, or other breaks, 4 During class changes 5 immediately after school 6 During after school practice or detention 5 After official activities 6 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) 7Cameras only used as visual detterent SOC04.c2) Where were the surveillance cameras used? SOC04c2.a) Entry/exit areas – exterior SOC04c2.b) Athletic areas SOC04c2.c) Entry/exit areas – interior SOC04c2.d) Corridors SOC04c2.e) Other Specify SOC04.d) Communication Devices SOC04d.1) 2-way radios SOC04d.2) 2-way intercom in most classrooms SOC04d.3) Other Specify SOC04e) Access Restrictions SOC04e.1) Proximity or card swipe access for staff SOC04e.2) Intrusion Alarm Systems SOC04.e3) If yes, where? SOC04e3.a) Main building(s) / areas SOC04e3.b Parking lot(s) SOC04e3.c) Other Specify SOC04.e4) If yes, When were they used? (Check all that apply) 1 on school days before classes or official school activities began 2 While classes were being held 3 During lunch, recess, or other breaks, 4 During class changes 5 immediately after school 6 During after school practice or detention 5 After official activities 6 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) |
Were any of the following security measures in use at the time of this event? Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Measure Location or Type of Measure Code SOC03a) Walk Through Metal Detectors If yes, proceed to SOC03a1 & SOC03a2; if no, proceed to SOC03b. SOC03a1) If yes, how often? 1 - Daily 2 - 2 to 3 times per week 3 - Weekly 4 - Biweekly 5 - As warranted 6 - Randomly 7 - Never SOC03a2)Where were the walk through metal detectors used? (Answer each option) SOC03a2.a) Main entry SOC03a2.b) Secondary entries SOC03a2.c) Other SOC03a2.c1) If Other selected, please specify: SOC03b) Hand Held Metal Detectors If yes, proceed to SOC03b1 & SOC03b2; if no, proceed to SOC03c. SOC03b1)If yes, how often? 1 - Daily 2 - 2 to 3 times per week 3 - Weekly 4 - Biweekly 5 - As warranted 6 - Randomly 7 - Never SOC03b2)If yes, where were the walk through metal detectors used? (Answer each option) SOC03b2.a) Main entry SOC03b2.b) Secondary entries SOC03b2.c) Other SOC03b2.c1) If Other selected, please specify: SOC03c) Surveillance Cameras If yes, proceed to SOC03c1 - SOC03c3; if no, proceed to SOC03d. SOC03c1) If yes, When were they used? (Answer each option) 1 - On school days before classes or official school activities began 2 - While classes were being held 3 - During lunch, recess, or other breaks, 4 - During class changes 5 - Immediately after school 6 - During after school practice or detention 7 - After official activities 8 - On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) 9 - Cameras only used as visual detterent SOC03c2)If yes, where were the surveillance cameras used? (Answer each option) SOC03c2.a) Entry/exit areas – exterior SOC03c2.b) Athletic areas SOC03c2.c) Entry/exit areas – interior SOC03c2.d) Corridors SOC03c2.e) Other SOC03c2.e1) If Other selected, please specify: SOC03d) Communication Devices If yes, proceed to SOC03.d1; if no, proceed to SOC03e. SOC03d1 If yes, what types of devices were used? (Answer each option) SOC03d1.a) 2-way radios SOC03d1.b) 2-way intercom in most classrooms SOC03d1.c) Mass text messages SOC03d1.d) Mass emails SOC03d1.e) Other SOC03d1.e1) If Other selected, please specify: SOC03e) Access Restrictions If yes, proceed to SOC03e1; if no, proceed to SOC03f. SOC03e1)Proximity or card swipe access for staff SOC03e2)If yes, where? (Answer each option) SOC03e2.a) Main building(s) / areas SOC03e2.b) Parking lot(s) SOC03e2.c) Other SOC03e2.c1) If Other selected, please specify: SOC03f) Intrusion Alarm Systems If yes, proceed to SOC03f1 & SOC03f2; if no, proceed to E01. SOC03f1) If yes, where? (Answer each option) SOC03e4.a) Main building(s) / areas SOC03e4.b) Parking lot(s) SOC03e4.c) Other SOC03e4.c1) If Other selected, please specify: SOC03f2) If yes, when were they used? (Answer each option) 1 - On school days before classes or official school activities began 2 - While classes were being held 3 - During lunch, recess, or other breaks, 4 - During class changes 5 - Immediately after school 6 - During after school practice or detention 5 - After official activities 6 - On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) |
|
QUESTIONS about the event | ||||
No change. | E01. | Where on the campus did the injury event occur? _ _ Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable locations Location Code 01= in a classroom 02= in a hallway 03= in a cafeteria 04= in a gymnasium 05= in a locker room 06= in an office 07= in a stairwell 08= in a restroom 09= in a break room or lounge 10= in an auditorium 11= on campus lawn or gardens 12= on sporting fields or playground 13= in a parking lot 14= in a driveway 15= at a bus pickup or drop off point 66= other indoor location Specify. 67= other outdoor location Specify 77= not applicable 88= unknown 99= refused to answer |
E01. | Where on the campus did the injury event occur? Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; (answer each option) Location Code E01a) in a classroom E01b) in a hallway E01c) in a cafeteria E01d) in a gymnasium E01e) in a locker room E01f) in an office E01g) in a stairwell E01h) in a restroom E01i) in a break room or lounge E01j) in an auditorium E01k) on campus lawn or gardens E01l) on sporting fields or playground E01m) in a parking lot E01n) in a driveway E01o) at a bus pickup or drop off point E01p) other indoor location E01p1) If Other selected, please specify: E01q) other outdoor location E01q1) If Other selected, please specify: E01r) not applicable E01s) unknown E01t) refused to answer |
No change. | E02. | Where did the off-campus injury event occur? _ _ Read options; code written responses later; code leading zeros 01= on the street, sidewalk, footpath 02= on a bus or public transport vehicle 03= waiting for or getting on or off a bus or public transport vehicle 04= in a privately-owned vehicle / car 05= on private property (specify________________________) 06= at a sporting complex (pool, stadium, off campus gym, rec center etc…) 66= other (specify.........................................................................) 77= not applicable 88= unknown 99= refused to answer |
E02. | Where did the off-campus injury event occur? _ _ Read options; code written responses later; code leading zeros 01= on the street, sidewalk, footpath 02= on a bus or public transport vehicle 03= waiting for or getting on or off a bus or public transport vehicle 04= in a privately-owned vehicle / car 05= on private property (E02a: If Private property selected, specify ......................) 06= at a sporting complex (pool, stadium, off campus gym, rec center etc…) 66= other (E02b: If Other selected, please specify:................................) 77= not applicable 88= unknown 99= refused to answer |
No Change - Numbering of response options was corrected. | E03. | Which of the following best describes the context in which the injury event occurred? _ _ Read options; code written responses later; code leading zeros 01= on a day when no classes or school events were held (e.g., a weekend, holiday, or an official school break) 02= on a school day before classes began 03= while classes were being held 04= during a school assembly 04= on a school day during lunch, recess or other break, including class changes 05= immediately after school 06= on a school day during after-school practice or detention 07= on a school day after official activities 08= at a school sporting activity 09= at another official school-sponsored activity 10= on the way to or from a school-sponsored activity 66= other (specify..............................................................................) 77= not applicable 88= unknown 99= refused to answer |
E03. | Which of the following best describes the context in which the injury event occurred? _ _ Read options; code written responses later; code leading zeros 01= on a day when no classes or school events were held (e.g., a weekend, holiday, or an official school break) 02= on a school day before classes began 03= while classes were being held 04= during a school assembly 05= on a school day during lunch, recess or other break, including class changes 06= immediately after school 07= on a school day during after-school practice or detention 08= on a school day after official activities 09= at a school sporting activity 10= at another official school-sponsored activity 11= on the way to or from a school-sponsored activity 66= other (E03a: If Other selected, please specify:..................................) 77= not applicable 88= unknown 99= refused to answer |
Revised to include additional motives. See LE 2015, item number E04. | E04. | What were the motives for the fatal injury? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable motives. Motive Code a) single suicide b) suicide pact c) drug related d) gang related e) robbery, attempted robbery f) rape, attempted sex crime g) dispute over money or property h) dispute over romantic relationship i) dispute related to sporting event j) dispute, other or unspecified k) racially or hate crime motivated l) victim killed by law enforcement or security personnel m) victim killed by civilian during commission of a crime n) expressed act of terrorism o) random victim p) victim was a bystander q) victim was intervener assisting a crime victim r) other specif y |
E04. | What were the motives for the fatal injury? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; (answer each option) Motive Code E04a) single suicide E04b) suicide pact E04c) drug related E04d) gang related E04e) robbery, attempted robbery E04f) rape, attempted sex crime E04g) dispute over money or property E04h) dispute over romantic relationship E04i) dispute related to sporting event E04j) dispute, other or unspecified E04k) racially or hate crime motivated E04l) victim killed by law enforcement or security personnel E04m) victim killed by civilian during commission of a crime E04n) act of terrorism E04o) random victim E04p) victim was a bystander E04q) victim was intervener assisting a crime victim E04r) mimicking a video game, tv, movie, or other violent media E04s) media-related coverage of a similar event (e.g., violence contagion) E04t) other E04t1) If Other selected, please specify |
No change. | E05. | Briefly describe the circumstances of the fatal injury and events leading up to it, including history of prior conflicts between the principles, etc. Code later ........................................................................................................................................................................................................................................................................................................................................................................ |
E05. | Briefly describe the circumstances of the fatal injury and events leading up to it, including history of prior conflicts between those involved, etc. Code later ............................................................................................................................................................................................................................................ ............................................................................................................................................................................................................................................ ...................................................................................................................... |
No change. | E06. | What was the method of fatal injury? Read options; Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable methods used Method Code 01= firearm Specify 02= knife, razor, box cutter or other blade 03= beaten with club, bat, pipe, chain, or other object 04= beaten, no weapon used 05= motor vehicle 06= hanging/strangulation/asphyxiation by hanging 07= poisoning, solid or liquid 08= asphyxiation by gas 09= other asphyxiation 66= other Specify 77= not applicable 88= unknown 99= refused to answer |
E06. | What was the method of fatal injury? Read options; Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; (answer each option) Method Code E06a) firearm E06a1) If Other selected, please specify E06b) knife, razor, box cutter or other blade E06c) beaten with club, bat, pipe, chain, or other object E06d) beaten, no weapon used E06e) motor vehicle E06f) hanging/strangulation/asphyxiation by hanging E06g) poisoning, solid or liquid E06h) asphyxiation by gas E06i) other asphyxiation E06j) other E06j1) If Other selected, please specify E06k) not applicable E06l) unknown E06m) refused to answer |
Revised to include area for additional specification on options. | E07. | After a tragedy such as this people look for things, such as comments, notes, threats, or actions that took place prior to the incident that could have signaled a potential risk for this type of behavior. Which of the following did any of the offenders, or victims in the case of suicide, leave as signs that they were considering this action? Please include as many signs as you can think of even if they were things that no one could have recognized as a sign at the time they happened. Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code all applicable signs. Sign Code {E07a} notes {E07b} journal entry {E07c} social media (e.g. blogs, Twitter, wall postings on social networking sites) {E07d} verbal threats___ {E07e} electronic media (e.g., email messages, IM, or texts via cellphone, voice mail, video, ect.) {E07f} other actions (e.g., playful suggestion that person might commit act, voiced suicidal thoughts) Specify |
E07. | After a tragedy such as this people look for things, such as comments, notes, threats, or actions that took place prior to the incident that could have signaled a potential risk for this type of behavior. Which of the following did any of the offenders, or victims in the case of suicide, leave as signs that they were considering this action? Please include as many signs as you can think of even if they were things that no one could have recognized as a sign at the time they happened. Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (answer each option) Sign Code {E07a} notes {E07a1} If yes, specify: {E07b} journal entry {E07b1} If yes, specify: {E07c} social media (e.g. blogs, Twitter, wall postings on social networking sites) {E07c1} If yes, specify {E07d} verbal threats {E07d1} If yes, specify {E07e} electronic media (e.g., email messages, IM, or texts via cellphone, voice mail, video etc..) {E07e1} If yes, specify {E07f} other actions (e.g., playful suggestion that person might commit act, voiced suicidal thoughts) {E07f1} If yes, specify |
No change. | E08. | Did anyone know about the possibility of this event before it happened? Do NOT read options 1=yes (specify..................................................................................... ) 2=no* 7=not applicable 9=unknown/refused to answer |
E08. | Did anyone know about the possibility of this event before it happened? Do NOT read options 1=yes (E08a. If yes, please specify _________________________________) 2=no* 7=not applicable* 9=unknown/refused to answer* |
Revised - added space for perspectives of up to 4 bystanders to be entered. See LE 2015, E09. | E09. | What information was known by the bystander(s) in advance of the attack? Instructions: Capture information for up to five bystanders. E09a. Code later ................................................................................................................................................................................................................................................................................ |
E09. | What information was known by the bystander(s) in advance of the attack? Instructions: Capture information for up to five bystanders E09a. Code later ______________________________________________________________________________________________________________________________________________________________________________ E09b. Code later ______________________________________________________________________________________________________________________________________________________________________________ E09c. Code later ______________________________________________________________________________________________________________________________________________________________________________ E09d. Code later ______________________________________________________________________________________________________________________________________________________________________________ E09e. Code later ______________________________________________________________________________________________________________________________________________________________________________ |
No change. | E10. | What relationship did the bystander have to the perpetrator(s)? Read options; code written responses later E10a. Bystander #1 01= relatives (specify..................) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (specify......................) 77=not applicable 88=unknown 99=refused to answer E10b. Bystander #2 01= relatives (specify..................) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (specify......................) 77=not applicable 88=unknown 99=refused to answer E10c. Bystander #3 01= relatives (specify..................) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (specify......................) 77=not applicable 88=unknown 99=refused to answer E10d. Bystander #4 01= relatives (specify..................) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (specify......................) 77=not applicable 88=unknown 99=refused to answer E10e. Bystander #5 01= relatives (specify..................) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (specify......................) 77=not applicable 88=unknown 99=refused to answer |
E10. | What relationship did the bystander have to the perpetrator(s)? Read options; code written responses later E10a. Bystander #1 01= relatives (E10a1) specify.............) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (E10a2)specify.............) 77=not applicable 88=unknown 99=refused to answer E10b. Bystander #2 01= relatives (E10b1) specify.............) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (E10b2)specify.............) 77=not applicable 88=unknown 99=refused to answer E10c. Bystander #3 01= relatives (E10c1) specify.............) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (E10c2)specify.............) 77=not applicable 88=unknown 99=refused to answer E10d. Bystander #4 01= relatives (E10d1) specify.............) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (E10d2)specify.............) 77=not applicable 88=unknown 99=refused to answer E10e. Bystander #5 01= relatives (E10e1) specify.............) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (E10e2)specify.............) 77=not applicable 88=unknown 99=refused to answer |
No change. | E11. | Did the bystander share the information he or she learned of the planned violence with others? Do NOT read options 1=yes (specify................................................................................... ) 2=no 7=not applicable 9=unknown/refused to answer |
E11. | Did the bystander share the information he or she learned of the planned violence with others? Do NOT read options 1= (E11a. If yes, please specify ________________________________________) 2=no* 7=not applicable* 9=unknown/refused to answer* |
No change. | E12. | With whom was this information shared? Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. Select all applicable options. Code 01=no one 02=parents 03=other family 04=peers 05=school staff 06=other medical/mental health professional 66=other Specify 77=not applicable 88=unknown 99=refused to answer |
E12. | With whom was this information shared? Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. (answer each option) Code {E11b1} no one {E11b2} parents {E11b3} other family {E11b4} peers {E11b5} school staff {E11b6} other medical/mental health professional {E11b7} other {E11b7a} If Other selected, please specify {E11b8} not applicable {E11b9} unknown {E11b10} refused to answer |
QUESTIONS about the Victim | ||||
Eliminated Question | CaseID. | Case ID Number _ _ _ _ _ To be assigned by study coordinator, record 5-digit number | ||
No change. | V01. | How many victims were fatally injured in this event? _ _ Write in actual number | V01. | How many victims were fatally injured in this event? _ _ Write in actual number |
Revised - add word "Identification" | V01a. | Victim Number _ Number for this victim, is assigned by the primary data collector. | V01a. | Victim Identification Number _ Number for this victim, is assigned by the primary data collector. |
No change. | V02. | What was the date of the injury event? _ _/_ _/_ _ _ _ Record month/date/year, code leading zeros (code four-digit years) |
V02. | What was the date of the injury event? _ _/_ _/_ _ _ _ Record month/date/year, code leading zeros (code four-digit years) |
No change. | V03. | What was the time of the injury event? _ _ _ _ Record in military time |
V03. | What was the time of the injury event? _ _: _ _ Record in military time |
No change. | V04. | What was the date of death? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ |
V04. | What was the date of death? _ _/_ _/_ _ _ _ Record month/date/year, code leading zeros (code four-digit years) |
No change. | V05. | What was this victim's date of birth? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ |
V05. | What was this victim's date of birth? _ _/_ _/_ _ _ _ Record month/date/year, code leading zeros (code four-digit years) |
No change. | V06. | What was this victim's age in years at the time of death? _ _ 01-∞=actual age in years 77=not applicable 88=unknown 99=refused to answer |
V06. | What was this victim's age in years at the time of death? _ _ _Do NOT read options, code leading zero 01-∞=actual age in years 77=not applicable 88=unknown 99=refused to answer |
No change. | V07. | What was this victim's gender? _ _ 1=male 2=female 3=transgender 7=not applicable 8=unknown 9=refused to answer |
V07. | What was this victim's gender? _ _ Do NOT read options 1=male 2=female 3=transgender 7=not applicable 8=unknown 9=refused to answer |
No change. | V08. | What was the victim's race? _ _ 1 White 2 Black or African American 3 American Indian or Alaska Native 4 Asian Indian 5 Chinese 6 Filipino 7 Japanese 8 Korean 9 Vietnamese 10 Other Asian 11 Native Hawaiian 12 Guamanian or Chamorro 13 Samoan 14 Other Pacific Islander 15 Other (Specify) ______________ 88 Unknown—a person’s race is unknown 99 Refused to Answer |
V08. | What was the victim's race? _ _ Do NOT read Options 1 White 2 Black or African American 3 American Indian or Alaska Native 4 Asian Indian 5 Chinese 6 Filipino 7 Japanese 8 Korean 9 Vietnamese 10 Other Asian 11 Native Hawaiian 12 Guamanian or Chamorro 13 Samoan 14 Other Pacific Islander 15 Other (V08a. If Other selected, please specify: _________________ ) 88 Unknown—a person’s race is unknown 99 Refused to Answer |
Revised - options reworded in order to capture multiple responses to question. See LE 2015, question O07. | V09. | Was this victim of Hispanic, Latino/a ,or Spanish Origin? _ (One or more categories may be selected) 1 Not Hispanic or Latino/a or Spanish origin 2 Yes, Mexican, Mexican American, Chicano/a 3 Yes, Puerto Rican 4 Yes, Cuban 5 Yes, another Hispanic, Latino, or Spanish origin 8 Unknown if victim is of Hispanic or Latino origin 9 Refused to Answer |
V09. | Was this victim of Hispanic, Latino/a, or Spanish Origin? (One or more categories may be selected) Coding instructions: 1=yes, 2=no Code {V09a} Hispanic or Latino/a or Spanish origin {V09b} Mexican, Mexican American, Chicano/a {V09c} Puerto Rican {V09d} Cuban {V09e} Another Hispanic, Latino, or Spanish origin {V09f} Unknown {V09g} Refused to Answer |
No change. | V10. | Which of the following best describes the victim's family structure/living arrangements at the time of death? _ _ 01= two-parent nuclear family 02= single parent household 03= lives with adult relative other than parent 04= lives with legal guardian 05= lives independently 06= foster care 07= residential institution 66= other (specify:...................) 77=not applicable 88=unknown 99=refused to answer |
V10. | Which of the following best describes the victim's family structure/living arrangements at the time of death? _ _ Read options 01= two-parent nuclear family 02= single parent household 03= lives with adult relative other than parent 04= lives with legal guardian 05= lives independently 06= foster care 07= residential institution 66= other (V10a: If Other selected, please specify: ¬¬¬¬¬¬_________________ ) 77=not applicable 88=unknown 99=refused to answer |
No change. | V11. | Individuals often affiliate with distinct peer groups. To your knowledge, was the victim associated with any distinct peer group? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused |
V11. | Individuals often affiliate with distinct peer groups. To your knowledge, was the victim associated with any distinct peer group? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused* |
No change. | V11a. | What group(s) were they affiliated with? Code later ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ |
V11a. | If yes, what group(s) were they affiliated with? Code later ........................................................................................................................................................................................................................................................................................................................................................ ............................................................................................................................................................................ |
No change. | V12. | In the year prior to this event, did the victim leave an existing peer group? 1=yes Specify____________ 2=no 7=not applicable 8=unknown 9=refused to answer |
V12. | In the year prior to this event, did the victim leave an existing peer group? 1=yes (V12a. If yes, please specify _______________________________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No change. | V13 | In the year prior to this event, did the victim join a new peer group? 1=yes Specify____________ 2=no 7=not applicable 8=unknown 9=refused to answer |
V13 | In the year prior to this event, did the victim join a new peer group? 1=yes (V13a. If yes, please specify _______________________________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No change. | V14. | Did the victim use alcohol or drugs? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V14. | Did the victim use alcohol or other drugs? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No change. | V14a. | What types of substances did the victim use? Code later ........................................................................................................................................................................................................................................................................................................................................................................................................................ |
V14a. | If yes, what types of substances did the victim use? Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
Revised - word changed from "death" to " the fatal Incident" for consistency purposes. See LE 2015, question V15. | V15. | Was there evidence that the victim was intoxicated with alcohol or drugs at the time of death? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V15. | Was there evidence that the victim was intoxicated with alcohol or drugs at the time of the fatal incident? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
Revised - word changed from "death" to "fatal Incident" for consistency purposes. See LE 2015, question V16. | V16. | At the time of death, was the victim perceived by self or others to have a problem with, or to be addicted to, alcohol or other drugs? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V16. | At the time of the fatal incident, was the victim perceived by self or others to have a problem with, or to be addicted to, alcohol or other drugs? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
No Change in question - renumbered as V17. | V17. | Was the victim carrying a weapon at the time of the fatal injury? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V17. | Was the victim carrying a weapon at the time of the fatal injury? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as V17a. | V18. | At the time of the fatal injury, which of the following types of weapon was this victim carrying? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Weapon Code a) firearm Specify b) knife, razor, box cutter or other blade c) bat, pipe, chain, or other object d) rope or wire e) other Specify |
V17a. | At the time of the fatal injury, which of the following types of weapon was this victim carrying? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Weapon Code {O17a1} firearm {O17a1.1} If firearm selected, please specify {O17a2} knife, razor, box cutter or other blade {O17a3} bat, pipe, chain, or other object {O17a4} rope or wire {O17a5} other {O17a5.1} If other selected, please specify |
No Change in question - renumbered as V17b | V19. | Where did this victim obtain these weapons? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Weapons source Code a) from home specify weapon b) from friend or relative outside household specify weapon c) purchased for himself/herself specify weapon d) stolen specify weapon e) home-made weapon f) weapon of opportunity (used weapon already present in environment / used object in environment as weapon) g) from the victim specify weapon h) other _ specify weapon |
V17b. | Where did this victim obtain these weapons? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Weapons source Code {O17b1} from home {O17b1.1} specify weapon {O17b2} from friend or relative outside household {O17b2.1} specify weapon {O17b3} purchased for himself/herself {O17b3.1} specify weapon {O17b4} stolen {O17b4.1} specify weapon {O17b5} home-made weapon {O17b6} weapon of opportunity (used weapon already present in environment / used object in environment as weapon} {O17b7} from the victim {O17b7.1} specify weapon |
No Change in question - renumbered as V18. | V20. | What was the highest grade or year of school this victim completed? Do NOT read options, code leading zero 00-12=last completed grades K-12 13=high school equivalency (GED) 14=some college or trade school 15=college graduate or more 16=never attended 66=other (specify...............................................................................) 77=not applicable 88=unknown 99=refused to answer |
V18. | What was the highest grade or year of school this victim completed? Do NOT read options, code leading zero 00-12=last completed grades K-12 13=high school equivalency (GED) 14=some college or trade school 15=college graduate or more 16=never attended 66=other (V18a: If Other selected, please specify: ________________ ) 77=not applicable 88=unknown 99=refused to answer |
No Change in question - renumbered as V19. | V21. | What was the victim's affiliation with the school associated with this death? Do NOT read options, code leading zero 01=a student at this school 02=former student at this school 03=a student at another school 04=a teacher at this school* 05=administrator at this school* 06=other staff at this school* 07=security guard or law enforcement officer (SRO)* 08=family member of a student* 09=family member of staff member 10=resident of surrounding community* 11=not associated with the school or community* 12=unidentified victim* 66=other* (specify..........................................................................) 77=not applicable* 88=unknown* 99=refused to answer* |
V19. | What was the victim's affiliation with the school associated with this death? Do NOT read options, code leading zero 01=a student at this school 02=former student at this school 03=a student at another school 04=a teacher at this school* 05=administrator at this school* 06=other staff at this school* 07=security guard or law enforcement officer (SRO)* 08=family member of a student* 09=family member of staff member 10=resident of surrounding community* 11=not associated with the school or community* 12=unidentified victim* 66=other* (V19a: If Other selected, please specify: ......................................) 77=not applicable* 88=unknown* 99=refused to answer* |
No Change in question - renumbered as V20. | V22 | How many years had the victim attended his or her school? Do NOT read options; code leading zeros 00=less than one school year 01-12=number of years 13=more than 12 years 77=not applicable 88=unknown 99=refused to answer |
V20 | How many years had the victim attended his or her school? Do NOT read options; code leading zeros 00=less than one school year 01-12=number of years 13=more than 12 years 77=not applicable 88=unknown 99=refused to answer |
No Change in question - renumbered as V21. | V23. | What extracurricular activities was the victim involved in? To be coded later ........................................................................................................................................................................................................................................................................................................................................................ |
V21. | What extracurricular activities was the victim involved in? To be coded later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
Revised wording of question to only before the incident, as victim would be deceased after incident. Imminent crises captured by another question. See LE 2015 question V22. | V24. | Did the victim experience any school-related crises or traumatic events during the 2 weeks before or after this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V22. | Did the victim experience any school-related crises or traumatic events during the 2 weeks before this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as V22a. | V24a. | Please briefly describe the specific school-related crises or traumatic events experienced. Code later .................................................................................................................................................................................................................................................................... .................................................................................................................................. |
V22a. | Please briefly describe the specific school-related crises or traumatic events experienced. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
No Change in question - renumbered as V23. | V25. | Was a school-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V23. | Was a school-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as V24a. | V25a. | Please briefly describe the specific school-related crises or traumatic events that may have been imminent. Code later ........................................................................................................................................................................................................................................................................................................................................................................................................................ |
V23a. | Please briefly describe the specific school-related crises or traumatic events that may have been imminent. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
Revised wording of question to only before the incident, as victim would be deceased after incident. Imminent crises captured by another question. See LE 2015 question V24. | V26 | Did any the victim experience any community-related crises or traumatic events during the 2 weeks before or after this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V24 | Did the victim experience any community-related crises or traumatic events during the 2 weeks before this incident? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as V24a. | V26a. | Please briefly describe the specific community-related crises or traumatic events experienced. Code later ..................................................................................................................................................................................................................................................................................................................................................................................... |
V24a. | Please briefly describe the specific community-related crises or traumatic events experienced. Code later ............................................................................................................................................................................................................................................................................ ...................................................................................................................................... |
No Change in question - renumbered as V25. | V27. | Was a community-related crisis or traumatic event imminent within two weeks of the this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V25. | Was a community-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as V25a. | V27a. | Please briefly describe the specific community-related crises or traumatic events that may have been imminent. Code later ........................................................................................................................................................................................................................................................ |
V25a. | Please briefly describe the specific community-related crises or traumatic events that may have been imminent. Code later ............................................................................................................................................................................................................................................................................ |
Revised - rephrased time-frame of question, as victim would be deceased after incident. Imminent crises captured by another question. .See LE 2015, question V26. | V28. | Did any the victim experience any family-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V26. | Did the victim experience any family-related crises or traumatic events during the 2 weeks before this incident? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* If yes, proceed to V26a; *If answer is 2 -9, skip to Question V27. |
No Change | V28a. | Please briefly describe the specific family-related crises or traumatic events experienced. Code later ........................................................................................................................................................................................................................................................................................................................................................................................................................ |
V26a | Please briefly describe the specific family-related crises or traumatic events experienced. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
No Change | V29. | Was a family-related crisis or traumatic event imminent within two weeks of the this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V27. | Was a family-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* If yes, proceed to V27a; *If answer is 2 -9, skip to Question V28. |
No Change | V29a. | Please briefly describe the specific family-related crises or traumatic events that may have been imminent. Code later ................................................................................................................................................................................................................................................................................ ........................................................................................................................................ |
V27a. | Please briefly describe the specific family-related crises or traumatic events that may have been imminent. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question - Added to capture whether a relationship-related crisis was experienced prior to the incident. | V28. | Did the victim experience any relationship-related crises or traumatic events during the 2 weeks before the incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* If yes, proceed to V28a; *If answer is 2 -9, skip to Question V29. |
||
New Question - Added to capture the context of the relationship-related crisis experienced prior to the incident. | V28a | Please briefly describe the specific relationship-related crises or traumatic events experienced. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
||
New Question - Added to capture whether a relationship-related crisis was imminent within two weeks of the incident. | V29. | Was a relationship-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* If yes, proceed to V29a; *If answer is 2 -9, skip to Question V30. |
||
New Question - Added to capture the context of the imminent relationship-related crisis. | V29A. | Please briefly describe the specific relationship-related crises or traumatic events that may have been imminent. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
||
Revised to include additional behaviors. See LE 2015, item number V30. | V30. | To the best of your knowledge, in the 12 months prior to this event did the victim engage in any of the following behaviors? Coding instructions: 1=yes, 2=no, 8=unknown. Behavior Code {V30a} disobeying authority figure {V30b} namecalling, taunting, or teasing peers V30b.1 Face to face? V30b.2 Using Electronic means? {V30c} Verbal threats {V30d} sent written threats {V30e} sent electronic threats {V30f} Bullied peers {V30f} physically threatened peers {V30g} physically fought with peers {V30h} damaged another's personal property {V30i} damaged school property (tagging, vandalism etc…) {V30j}stole another's personal property {V30k} truancy (skipped school) {V30l} possessed / used illegal substances {V30m}possessed a weapon |
V30. | To the best of your knowledge, in the 12 months prior to this event did the victim engage in any of the following behaviors? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Behavior Code {V30a} disobeying authority figure {V30b} name-calling, taunting, or teasing peers If yes, please complete V30b.1 & V30b.2: V30b.1 Face to face? V30b.2 Using Electronic means? (e.g., phone, computer) {V30c} Verbal threats {V30d} sent written threats {V30e} sent electronic threats {V30f} Bullied peers {V30g} physically threatened peers {V30h} physically fought with peers {V30i} damaged another's personal property {V30j} damaged school property (tagging, vandalism etc…) {V30k} stole another's personal property {V30l} truancy (skipped school) {V30m} possessed / used illegal substances {V30n} possessed a weapon {V30o} physically threatened an authority figure |
No Change | V31. | To the best of your knowledge, in the 12 months prior to this event was this individual victimized in any of the following ways? Coding instructions: 1=yes, 2=no, 8=unknown. Type Code {V31.a} called names by peers {V31.b} bullied by peers {V31.c} had personal property damaged or stolen {V31.d}verbally threatened by peers {V31.e}received written threats {V31.f} electronic threats {V31.g}physically threatened by peers {V31.h}physically assaulted by peers |
V31. | To the best of your knowledge, in the 12 months prior to this event was this individual victimized in any of the following ways? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Type Code {V31a} called names by peers {V31b} bullied by peers {V31c} had personal property damaged or stolen {V31d} verbally threatened by peers {V31e} received written threats {V31f} electronic threats {V31g} physically threatened by peers {V31h} physically assaulted by peers |
Revised. - expanded question to include additional services and specification. See LE 2015, item number V32. | V32 | At the time of the event, did this victim have a diagnosed Learning Disability? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V32 | At the time of the event, did this victim have a diagnosed Learning Disability, physical disability, or physical health problem? Do not read options 1=yes (V32a. If yes, please specify. ____________________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised. - two items removed reflecting behaviors. See LE 2015, item number V33. | V33. | In the year prior to this event, did this victim receive any of the following services? Coding instructions: 1=yes, 2=no, 8=unknown. Services Code { V33a} guidance counseling / advising { V33b} psychological counseling {V33c} Psychiatric or mental health services {V33d} social services {V33e} supplemental educational services (including efforts to address learning disabilities) {V33f} other services Specify |
V33. | In the year prior to this event, did this victim receive any of the following services? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Services Code {V33a} guidance counseling / advising {V33b} social services {V33c} supplemental educational services (including efforts to address learning disabilities, such as a formal school psychoeducational evaluation) {V33d} other services {V33d.1} If Other selected, please specify: |
No Change | V34. | In the year prior to this event, was this victim ever treated for depression? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V34. | In the year prior to this event, was this victim ever treated for depression? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
Revised. - wording added to include example of professional treatment and question renumbered as V35. | V35. | Had the victim ever received professional treatment for any other emotional or mental health problem? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V35. | Had the victim ever received professional treatment for any other emotional or mental health problem, such as by a psychiatrist/psychologist? _ Do not read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as V35a. | V36. | If yes, What specific kinds of emotional or mental health problems were treated? To be coded later ........................................................................................................................................................................................................................................................................................................................................................ |
V35a. | If yes, what specific kinds of emotional or mental health problems were treated? To be coded later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question - Added to capture the type of setting in which the alleged offender was treated for mental health problems. | V35b | In what type of setting were they treated? To be coded later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
||
No Change in question - renumbered as V36. | V37. | Did this victim have a documented family history of ..... Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code {V37.a} alcoholism {V37.b} drug abuse {V37.c} intimate partner violence {V37.d} sexual violence {V37.e}attempted / completed suicide {V37.f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) |
V36. | Did this victim have a documented family history of .... Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) Code {V36a} alcoholism {V36b} drug abuse {V36c} intimate partner violence {V36d} sexual violence {V36e} attempted / completed suicide {V36f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) |
No Change in question - renumbered as V37. | V38. | Did this victim suffer Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code {V38.a} physical child abuse {V38.b} sexual child abuse {V38.c} emotional / psychological abuse as a child {V38.d} neglect {V38.e} victimization in intimate partner violence_/ teen dating violence {V38.f} victimization in sexual violence |
V37. | Did this victim suffer Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) Code {V37a} physical child abuse {V37b} sexual child abuse {V37c} emotional / psychological abuse as a child {V37d} neglect {V37e} victimization in intimate partner violence_/ teen dating violence {V37f} victimization in sexual violence |
No Change in question - renumbered as V38. | V39. | To the best of your knowledge, did this victim have a suspected family history of ..... Read only those options not confirmed above, Coding instructions: 1=yes, 2=no, 8=unknown. Code {V39.1} alcoholism {V39.2} drug abuse {V39.3} intimate partner violence {V39.4} sexual violence {V39.5}attempted / completed suicide {V39.6} arrests / convictions for violent offenses (e.g., assault, homicide etc…) |
V38. | To the best of your knowledge, did this victim have a suspected family history of .... Read only those options not confirmed above, Coding instructions: 1=yes, 2=no, 8=unknown. Code {V38a} alcoholism {V38b} drug abuse {V38c} intimate partner violence {V38d} sexual violence {V38e} attempted / completed suicide {V38f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) |
No Change in question - renumbered as V39. | V40. | Which of the following situations best describes this victim's death? Read options; code leading zero 01= single victim suicide* 02= multiple victim suicide* 03= single victim homicide; unknown number of offenders 04= single victim homicide; single offender 05= single victim homicide; multiple offenders 06= multiple victim homicide; unknown number of offenders 07= multiple victim homicide; single offender 08= multiple victim homicide; multiple offenders 09= combination murder/suicide 10= intention undetermined 66= other (specify........................................................................................................) 77=not applicable 88=unknown 99=refused to answer |
V39. | Which of the following situations best describes this victim's death? Read options; code leading zero 01= single victim suicide* 02= multiple victim suicide* (i.e., suicide pact) 03= single victim homicide; unknown number of offenders 04= single victim homicide; single offender 05= single victim homicide; multiple offenders 06= multiple victim homicide; unknown number of offenders 07= multiple victim homicide; single offender 08= multiple victim homicide; multiple offenders 09= combination murder/suicide 10= intention undetermined 66= other (V39a: If Other selected, please specify...................................) 77=not applicable 88=unknown 99=refused to answer |
New Question - Added to capture information on whether the victim ever engaged in non-suicidal self harm | V40. | Did the victim ever do something to purposely hurt him/herself without wanting to die, such as cutting or burning him/herself on purpose, engaging in the choking game, etc.? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
||
New Question - Added to identify to whom self-harm behavior may have been reported. | V40a.. | To whom was this self-harm behavior reported? Do not read options (Answer all options) Code {V40a1} no one {V40a2} parents {V40a3} other family {V40a4} peers {V40a5} school staff {V40a6} other medical/mental health professional {V40a7} other {V40a7a} If Other selected, please specify: {V40a8} not applicable {V40a9} unknown {V40a10} refused to answer |
||
New Question - Added to capture information on what actions the school took in response to reports of victim's self-harm behavior | V40b. | What, if any, actions were taken in response to this self-harm behavior? .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
||
No Change | V41. | Do you have any knowledge that this victim had, in the year prior to this event exhibited any of the following signs and symptoms of suicide? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Signs Code {V41.a} Thoughts/threats of suicide {V41.b} Plans of suicide {V41.c} Previous suicide attempts |
V41. | Do you have any knowledge that this victim had, in the year prior to this event exhibited any of the following signs and symptoms of suicide? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) Signs Code {V41a} Thoughts/threats of suicide {V41b} Plans of suicide {V41c} Previous suicide attempts |
No Change in question - renumbered as V41d. | V42. | To whom was this suicidal behavior reported? Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. Select all applicable options. Code 01=no one 02=parents 03=other family 04=peers 05=school staff 06=other medical/mental health professional 66=other Specify 77=not applicable 88=unknown 99=refused to answer |
V41d. | To whom was this suicidal behavior reported? Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. Select all applicable options. Code {V41d1} no one {V41d2} parents {V41d3} other family {V41d4} peers {V41d5} school staff {V41d6} other medical/mental health professional {V41d7} other {V41d7a}: If Other selected, please specify {V41d8} not applicable {V41d9} unknown {V41d10} refused to answer |
No Change in question - renumbered as V41e. | V43. | What, if any, actions were taken in response to this suicidal behavior? ........................................................................................................................................................................................................................................................................................................................................................ |
V41e. | What, if any, actions were taken in response to this suicidal behavior? ........................................................................................................................................................................................................................................................................................................................................................ |
No Change in question - renumbered as V42. | V44. | Did perceptions about the victim being gay, bisexual, or transgendered contribute to their victimization? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V42. | Did perceptions about the victim being gay, bisexual, or transgendered contribute to their victimization? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
No Change in question - renumbered as V43. | V45. | Were there any victims that suffered nonfatal injuries at the time of this event? Do not read options 1=yes 2=no* (insert prompt to skip the next set of questions) 7=not applicable* 8=unknown* 9=refused to answer* |
V43. | Were there any victims that suffered nonfatal injuries at the time of this event? Do not read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer |
No Change in question - renumbered as V43a. | V46. | How many persons suffered non-fatal injuries at the time of this event? 01-##=actual number of nonfatal injuries 77=not applicable 88=unknown 99=refused to answer |
V43a. | How many persons suffered non-fatal injuries at the time of this event? 01-##=actual number of nonfatal injuries 77=not applicable 88=unknown 99=refused to answer |
No Change in question - renumbered as V43b. | V47. | How many victims that suffered nonfatal injuries required hospital admission? 00-##=actual number of nonfatal injuries that required hospital admission 77=not applicable 88=unknown 99=refused to answer |
V43b. | How many victims that suffered non-fatal injuries required hospital admission? 00-##=actual number of nonfatal injuries that required hospital admission 77=not applicable 88=unknown 99=refused to answer |
No Change in question - renumbered as V44. | V48. | How many alleged offenders were responsible for the victim's death? Do NOT read options (PROBE: alleged offender = legally charged as offender) 0=none, death was self-inflicted 1-5=actual number of offenders* 6=more than 5* 7=not applicable 8=unknown 9=refused to answer |
V44. | How many alleged offenders were responsible for the victim's death? Do NOT read options (PROBE: alleged offender = legally charged as offender) 0=none, death was self-inflicted 1-5=actual number of offenders* 6=more than 5* 7=not applicable 8=unknown 9=refused to answer |
QUESTIONS about Alleged Offender | ||||
No Change | CaseID | Case ID Number Case number is assigned by study coordinator. _ _ _ _ _ |
CaseID | Case ID Number _ _ _ _ Case number is assigned by study coordinator. |
No Change | O01. | How many alleged offenders were officially charged for this incident? Write in actual number. _ _ |
O01. | How many alleged offenders were officially charged for this incident? _ _ Write in actual number. |
No Change | O01a. | Offender Number Number for this offender is assigned by the primary data collector. |
O01a. | Offender Number _ Number for this alleged offender is assigned by the primary data collector |
No Change | O02. | What was this alleged offender's date of birth? Record month/date/year, code leading zeros, code four-digit years _ _/_ _/_ _ _ _ |
O02. | What was this alleged offender's date of birth? _ _/_ _/_ _ _ _ Record month/date/year, code leading zeros, code four-digit years |
Revised age to 3 digit field to allow 100 years of age. | O03. | What was this alleged offender's age in years at time of victim's death?_ _ 01-∞=actual age in years 77=not applicable 88=unknown 99=refused to answer |
O03. | What was this alleged offender's age in years at time of victim's death? _ _ _ Do NOT read options, code leading zero 01-100=actual age in years 777=not applicable 888=unknown 999=refused to answer |
No Change | O04. | What was this alleged offender's gender? 1=male 2=female 3=transgender 7=not applicable 8=unknown 9=refused to answer |
O04. | What was this alleged offender's gender? Do NOT read options 1=male 2=female 3=transgender 7=not applicable 8=unknown 9=refused to answer |
No Change | O05. | What was this alleged offender's race? 1 White 2 Black or African American 3 American Indian or Alaska Native 4 Asian Indian 5 Chinese 6 Filipino 7 Japanese 8 Korean 9 Vietnamese 10 Other Asian 11 Native Hawaiian 12 Guamanian or Chamorro 13 Samoan 14 Other Pacific Islander 15 Other (Specify) ______________ 88 Unknown—a person’s race is unknown 99 Refused to Answer |
O05. | What was this alleged offender's race? Do NOT read options 1 =White 2 =Black or African American 3 =American Indian or Alaska Native 4 =Asian Indian 5 =Chinese 6=Filipino 7=Japanese 8=Korean 9=Vietnamese 10=Other Asian 11=Native Hawaiian 12=Guamanian or Chamorro 13=Samoan 14=Other Pacific Islander 15=Other (O05a: If Other selected, please specify__________________________________) 88 =Unknown—a person’s race is unknown 99=Refused to Answer |
Revised - options reworded in order to capture multiple responses to question. See LE 2015, question O07. | O06. | Was this alleged offender of Hispanic, Latino/a ,or Spanish Origin? (One or more categories may be selected) origin? 1 Not Hispanic or Latino/a or Spanish origin 2 Yes, Mexican, Mexican American, Chicano/a 3 Yes, Puerto Rican 4 Yes, Cuban 5 Yes, another Hispanic, Latino, or Spanish origin 9 Unknown if elder is of Hispanic or Latino origin |
O06. | Was this alleged offender of Hispanic, Latino/a, or Spanish Origin? (One or more categories may be selected)? Do NOT read options Coding instructions: 1=yes, 2=no Code {O06a} Hispanic or Latino/a or Spanish origin {O06b} Mexican, Mexican American, Chicano/a {O06c} Puerto Rican {O06d} Cuban {O06e} Another Hispanic, Latino, or Spanish origin {O06f} Unknown {O06g} Refused to answer |
No Change | O07. | Which of the following best describes this alleged offender's family structure or living arrangements at the time of the victim's death? 01= two-parent nuclear family 02= single parent household 03= lives with adult relative other than parent 04= lives with legal guardian 05= lives independently 06= foster care 07= residential institution 66= other (specify:...................) 77=not applicable 88=unknown 99=refused to answer |
O07. | Which of the following best describes this alleged offender's family structure or living arrangements at the time of the victim's death? Read options 01= two-parent nuclear family 02= single parent household 03= lives with adult relative other than parent 04= lives with legal guardian 05= lives independently 06= foster care 07= residential institution 66= other (O07a: If Other selected, please specify__________________________________) 77=not applicable 88=unknown 99=refused to answer |
No Change | O08. | Had this alleged offender ever been arrested before the victim's death? Do NOT read options 1=yes 2=no* 7=not applicable 8=unknown 9=refused to answer |
O08. | Had this alleged offender ever been arrested before the victim's death? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
No Change | O09. | Had this alleged offender ever been charged with a crime before the victim's death? Do NOT read options 1=yes 2=no* 7=not applicable 8=unknown 9=refused to answer |
O09. | Had this alleged offender ever been charged with a crime before the victim's death? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change | O09a. | What types of charges did the alleged offender face? Code later ........................................................................................................................................................................................................................................................ |
O09a. | What types of charges did the alleged offender face? Code later ........................................................................................................................................................................................................................................................................................................................................................ |
No Change | O09b. | Which charges resulted in convictions? Code later ........................................................................................................................................................................................................................................................................................................................................................ |
O09b. | Which charges resulted in convictions? Code later ........................................................................................................................................................................................................................................................................................................................................................ |
No Change | O10. | Youth often affiliate with distinct peer groups. To your knowledge, was the alleged offender associated with any distinct peer group? 1=yes 2=no 7=not applicable 8=unknown 9=refused |
O10. | Youth often affiliate with distinct peer groups. To your knowledge, was the alleged offender associated with any distinct peer group? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused* |
No Change | O10a. | What group(s) were they affiliated with? Code later ................................................................................................................................................................................................................................................ |
O10a. | What group(s) were they affiliated with? Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
Revised. - wording added "alleged" and question renumbered as O10b. | O11 | In the year prior to this event, did the offender leave an existing peer group? 1=yes Specify _________________________ 2=no 7=not applicable 8=unknown 9=refused to answer |
O10b. | In the year prior to this event, did the alleged offender leave an existing peer group? Do NOT read options 1=yes (O10b1. If yes, please specify ____________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised. - wording added "alleged" and question renumbered as O10c. | O12 | In the year prior to this event, did the offender or join a new peer group? 1=yes Specify_____________ 2=no 7=not applicable 8=unknown 9=refused to answer |
O10c. | In the year prior to this event, did the alleged offender or join a new peer group? Do NOT read options 1=yes (O10c1. If yes, please specify _____________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised. - wording change from "death" to "incident" and renumbered to O11. | O13. | Did this alleged offender use alcohol or drugs at the time of the victim's death? 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O11. | Did this alleged offender use alcohol or drugs at the time of the incident? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
No Change in question - renumbered as O11a. | O13a. | What types of substances did the alleged offender use? Code later ........................................................................................................................................................................................................................................................ |
O11a. | If yes, what types of substances did the alleged offender use? Code later ............................................................................................................................................................................................................................................................................ |
No Change in question - renumbered as O12. | O14. | Was there evidence that this alleged offender was intoxicated with alcohol or drugs at the time of the victim's death? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O12. | Was there evidence that this alleged offender was intoxicated with alcohol or drugs at the time of the victim's death? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
No Change in question - renumbered as O13. | O15. | At the time of death, was the alleged offender perceived by self or others to have a problem with, or to be addicted to, alcohol or other drugs? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O13. | At the time of death, was the alleged offender perceived by self or others to have a problem with, or to be addicted to, alcohol or other drugs? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
No Change in question - renumbered as O14. | O16. | What was the relationship of this alleged offender to the victim? code written responses later 01= relatives (specify..................) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (specify......................) 77=not applicable 88=unknown 99=refused to answer |
O14. | What was the relationship of this alleged offender to the victim? Read options; code written responses later 01= relatives (O14a: If relatives selected, specify relationship________________) 02= romantic partner 03= close friend 04= classmate 05= faculty/staff 06= fellow student at school, but not classmate 07= community / neighborhood acquaintance 08= strangers 66= other (O14b: If Other selected, please specify_______________________) 77=not applicable 88=unknown 99=refused to answer |
No Change in question - renumbered as O15. | O17. | Was this alleged offender carrying a weapon at the time of the fatal injury? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O15. | Was this alleged offender carrying a weapon at the time of the fatal injury? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as O15a. | O18. | At the time of the fatal injury, which of the following types of weapon was this alleged offender carrying? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Weapon Code a) firearm Specify b) knife, razor, box cutter or other blade c) bat, pipe, chain, or other object d) rope or wire e) other Specify |
O15a. | At the time of the fatal injury, which of the following types of weapon was this alleged offender carrying? (Answer all options) Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Weapon Code {O15a1} firearm {O15a1.1} If firearm selected, please specify {O15a2} knife, razor, box cutter or other blade {O15a3} bat, pipe, chain, or other object {O15a4} rope or wire {O15a5} other {O15a5.1} If other selected, please specify |
No Change in question - renumbered as O15b. | O19. | Where did this alleged offender obtain these weapons? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Weapons source Code a) from home specify weapon b) from friend or relative outside household specify weapon c) purchased for himself/herself specify weapon d) stolen specify weapon e) home-made weapon f) weapon of opportunity (used weapon already present in environment / used object in environment as weapon) g) from the victim specify weapon h) other _ specify weapon |
O15b. | Where did this alleged offender obtain these weapons? (Answer all options) Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Weapons source Code {O15b1} from home {O15b1.1} specify weapon {O15b2} from friend or relative outside household {O15b2.1} specify weapon {O15b3} purchased for himself/herself {O15b3.1} specify weapon {O15b4} stolen {O15b4.1} specify weapon {O15b5} home-made weapon {O15b6} weapon of opportunity (used weapon already present in environment / used object in environment as weapon} {O15b7} from the victim {O15b7.1} specify weapon {O15b8} other {O15b8.1} specify weapon |
No Change in question - renumbered as O16. | O20. | What was the highest grade or year of school this alleged offender completed? Do NOT read options, code leading zero 00-12=last completed grades K-12 13=high school equivalency (GED) 14=some college or trade school 15=college graduate or more 16=never attended 66=other (specify..................) 77=not applicable 88=unknown 99=refused to answer |
O16. | What was the highest grade or year of school this alleged offender completed? Do NOT read options, code leading zero 00-12=last completed grades K-12 13=high school equivalency (GED) 14=some college or trade school 15=college graduate or more 16=never attended 66=other (O16a: If Other selected, please specify__________________________________) 77=not applicable 88=unknown 99=refused to answer |
No Change in question - renumbered as O17. | O21. | What was this alleged offender's affiliation with the school associated with the victim's death? Do NOT read options, code leading zero 01=a student at this school 02=former student at this school 03=a student at another school 04=a teacher at this school* 05=administrator at this school* 06=other staff at this school* 07=security guard or law enforcement officer (SRO)* 08=family member of a student* 09family member of staff member 10=resident of surrounding community* 11=not associated with the school or community* 12=unidentified victim* 66=other* (specify............................................................................) 77=not applicable* 88=unknown* 99=refused to answer* |
O17. | What was this alleged offender's affiliation with the school associated with the victim's death? Do NOT read options, code leading zero 02=former student at this school 03=a student at another school 04=a teacher at this school* 05=administrator at this school* 06=other staff at this school* 07=security guard or law enforcement officer (SRO)* 08=family member of a student* 09family member of staff member 10=resident of surrounding community* 11=not associated with the school or community* 12=unidentified victim* 66=other* (O17a: If Other selected, please specify_______________________) 77=not applicable* 88=unknown* 99=refused to answer* |
No Change in question - renumbered as O18. | O22. | For how many years has this alleged offender attended his or her school? Do NOT read options; code leading zeros 00=less than one school year 01-12=number of years 13=more than 12 years 77=not applicable 88=unknown 99=refused to answer |
O18. | For how many years has this alleged offender attended his or her school? Do NOT read options; code leading zeros 00=less than one school year 01-12=number of years 13=more than 12 years 77=not applicable 88=unknown 99=refused to answer |
No Change in question - renumbered as O19. | O23. | What extracurricular activities was this alleged offender involved in at the time of the victim's death? to be coded later; please note the sources. ........................................................................................................................................................................................................................................................ |
O19. | What extracurricular activities was this alleged offender involved in at the time of the victim's death? to be coded later; please note the sources. .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
Revised - rephrased time-frame of question, as imminent crises are captured by another item.See SH 2015, question O20. | O24. | Did any the offender experience any school-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O20. | Did the alleged offender experience any school-related crises or traumatic events during the 2 weeks before this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as O20a. | O24a. | Please briefly describe the specific school-related crises or traumatic events experienced. Code later ........................................................................................................................................................................................................................................................ |
O20a. | Please briefly describe the specific school-related crises or traumatic events experienced. Code later ...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... |
No Change in question - renumbered as O21. | O25. | Was a school-related crisis or traumatic event imminent within two weeks of the this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O21. | Was a school-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as O21a. | O25a. | Please briefly describe the specific school-related crises or traumatic events that may have been imminent. Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
O21a. | Please briefly describe the specific school-related crises or traumatic events that may have been imminent. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
Revised - rephrased time-frame of question, as imminent crises are captured by another item.See SH 2015, question O22. | O26. | Did any the offender experience any community-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O22. | Did the alleged offender experience any community-related crises or traumatic events during the 2 weeks before this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as O22a. | O26a. | Please briefly describe the specific community-related crises or traumatic events experienced. Code later .................................................................................................................................................................................................................................................................................... |
O22a. | Please briefly describe the specific community-related crises or traumatic events experienced. Code later .................................................................................................................................................................................................................................................................................................. |
No Change in question - renumbered as O23. | O27. | Was a community-related crisis or traumatic event imminent within two weeks of the this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O23. | Was a community-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as O23a. | O27a. | Please briefly describe the specific community-related crises or traumatic events that may have been imminent. Code later ..................................................................................................................................................................................................................................................................................................................................................................................... |
O23a. | Please briefly describe the specific community-related crises or traumatic events that may have been imminent. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
No Change in question - renumbered as O24. | O28. | Did the alleged offender experience any family-related crises or traumatic events during the 2 weeks before or after this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O24. | Did the alleged offender experience any family-related crises or traumatic events during the 2 weeks before this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as O24a. | O28a. | Please briefly describe the specific family-related crises or traumatic events experienced. Code later ..................................................................................................................................................................................................................................................................................................................................................................................... |
O24a. | Please briefly describe the specific family-related crises or traumatic events experienced. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
No Change in question - renumbered as O25. | O29. | Was a family-related crisis or traumatic event imminent within two weeks of the this incident? If yes, please specify : Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O25. | Was a family-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as O25a. | O29a. | Please briefly describe the specific family-related crises or traumatic events that may have been imminent. Code later ........................................................................................................................................................................................................................................................................................................................................................................................................................ |
O25a. | Please briefly describe the specific family-related crises or traumatic events that may have been imminent. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question - Added to capture whether a relationship-related crisis was experienced prior to the incident. | Q26. | Did the alleged offender experience any relationship-related crises or traumatic events during the 2 weeks before this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
||
New Question - Added to capture the context of the relationship-related crisis experienced prior to the incident. | Q26a. | Please briefly describe the specific relationship-related crises or traumatic events experienced. Code later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
||
New Question - Added to capture whether a relationship-related crisis was imminent within two weeks of the incident. | Q27. | Was a relationship-related crisis or traumatic event imminent within two weeks of this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
||
New Question - Added to capture the context of the imminent relationship-related crisis. | O27a. | Please briefly describe the specific relationship-related crises or traumatic events that may have been imminent. Code later .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
||
No Change in question - renumbered as O28. | O30. | To the best of your knowledge, in the 12 months prior to this event did the alleged offender engage in any of the following behaviors? Coding instructions: 1=yes, 2=no, 8=unknown. Behavior Code {O30.a} disobeying authority figure {O30.b} namecalling, taunting, or teasing peers O30b.1 Face to face? O30b.2 Using Electronic means? {O30.c} Verbal threats {O30.d} sent written threats {O30.e} sent electronic threats {O30.f} Bullied peers {O30.f} physically threatened peers {O30.g} physical fought with peers {O30.h} damaged another's personal property {O30.i} damaged school property (tagging, vandalism etc…) {O30.j}stole another's personal property {O30.k} truancy (skipped school) {O30.l} possessed / used illegal substances {O30.m}possessed a weapon |
O28. | To the best of your knowledge, in the 12 months prior to this event did the alleged offender engage in any of the following behaviors? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Behavior Code {O28a} disobeying authority figure {O28b} name-calling, taunting, or teasing peers If yes to O28b, please complete O28b.1 & O28b.2: O28b.1 Face to face? O28b.2 Using Electronic means? (e.g., phone, computer) {O28c} verbal threats {O28d} sent written threats {O28e} sent electronic threats {O28f} bullied peers {O28g} physically threatened peers {O28h} physically fought with peers {O28i} damaged another's personal property {O28j} damaged school property (tagging, vandalism etc…) {O28k} stole another's personal property {O28l} truancy (skipped school) {O28m} possessed / used illegal substances {O28n} possessed a weapon |
No Change in question - renumbered as O28. | O31. | To the best of your knowledge, in the 12 months prior to this event was this alleged offender victimized in any of the following ways? Coding instructions: 1=yes, 2=no, 8=unknown. Type Code {O31.a} called names by peers {O31.b} bullied by peers {O31.c} had personal property damaged or stolen {O31.d}verbally threatened by peers {O31.e}received written threats {O31.f} electronic threats {O31.g}physically threatened by peers {O31.h}physically assaulted by peers |
O29. | To the best of your knowledge, in the 12 months prior to this event was this alleged offender victimized in any of the following ways? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Type Code {O29a} called names by peers {O29b} bullied by peers {O29c} had personal property damaged or stolen {O29d} verbally threatened by peers {O29e} received written threats {O29f} electronic threats {O29g} physically threatened by peers {O29h} physically assaulted by peers |
Revised. - wording added to include example of types of problems experienced and question renumbered as O30. | O32. | At the time of the event, did this alleged offender have a diagnosed Learning Disability? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O30. | At the time of the event, did this alleged offender have a diagnosed Learning Disability, physical disability, or physical health problem? Do NOT read options 1=yes (O30a: If yes, please specify__________________________________) 2=no 7=not applicable 8=unknown 9=refused to answer |
No Change in question - renumbered as O28. | O33. | In the year prior to this event, did this alleged offender receive any of the following services? Coding instructions: 1=yes, 2=no, 8=unknown. Services Code {O33.a} guidance counseling / advising {O33.b} psychological counseling {O33.c} Psychiatric or mental health services {O33.d} social services {O33.e} supplemental educational services (including efforts to address learning disabilities) {O33.f} other services Specify |
O31. | In the year prior to this event, did this alleged offender receive any of the following services? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Services Code {O31a} guidance counseling / advising {O31b} social services {O31c} supplemental educational services (including efforts to address learning disabilities), such as a formal school psychoeducational evaluation {O31d} other services {O31d.1} If Other selected, please specify |
No Change in question - renumbered as O34. | O34. | In the year prior to this event, was this alleged offender ever treated for depression? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O32. | In the year prior to this event, was this alleged offender ever treated for depression? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
Revised. - wording added to include example of professional treatment and question renumbered as O35. | O35. | Had the alleged offender ever received professional treatment for any other emotional or mental health problem? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O33. | Had the alleged offender ever received professional treatment for any other emotional or mental health problem, such as by a psychiatrist/psychologist? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as O33a. | O35a. | If yes, what specific kinds of emotional or mental health problems were treated? To be coded later ........................................................................................................................................................................................................................................................................................................................................................ |
O33a. | If yes, what specific kinds of emotional or mental health problems were treated? To be coded later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
New Question - Added to capture the type of setting in which the alleged offender was treated for mental health problems. | O33b. | In what type of setting were they treated (e.g., inpatient, outpatient)? To be coded later ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
||
No Change in question - renumbered as O34. | O36. | Did this alleged offender have a documented family history of ..... Coding instructions: 1=yes, 2=no, 8=unknown. Code {O36.a} alcoholism {O36.b} drug abuse {O36.c} intimate partner violence {O36.d} sexual violence {O36.e}attempted / completed suicide {O36.f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) |
O34. | Did this alleged offender have a documented family history of .... Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) Code {O34a} alcoholism {O34b} drug abuse {O34c} intimate partner violence {O34d} sexual violence {O34e} attempted / completed suicide {O34f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) |
No Change in question - renumbered as O35. | O37. | Did this alleged offender suffer Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code {O37.a} physical child abuse {O37.b} sexual child abuse {O37.c} emotional / psychological abuse as a child {O37.d} neglect {O37.e} victimization in intimate partner violence_/ teen dating violence {O37.f} victimization in sexual violence |
O35. | Did this alleged offender suffer Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) Code {O35a} physical child abuse {O35b} sexual child abuse {O35c} emotional / psychological abuse as a child {O35d} neglect {O35e} victimization in intimate partner violence_/ teen dating violence {O35f} victimization in sexual violence |
New Question - Added to capture information on whether alleged offender ever engaged in non-suicidal self harm | O36. | Did the alleged offender ever do something to purposely hurt him/herself without wanting to die, such as cutting or burning him/herself on purpose, engaging in the choking game, etc.? Do not read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
||
New Question - Added to identify to whom self-harm behavior may have been reported. | O36a. | To whom was this self-harm behavior reported? Do not read options (Answer all options) Code {O36a1} no one {O36a2} parents {O36a3} other family {O36a4} peers {O36a5} school staff {O36a6} other medical/mental health professional {O36a7} other {O36a7a} If Other selected, please specify: {O36a8} not applicable {O36a9} unknown {O36a10} refused to answer |
||
New Question - Added to capture information on what actions the school took in response to reports of offender's self-harm behavior | O36b. | What, if any, actions were taken in response to this self-harm behavior? ....................................................................................................................................................................................................................................................................................................................................................................................................................................... |
||
No Change in question - renumbered as O37. | O38. | Do you have any knowledge that this alleged offender had, in the year prior to this event exhibited any of the following signs and symptoms of suicide? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Signs Code {O38.a} Thoughts/threats of suicide {O38.b} Plans of suicide {O38.c} Previous suicide attempts |
O37 | Do you have any knowledge that this alleged offender had, in the year prior to this event exhibited any of the following signs and symptoms of suicide? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Signs Code {O37a} Thoughts/threats of suicide {O37b} Plans of suicide {O37c} Previous suicide attempts |
No Change in question - renumbered as O37d. | O39. | To whom was this suicidal behavior reported? Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. Select all applicable options. Code 01=no one 02=parents 03=other family 04=peers 05=school staff 06=other medical/mental health professional 66=other Specify 77=not applicable 88=unknown 99=refused to answer |
O37d. | To whom was this suicidal behavior reported? Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. Select all applicable options. Code {O37d1} no one {O37d2} parents {O37d3} other family {O37d4} peers {O37d5} school staff {O37d6} other medical/mental health professional {O37d7} other {O37d7a}) If Other selected, please specify {O37d8} not applicable {O37d9} unknown {O37d10} refused to answer |
No Change in question - renumbered as O37e. | O40. | What, if any, actions were taken in response to this suicidal behavior? To be coded later ............................................................................................................................................................................................................................................................................ ...................................................................................................................................... |
O37e. | What, if any, actions were taken in response to this suicidal behavior? To be coded later .......................................................................................................................................................................................................................................................................................... ............................................................................................................................................. |
No Change in question - renumbered as O38. | O41. | Was this alleged offender fatally injured during the event? Do NOT read options 1=yes 2=no* 7=not applicable 8=unknown 9=refused to answer |
O38. | Was this alleged offender fatally injured during the event? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
No Change in question - renumbered as O39. | O42. | What was the date of the injury event? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ |
O39. | What was the date of the injury event? _ _/_ _/_ _ _ _ Record month/date/year, code leading zeros (code four-digit years) |
No Change in question - renumbered as O40. | O43. | What was the time of the injury event? Record in military time _ _ _ _ |
O40. | What was the time of the injury event? _ _: _ _ Record in military time |
No Change in question - renumbered as O41. | O44. | What was the date of death? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ |
O41. | What was the date of death? _ _/_ _/_ _ _ _ Record month/date/year, code leading zeros (code four-digit years) |
No Change in question - renumbered as O42. | O45. | What were the motives for the fatal injury? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable motives. Motive Code a) single suicide b) suicide pact c) alleged offender killed by law enforcement or security personnel d) alleged offender killed by civilian during commission of a crime e) other specif y |
O42. | What were the motives for the fatal injury? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; code all applicable motives. Motive Code {O42a} single suicide {O42b} suicide pact {O42c} victim killed by law enforcement or security personnel {O42d} victim killed by civilian during commission of a crime {O42e} other {O42e1} If Other selected, please specify: |
No Change in question - renumbered as O43. | O46. | Briefly describe the circumstances of the fatal injury and events leading up to it, including history of prior conflicts between the principles, etc. Code later .................................................................................................................................................................................................................................................................................................................................................................................... |
O43. | Briefly describe the circumstances of the fatal injury and events leading up to it, including history of prior conflicts between those involved, etc. Code later .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. |
No Change in question - renumbered as O44. | O47. | What was the method of fatal injury? Weapon Code a) firearm Specify b) knife, razor, box cutter or other blade c) bat, pipe, chain, or other object d) rope or wire e) other Specify |
O44. | What was the method of fatal injury? Weapon Code {O44a} firearm {O44a1}) - If firearm selected, please specify {O44b} knife, razor, box cutter or other blade {O44c} bat, pipe, chain, or other object {O44d} rope or wire {O44e} other {O44} - If Other selected, please specify |
No Change in question - renumbered as O45. | O48. | Did perceptions about the offender being gay, bisexual, or transgendered contribute to their perpetration? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O45. | Did perceptions about the alleged offender being gay, bisexual, or transgendered contribute to their perpetration? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
No Change in question - renumbered as O46. | O49. | Was there evidence that this alleged offender was targeting a specific person or group? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O46. | Was there evidence that this alleged offender was targeting a specific person or group? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
No Change in question - renumbered as O47. | O50. | Was there another alleged offender, in addition to the one we just discussed, involved in this event? Do NOT read options 1=yes* 2=no 7=not applicable 8=unknown 9=refused to answer |
O47. | Was there another alleged offender, in addition to the one we just discussed, involved in this event? Do NOT read options 1=yes* 2=no 7=not applicable 8=unknown 9=refused to answer |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |