Download:
pdf |
pdf0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
START NEW CARD
DUP COL 1 - 10
MOD.
E
3
[11-12]
CARD NO. 0
1
b
[13-14]
[15]
CD
Now I want to ask you some questions about other things ________ may have done that
can get people into trouble.
For this set of questions I will start off by asking if [he/she] has done something at any
time in [his/her] life, and then I’ll ask whether [he/she] did it in the last year – that is, since
[[NAME EVENT]/[NAME CURRENT MONTH] of last year].
OPTIONAL STATEMENT
READ THIS ONLY IF IT HAS BEEN APPROVED FOR YOUR STUDY
Some of the questions are very personal, but all of your answers are confidential and
won’t be repeated to anyone else.
1.
Thinking about [his/her] whole life, has ________ ever secretly stolen money or
other things from [you (or [his/her] family)/[his/her] family] or from other people
[he/she] lives with?
0
2*
7
9
[16]
2.
Has [he/she] ever shoplifted, that is stolen something from a store when [he/she]
thought no one was looking?
0
2*
7
9
[17]
3.
Has [he/she] ever stolen from anyone else when they weren’t around or weren’t
looking?
0
2*
7
9
[18]
4.
Has [he/she] ever faked someone’s name on a check or used someone’s credit card
without permission?
0
2*
7
9
[19]
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 37
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
IF * RESPONSE TO Q 1, 2, 3 OR 4, ASK:
5.
In the last year – that is, since [[NAME EVENT]/[NAME CURRENT
MONTH] of last year] – has ________ [NAME * SYMPTOMS IN Q 1 - 4]?
‹0›
‹[2]› ‹7›
‹9›
[20]
IF YES,
Has [he/she] [stolen/shoplifted/faked someone’s name] more
than once in the last year?
0
2
7
9
[21]
IF YES,
0
2
7
9
[22]
C. Did [he/she] [steal/shoplift/
fake someone’s name] more
than ten times in the last year?
0
2
7
9
[23]
In the last year, when [he/she] [stole/shoplifted/faked
someone’s name] – did [he/she] ever [take/get] anything
worth more than $20?
0
2
7
9
[24]
IF NO,
E. Did [he/she] ever take anything worth more
than $5?
0
2
7
9
[25]
Has [he/she] [stolen/shoplifted/faked someone’s name] in
the last six months (that is, since [NAME EVENT/MONTH])?
0
2
7
9
[26]
A.
B. Did [he/she] do [this/these things] more than
five times in the last year?
IF YES,
D.
F.
6.
How old was [he/she] the first time [he/she] [NAME * SYMPTOMS IN
Q 1 - 4]?
CODE AGE ------------------------------------------------------------------------>
|____ ____| YRS.
[27-28]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,
16 = SENIOR, 17 = POST B.A.) ----------------------------------------------->
|____ ____| GRADE
[29-30]
7.
Has ________ ever snatched someone’s purse or jewelry?
0
2*
7
9
[31]
8.
Has [he/she] ever held someone up or attacked somebody to steal from them?
0
2*
7
9
[32]
9.
Has [he/she] ever threatened someone in order to steal from them?
0
2*
7
9
[33]
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 38
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
IF * RESPONSE TO Q 7, 8, OR 9, ASK:
10. In the last year – that is, since [[NAME EVENT]/[NAME CURRENT
MONTH] of last year] – has ________ [NAME * SYMPTOMS IN Q 7 - 9]?
IF YES,
A.
‹0›
‹[2]› ‹7›
‹9›
[34]
Has [he/she]done [this/these things] more than once in the
last year?
0
2
7
9
[35]
IF YES, B. Did [he/she] do [this/these things] more than
five times in the last year?
0
2
7
9
[36]
C. Did [he/she] [NAME * SYMPTOMS IN Q 7 - 9] more than
ten times in the last year?
0
2
7
9
[37]
Has [he/she] done [this/these things] in the last six months
(that is, since [NAME EVENT/MONTH])?
0
2
7
9
[38]
IF YES,
D.
11. How old was [he/she] the first time [he/she] [NAME * SYMPTOMS IN Q 7
- 9]?
CODE AGE ------------------------------------------------------------------------>
|____ ____| YRS.
[39-40]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,
16 = SENIOR, 17 = POST B.A.) ----------------------------------------------->
|____ ____| GRADE
[41-42]
12. Has ________ ever gotten into trouble because [he/she] stayed out at night more
than two hours past the time [he/she] was supposed to be home?
0
‹2›
7
9
[43]
IF YES, A. Has [he/she] gotten into trouble for staying out this late in the last year?
0
2
7
9
[44]
IF YES, B. Has [he/she] gotten into trouble for staying out this late
more than once in the last year?
0
2
7
9
[45]
IF YES, C. Did [he/she] do this more than five times
in the last year?
0
2*
7
9
[46]
IF YES, D. Did [he/she] stay out late
more than ten times in the
last year?
0
2
7
9
[47]
E. Has [he/she] stayed out at night this late in the last six
months (that is, since [NAME EVENT/MONTH])?
0
2
7
9
[48]
F. How old was [he/she] the first time [he/she] got into trouble for
staying out too late?
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[49-50]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[51-52]
NOTE 1:
WAS A * RESPONSE CODED IN Q 12C
AND “13 YRS OR YOUNGER” CODED IN
Q 12F (OR GRADE = 44, 55, 01 - 07)?
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 39
0
[2]
[53]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
13. Has [he/she] ever run away from home overnight?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
‹2›
7
9
[54]
0
2
7
9
[55]
IF YES, B. Has [he/she] run away overnight more than once in the
last year?
0
2*
7
9
[56]
IF YES, C. Did [he/she] do this more than five times
in the last year?
0
2
7
9
[57]
IF YES, D. Did [he/she] run away overnight more than ten times
in the last year?
0
2
7
9
[58]
E. In the last year when [he/she] ran away, did [he/she]
stay away for as long as two whole weeks?
0
2*
7
9
[59]
F. Has [he/she] run away overnight in the last six months
(that is, since [NAME EVENT/MONTH])?
0
2
7
9
[60]
IF YES, A. Has [he/she] run away overnight in the last year?
G. How old was [he/she] the first time [he/she] ran away overnight?
NOTE 2:
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[61-62]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[63-64]
WERE ANY * RESPONSES CODED IN Q 13?
0
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 40
[2]
[65]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
14. Has ________ ever lied to get money or something else [he/she] wanted?
0
2*
7
9
[66]
15. Has [he/she] ever lied so that [he/she] wouldn’t have to pay back money [he/she]
owed or to get out of something important [he/she] was supposed to do?
0
2*
7
9
[67]
‹0›
‹2›
‹7›
‹9›
[68]
Has [he/she] lied [to get something [he/she] wanted/to get out
of something] more than once in the last year?
0
2
7
9
[69]
IF YES, B. Did [he/she] do this more than five times in
the last year?
0
[2]
7
9
[70]
0
2
7
9
[71]
0
2
7
9
[72]
IF * RESPONSE TO Q 14 OR 15, ASK:
16. Has [he/she] lied [to get something [he/she] wanted/to get out of something]
in the last year?
IF YES,
A.
IF YES,
D.
C. Did [he/she] lie [to get something [he/she] wanted/to get
out of something] more than
ten times in the last year?
Has [he/she] lied [to get something [he/she] wanted/to get out
of something] in the last six months (that is, since [NAME
EVENT/MONTH])?
17. How old was [he/she] the first time [he/she] lied [to get something [he/she]
wanted/to get out of something]?
CODE AGE ------------------------------------------------------------------------>
|____ ____| YRS.
[73-74]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,
16 = SENIOR, 17 = POST B.A.) ----------------------------------------------->
|____ ____| GRADE
[75-76]
START NEW CARD
DUP COL 1 - 12
CARD NO. 0
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 41
2
b
[13-14]
[15]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
a:
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
IF CHILD NEVER ATTENDED SCHOOL OR HAD A JOB,
CODE “8” IN Q 18, THEN GO TO Q 19
18. Has [he/she] ever skipped [school/work]?
0
‹2›
7
8
9
[16]
0
2
7
8
9
[17]
IF YES, B. Has [he/she] skipped [school/work] more than once in
the last year?
0
2
7
9
[18]
IF YES, C. Did [he/she] do this more than five times
in the last year?
0
2*
7
9
[19]
IF YES, D. Did [he/she] skip [school/
work] more than ten times
in the last year?
0
2
7
9
[20]
E. In the last year, did [he/she] skip [school/
work] because [he/she] was nervous or
afraid to be there?
0
2
7
9
[21]
F. When [he/she] skipped [school/work],
did [he/she] usually stay home?
0
2
7
9
[22]
G. Has [he/she] skipped [school/work] in the last six
months (that is, since [NAME EVENT/MONTH])?
0
2
7
9
[23]
IF NO, GO TO Q 19
b:
IF CHILD DID NOT ATTEND SCHOOL OR HAVE A JOB IN
THE PAST YEAR, CODE “8” IN Q 18A, THEN GO TO H
IF YES, A. Has [he/she] skipped [school/work] in the last year?
8
H. How old was [he/she] the first time [he/she] skipped [school/work]?
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[24-25]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[26-27]
NOTE 3:
WAS A * RESPONSE CODED IN Q 18C
AND “13 YRS OR YOUNGER” CODED IN
Q 18H (OR GRADE = 44, 55, 01-07)?
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 42
0
[2]
[28]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
19. Has [he/she] ever broken into a house, a building, or a car?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
‹2›
7
9
[29]
IF YES, A. Has [he/she] broken into a house, a building, or a car in the last year?
0
[2]
7
9
[30]
IF YES, B. Has [he/she] broken into someplace or something more
than once in the last year?
0
2
7
9
[31]
IF YES, C. Did [he/she] do this more than five times
in the last year?
0
2
7
9
[32]
IF YES, D. Did [he/she] break into
someplace or something
more than ten times in the
last year?
0
2
7
9
[33]
E. Has [he/she] broken into a house, a building, or a car in
the last six months (that is, since [NAME EVENT/
MONTH])?
0
2
7
9
[34]
8
F. How old was [he/she] the first time [he/she] broke into a house, a
building, or a car?
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[35-36]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[37-38]
20. Has ________ ever broken something or messed up some place on purpose, like
breaking windows, writing on a building, or slashing tires?
0
‹2›
7
9
[39]
IF YES, A. Has [he/she] broken something or messed up some place on purpose
in the last year?
0
2*
7
9
[40]
IF YES, B. Has [he/she] broken something or messed up some
place on purpose more than once in the last year?
0
2
7
9
[41]
IF YES, C. Did [he/she] do this more than five times
in the last year?
0
2
7
9
[42]
IF YES, D. Did [he/she] break things
or mess up some place more
than ten times in the last
year?
0
2
7
9
[43]
E. Has [he/she] broken something or messed up some
place on purpose in the last six months (that is, since
[NAME EVENT/MONTH])?
0
2
7
9
[44]
F. How old was [he/she] the first time [he/she] broke something or
messed up some place on purpose?
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[45-46]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[47-48]
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 43
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
21. Has [he/she] ever broken or damaged somebody else’s things on purpose?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
‹2›
7
9
[49]
IF YES, A. Has [he/she] broken or damaged somebody else’s things on purpose
in the last year?
0
2*
7
9
[50]
IF YES, B. Has [he/she] broken or damaged somebody else’s
things on purpose more than once in the last year?
0
2
7
9
[51]
IF YES, C. Did [he/she] do this more than five times
in the last year?
0
2
7
9
[52]
IF YES, D. Did [he/she] break or damage somebody else’s things
more than ten times in the
last year?
0
2
7
9
[53]
E. Has [he/she] broken or damaged somebody else’s
things on purpose in the last six months (that is, since
[NAME EVENT/MONTH])?
0
2
7
9
[54]
F. How old was [he/she] the first time [he/she] broke or damaged
somebody else’s things on purpose?
NOTE 4:
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[55-56]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[57-58]
WERE ANY * RESPONSES CODED IN Q 20 - 21?
0
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 44
[2]
[59]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
22. Has ________ ever started a fire without permission?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
2
7
9
[60]
IF YES, A. Has [he/she] ever started a fire that caused damage or hurt someone?
0
2
7
9
[61]
B. Did [he/she] ever mean for a fire to cause damage or hurt someone?
0
‹2›
7
9
[62]
IF YES, C. Has [he/she] started a fire to cause damage or hurt
someone in the last year?
0
[2]
7
9
[63]
IF YES, D. Did [he/she] do this more than once in the
last year?
0
2
7
9
[64]
IF YES, E. Did [he/she] do this more
than five times in the last
year?
0
2
7
9
[65]
IF YES, F. Did [he/she]
do this more
than
ten
times in the
last year?
0
2
7
9
[66]
G. Has [he/she] started a fire to cause damage or to hurt someone in the last six
months (that is, since [NAME EVENT/
MONTH])?
0
2
7
9
[67]
H. How old was [he/she] the first time [he/she] set a fire like this?
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[68-69]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[70-71]
START NEW CARD
DUP COL 1 - 12
CARD NO. 0
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 45
3
b
[13-14]
[15]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
23. Has [he/she] ever been physically cruel to an animal and hurt it on purpose?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
‹2›
7
9
[16]
0
[2]
7
9
[17]
IF YES, B. Has [he/she] been physically cruel to an animal more
than once in the last year?
0
2
7
9
[18]
IF YES, C. Did [he/she] do this more than five times
in the last year?
0
2
7
9
[19]
IF YES, D. Was [he/she] physically
cruel to an animal more
than ten times in the last
year?
0
2
7
9
[20]
E. Has [he/she] been physically cruel to an animal in the
last six months (that is, since [NAME EVENT/
MONTH])?
0
2
7
9
[21]
IF YES, A. Has [he/she] been physically cruel to an animal in the last year?
F. How old was [he/she] the first time [he/she] was physically cruel to
an animal?
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[22-23]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[24-25]
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 46
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
OPTIONAL QUESTION
ONLY ASK THIS BOX IF IT HAS BEEN APPROVED FOR YOUR
STUDY AND FOR THE CHILD’S AGE.
IF THIS QUESTION IS NOT ASKED, CODE “8” IN Q 24,
THEN GO TO Q 25
24. Has ________ ever had a sexual experience with another person?
0
2
7
0
‹2›
0
8
9
[26]
7
9
[27]
[2]
7
9
[28]
0
2
7
9
[29]
0
2
7
9
[30]
E. Has [he/she] forced someone to do something sexual with [him/her]
more than ten times in the last year?
0
2
7
9
[31]
F. Has [he/she] forced someone to do something sexual with [him/her]
in the last six months (that is, since [NAME EVENT/MONTH])?
0
2
7
9
[32]
IF NO, GO TO Q 25
A. Has [he/she] ever hurt or threatened someone to make them do
something sexual with [him/her] that they didn’t want to do?
IF NO, GO TO Q 25
B. In the last year – that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] – has [he/she] forced someone to do
something sexual with [him/her]?
IF NO, GO TO G
C. Has [he/she] forced someone to do something sexual with [him/her]
more than once in the last year?
IF NO, GO TO F
D. Has [he/she] forced someone to do something sexual with [him/her]
more than five times in the last year?
IF NO, GO TO F
G. How old was [he/she] the first time [he/she] forced someone to do
something sexual with [him/her]?
CODE AGE ------------------------------------------------------------->
|____ ____| YRS.
[33-34]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[35-36]
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 47
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
25. Now I want to ask you about bullying; you know, hitting or threatening or scaring
someone who is younger or smaller than [him/her] or somebody who won’t fight
back.
Has ________ ever bullied someone in this way?
0
2†
7
9
[37]
0
2
7
9
[38]
0
2
7
9
[39]
0
2
7
9
[40]
IF YES, D. Has [he/she] bullied someone more than once in the last
year?
0
2
7
9
[41]
IF YES, E. Did [he/she] do this more than five times
in the last year?
0
2*
7
9
[42]
IF YES, F. Did [he/she] bully someone more than ten times in
the last year?
0
2
7
9
[43]
G. Has [he/she] bullied someone in the last six months
(that is, since [NAME EVENT/MONTH])?
0
2
7
9
[44]
IF NO, GO TO Q 26
c:
IF SUBJECT DOESN’T HAVE SIBLING(S),
CODE “8” FOR A, THEN GO TO C
IF YES, A. Was this only with [his/her] brother or sister?
IF YES, B. Has [he/she] bullied other people besides [his/her]
brother or sister?
8
IF NO, GO TO Q 26
C. Has [he/she] bullied someone like this in the last year?
H. How old was [he/she] the first time [he/she] bullied someone ?
d:
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[45-46]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[47-48]
IF A * AND † RESPONSE WERE CODED
IN Q 25, GO TO NOTE 5, P. 50
ALL OTHERS CONTINUE
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 48
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
26. Has [he/she] ever threatened someone or frightened someone on purpose?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
2†
7
9
[49]
IF YES, A. Has [he/she] threatened or frightened someone on purpose in the last
year?
0
2
7
9
[50]
IF YES, B. Has [he/she] threatened or frightened someone on purpose more than once in the last year?
0
2
7
9
[51]
IF YES, C. Did [he/she] do this more than five times
in the last year?
0
2*
7
9
[52]
IF YES, D. Did [he/she] threaten or
frighten someone on purpose more than ten times in
the last year?
0
2
7
9
[53]
E. Has [he/she] threatened or frightened someone on purpose in the last six months (that is, since [NAME
EVENT/MONTH])?
0
2
7
9
[54]
F. How old was [he/she] the first time [he/she] threatened or frightened
someone on purpose?
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[55-56]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[57-58]
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 49
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
NOTE 5:
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
WAS A * RESPONSE CODED IN Q 25 - 26?
0
[2]
[59]
WAS A † RESPONSE CODED IN Q 25 - 26?
0
‹2›
[60]
27. Has ________ ever been in a physical fight in which someone was hurt or could
have been hurt?
0
2
7
9
[61]
IF YES, A. Has [he/she] ever started a physical fight in which someone was hurt
or could have been hurt ?
0
‹2›
7
9
[62]
IF YES, B. Has [he/she] started a fight like this in the last year (that
is, since [[NAME EVENT]/[NAME CURRENT
MONTH] of last year])?
0
2
7
9
[63]
C. Were these fights only with [his/her] brother or sister?
0
2
7
8
9
[64]
IF YES, D. Did [he/she] ever start a physical fight
with someone else besides [his/her]
brother or sister?
0
2
7
8
9
[65]
E. Has [he/she] started a physical fight more than once in
the last year?
0
[2]
7
9
[66]
IF YES, F. Has [he/she] started a fight like this more
than five times in the last year?
0
2
7
9
[67]
IF YES, G. Has [he/she] started a fight
like this more than ten times
in the last year?
0
2
7
9
[68]
H. Has [he/she] started a fight like this in the last six
months (that is, since [NAME EVENT/MONTH])?
0
2
7
9
[69]
IF NO GO TO I
e:
IF SUBJECT DOESN’T HAVE
SIBLING(S), CODE “8” IN C - D,
THEN GO TO E
IF NO, GO TO Q 28
I. How old was [he/she] the first time [he/she] started a
fight in which someone was hurt or could have been
hurt?
CODE AGE --------------------------------------------->
|____ ____| YRS.
[70-71]
IF AGE NOT KNOWN, ASK:
What grade was [he/she] in?
CODE GRADE (44 = PRE-K,
55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN,
14 = SOPHOMORE, 15 = JUNIOR,
16 = SENIOR, 17 = POST B.A.) --------------------->
|____ ____| GRADE
[72-73]
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 50
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
28. Has [he/she] ever tried to hurt someone badly or been physically cruel to someone?
0
2
7
9
[74]
IF YES, A. Has [he/she] only been physically cruel to someone when [he/she]
was in a fight?
0
2
7
9
[75]
IF YES, B. Was [he/she] ever physically cruel to someone when
[he/she] wasn’t in a fight?
0
‹2›
7
9
[76]
IF NO, GO TO Q 29
START NEW CARD
DUP COL 1 - 12
CARD NO. 0
4
b
[13-14]
[15]
C. Has [he/she] been physically cruel to someone when [he/she] wasn’t
in a fight in the last year?
0
[2]
7
9
[16]
IF YES, D. Was [he/she] physically cruel to someone more than
once in the last year?
0
2
7
9
[17]
IF YES, E. Did [he/she] do this more than five times
in the last year?
0
2
7
9
[18]
IF YES, F. Was [he/she] physically
cruel to someone more than
ten times in the last year?
0
2
7
9
[19]
G. Has [he/she] been physically cruel to someone, other
than in a fight, in the last six months (that is, since
[NAME EVENT/MONTH])?
0
2
7
9
[20]
H. How old was [he/she] the first time [he/she] was physically cruel to
someone?
CODE AGE ------------------------------------------------------------->
|____ ____| YRS.
[21-22]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[23-24]
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 51
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
29. Has ________ ever hurt someone with a weapon like a bat, brick, broken bottle,
knife, or gun?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
‹2›
7
9
[25]
0
[2]
7
9
[26]
0
[2]
7
9
[27]
0
2
7
9
[28]
0
2
7
9
[29]
E. Has [he/she] threatened someone with a weapon more
than ten times in the last year?
0
2
7
9
[30]
F. Has [he/she] threatened someone with a weapon in the
last six months (that is, since [NAME EVENT/MONTH])?
0
2
7
9
[31]
IF NO, GO TO T
IF YES, A. In the last year (that is, since [[NAME EVENT]/[NAME CURRENT
MONTH] of last year]), has [he/she] hurt someone with a weapon?
IF YES, GO TO I
IF NO, B. In the last year, has [he/she] threatened someone with
a weapon?
IF NO, GO TO G
C. Has [he/she] threatened someone with a weapon more
than once in the last year?
IF NO, GO TO F
D. Has [he/she] threatened someone with a weapon more
than five times in the last year?
IF NO, GO TO F
G. How old was [he/she] the first time [he/she] threatened
someone with a weapon?
CODE AGE --------------------------------------------->
|____ ____| YRS.
[32-33]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K,
55 = KINDERGARTEN, 13 = COLLEGE
FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) --->
|____ ____| GRADE
[34-35]
CODE AGE --------------------------------------------->
|____ ____| YRS.
[36-37]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K,
55 = KINDERGARTEN, 13 = COLLEGE
FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) --->
|____ ____| GRADE
[38-39]
H. How old was [he/she] the first time [he/she] hurt
someone with a weapon?
GO TO INSTRUCTION BOX “f,” P. 54
I. Has [he/she] hurt someone with a weapon more than
once in the last year?
0
2
7
9
[40]
0
2
7
9
[41]
IF YES, GO TO P
J. Has [he/she] threatened someone with a weapon more
than once in the last year?
IF NO, GO TO M
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 52
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
K. Has [he/she] threatened someone with a weapon more
than five times in the last year?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
2
7
9
[42]
L. Has [he/she] threatened someone with a weapon more
than ten times in the last year?
0
2
7
9
[43]
M. Has [he/she] threatened someone with a weapon in the
last six months (that is, since [NAME EVENT/
MONTH])?
0
2
7
9
[44]
IF NO, GO TO M
N. How old was [he/she] the first time [he/shcı threatened
someone with a weapon?
CODE AGE --------------------------------------------->
|____ ____| YRS.
[45-46]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K,
55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN,
14 = SOPHOMORE, 15 = JUNIOR,
16 = SENIOR, 17 = POST B.A.) --------------------->
|____ ____| GRADE
[47-48]
CODE AGE --------------------------------------------->
|____ ____| YRS.
[49-50]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K,
55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN,
14 = SOPHOMORE, 15 = JUNIOR,
16 = SENIOR, 17 = POST B.A.) --------------------->
|____ ____| GRADE
[51-52]
O. How old was [he/she] the first time [he/she] hurt
someone with a weapon?
GO TO INSTRUCTION BOX “f,” P. 54
0
2
7
9
[53]
Q. Has [he/she] hurt someone with a weapon more than
ten times in the last year?
0
2
7
9
[54]
R. Has [he/she] hurt someone with a weapon in the last six
months (that is, since [NAME EVENT/MONTH])?
0
2
7
9
[55]
P. Has [he/she] hurt someone with a weapon more than
five times in the last year?
IF NO, GO TO R
S. How old was [he/she] the first time [he/she] hurt
someone with a weapon?
CODE AGE --------------------------------------------->
|____ ____| YRS.
[56-57]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K,
55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN,
14 = SOPHOMORE, 15 = JUNIOR,
16 = SENIOR, 17 = POST B.A.) --------------------->
|____ ____| GRADE
[58-59]
GO TO Z
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 53
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
T. Has [he/she] ever threatened someone with a weapon
like a bat, brick, broken bottle, knife, or gun?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
‹2›
7
9
[60]
0
[2]
7
9
[61]
0
2
7
9
[62]
0
2
7
9
[63]
X. Has [he/she] threatened someone with a weapon more
than ten times in the last year?
0
2
7
9
[64]
Y. Has [he/she] threatened someone with a weapon in the
last six months (that is, since [NAME EVENT/
MONTH])?
0
2
7
9
[65]
IF NO, GO TO INSTRUCTION BOX “f”
U. In the last year, has [he/she] threatened someone with
a weapon?
IF NO, GO TO Z
V. Has [he/she] threatened someone with a weapon more
than once in the last year?
IF NO, GO TO Y
W. Has [he/she] threatened someone with a weapon more
than five times in the last year?
IF NO, GO TO Y
Z. How old was [he/she] the first time [he/she] threatened
someone with a weapon?
f:
CODE AGE --------------------------------------------->
|____ ____| YRS.
[66-67]
IF AGE NOT KNOWN, ASK:
What grade was [he/she] in?
CODE GRADE (44 = PRE-K,
55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN,
14 = SOPHOMORE, 15 = JUNIOR,
16 = SENIOR, 17 = POST B.A.) --------------------->
|____ ____| GRADE
[68-69]
IF 2 OR MORE [ ] RESPONSES WERE CODED IN
Q 1 - 29 AND NOTES 1 - 5 (see tally sheet), CONTINUE
ALL OTHERS, GO TO INSTRUCTION BOX “h,” P. 56
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 54
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
30. You said that in the last year ___________ [NAME [ ] SYMPTOMS IN Q 1 - 29
AND NOTES 1 - 5].
Now I’d like you to think back to the time in the last year when doing these things
caused the most problems.
At that time, did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]]
get annoyed or upset with [him/her] because [he/she] did these things?
0
1
2
7
9
[70]
IF YES, A. How often did [you (or [his/her] [CARETAKERS])/[his/her]
[CARETAKERS]] get annoyed or upset with [him/her] because
[he/she] did things like that? Would you say: a lot of the time, some
of the time, or hardly ever?
A lot of the time ..............................................................................
Some of the time .............................................................................
Hardly ever .....................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
31. At that time, did it keep ________ from doing things or going places with [you or
[his/her] family/[his/her] family]?
3
2
1
7
9
0
[71]
1
2
7
9
[72]
IF YES, A. How often did doing it keep [him/her] from doing things or going
places with [you or [his/her] family/[his/her] family]? Would you
say: a lot of the time, some of the time, or hardly ever?
A lot of the time ..............................................................................
Some of the time .............................................................................
Hardly ever .....................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
32. At that time, did doing these things keep [him/her] from doing things or going
places with other [children/people [his/her] age]?
3
2
1
7
9
0
[73]
1
2
7
9
[74]
IF YES, A. How often did it keep [him/her] from doing things or going places
with other [children/people [his/her] age]? Would you say: a lot of the
time, some of the time, or hardly ever?
A lot of the time ..............................................................................
Some of the time .............................................................................
Hardly ever .....................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
g:
3
2
1
7
9
[75]
IF CHILD DID NOT ATTEND SCHOOL OR WORK IN LAST
YEAR, CODE “8” IN Q 33 - 34, THEN GO TO Q 35
START NEW CARD
DUP COL 1 - 12
CARD NO. 0
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 55
5
b
[13-14]
[15]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
33. When the problems were worst, did doing these things [make it difficult for [him/
her] to do [his/her] schoolwork or cause problems with [his/her] grades/make it
difficult for [him/her] to do [his/her] work]?
8, 88=NOT APPLICABLE
0
1
2
7
9, 99=DON’T KNOW
8
9
[16]
IF YES, A. How bad were the problems with [his/her] [schoolwork/work] because [he/she] did these things? Would you say: very bad, bad, or not
too bad?
Very bad ..........................................................................................
Bad ..................................................................................................
Not too bad ......................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
34. At that time, did doing these things cause __________’s [teachers/boss] to be
annoyed or upset with [him/her]?
3
2
1
7
9
0
[17]
1
2
7
8
9
[18]
IF YES, A. How often [were/was] [his/her] [teachers/boss] annoyed or upset
with [him/her]? Would you say: a lot of the time, some of the time,
or hardly ever?
A lot of the time ..............................................................................
Some of the time .............................................................................
Hardly ever .....................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
35. When the problems were worst, did it seem like doing these things made ________
feel bad or made [him/her] feel upset?
3
2
1
7
9
0
[19]
1
2
7
9
[20]
IF YES, A. How bad did doing these things make [him/her] seem to feel? Would
you say: very bad, bad, or not too bad?
Very bad ..........................................................................................
Bad ..................................................................................................
Not too bad ......................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
h:
3
2
1
7
9
[21]
IF CHILD NEVER ATTENDED SCHOOL, CODE “8”
IN Q 36, Q 37, AND Q 38, THEN GO TO Q 39
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 56
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
36. Has [he/she] ever been expelled from school for misbehavior – that is, told that
[he/she] could never go back to that school at all?
8, 88=NOT APPLICABLE
0
2
7
9, 99=DON’T KNOW
8
9
[22]
IF YES, A. How many schools has [he/she] been expelled from for misbehavior?
CODE NUMBER OF TIMES --------------------------------------->
(66 = 66 OR MORE TIMES)
i:
|____ ____|
[23-24]
IF CHILD DID NOT ATTEND SCHOOL IN LAST YEAR, CODE
“8” IN B, THEN GO TO Q 37
B. Was [he/she] expelled from a school because of [his/her] behavior in
the last year?
0
2
7
C. Why was [he/she] expelled in the last year? Was it for: Taking or
selling drugs?
0
2
D. Fighting with or attacking another student?
0
E. Violence against a teacher?
8
9
[25]
7
9
[26]
2
7
9
[27]
0
2
7
9
[28]
F. Skipping school or classes?
0
2
7
9
[29]
G. Something else?
0
2
7
9
[30]
IF NO, GO TO Q 37
IF YES, H. What did [he/she] do?
|____ ____|
[31-32]
37. Has [he/she] ever been suspended from school for misbehavior – that is, told that
[he/she] could not go back to school for at least a day?
0
2*
7
38. Has [he/she] ever had an “in-school” suspension – that is, where [he/she] went to
school but [he/she] wasn’t allowed to attend [his/her] usual classes?
0
2*
7
j:
8
9
[33]
9
[34]
IF A * RESPONSE TO EITHER Q 37 OR Q 38,
GO TO Q 38A
ALL OTHERS, GO TO Q 39
A. How many times has [he/she] [been suspended from school/had an
in-school suspension]?
CODE NUMBER OF TIMES --------------------------------------->
(66 = 66 OR MORE TIMES)
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 57
|____ ____|
[35-36]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
k:
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
IF CHILD DID NOT ATTEND SCHOOL IN LAST YEAR, CODE
“8” IN B, THEN GO TO Q 39
B. Has this happened in the last year?
0
2
7
C. Why [was [he/she] suspended/did [he/she] have an in-school suspension] in the last year? Was it for: Taking or selling drugs?
0
2
D. Fighting with or attacking another student?
0
E. Violence against a teacher?
8
9
[37]
7
9
[38]
2
7
9
[39]
0
2
7
9
[40]
F. Skipping school or classes?
0
2
7
9
[41]
G. Something else?
0
2
7
9
[42]
IF NO, GO TO Q 39
IF YES, H. What did [he/she] do?
|____ ____|
39. Has [he/she] ever been in trouble with the police?
[43-44]
0
2
7
9
[45]
0
2
7
9
[46]
0
2
7
9
[47]
IF NO, GO TO INSTRUCTION BOX“p,” P. 60
IF YES, A. Has [he/she] ever actually been arrested?
IF NO, GO TO N
B. Has [he/she] been arrested more than once?
IF NO, GO TO K
C. How many times has [he/she] been arrested by the police?
CODE NUMBER OF TIMES --------------------------------------->
(66 = 66 OR MORE TIMES)
|____ ____|
[48-49]
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[50-51]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[52-53]
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[54-55]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[56-57]
D. How old was [he/she] the first time [he/she] was arrested?
E. How old was [he/she] the last time [he/she] was arrested by the
police?
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 58
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0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
l: IF [AGE/GRADE] GIVEN WAS CHILD’S CURRENT
[AGE/GRADE] MINUS ONE, CONTINUE
ALL OTHERS, GO TO G
F. Was this in the last year?
0
2
7
9
[58]
G. Please tell me what [he/she] was charged with doing the last time
[he/she] was arrested?
|____ ____|
[59-60]
|____ ____|
[61-62]
|____ ____|
[63-64]
|____ ____|
[65-66]
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[67-68]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[69-70]
m: IF 3 OR MORE ARRESTS REPORTED IN C,
CONTINUE
IF 2 ARRESTS REPORTED IN C, GO TO J
H. How about the time before that? What was [he/she] charged with doing?
n:
IF 4 OR MORE ARRESTS REPORTED IN C,
CONTINUE
ALL OTHERS, GO TO J
I. And the time before that? What was [he/she] charged with doing?
J. How about the first time [he/she] was arrested? What was [he/she]
charged with doing that time?
GO TO INSTRUCTION BOX “p”
K. How old was [he/she] when [he/she] was arrested by the police?
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 59
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
o:
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
IF [AGE/GRADE] GIVEN WAS CHILD’S CURRENT [AGE/GRADE] MINUS ONE, GO TO L
ALL OTHERS, GO TO M
L. Was this in the last year?
0
2
7
9
[71]
M. Why was [he/she] arrested?
|____ ____|
[72-73]
GO TO INSTRUCTION BOX “p”
N. In the last year (that is, since [NAME CURRENT MONTH] of last
year), has [he/she] been in any trouble with the police where [he/she]
wasn’t arrested?
0
2
7
9
[74]
START NEW CARD
DUP COL 1 - 12
p:
IF CHILD NEVER WORKED, CODE “8” IN Q 40,
THEN GO TO INSTRUCTION BOX “q”
40. Has [he/she] ever been fired from a job for fighting or stealing or breaking things
on purpose or because [he/she] wouldn’t do what [he/she] was asked to do?
IF YES, A. Has [he/she] been fired from a job in the last year?
CARD NO. 0
0
2
7
0
2
7
6
b
8
[13-14]
[15]
9
[16]
9
[17]
IF YES, B. Why was [he/she] fired?
|____ ____|
q:
[18-19]
IF 2 OR MORE [ ] RESPONSES WERE CODED IN
Q 1 - 29 AND NOTES 1 - 5 (see tally sheet), CONTINUE
ALL OTHERS, GO TO INSTRUCTION BOX “r”
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 60
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0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
41. You said that in the last year, [he/she] [NAME [ ] SYMPTOMS IN Q 1 - 29 AND
NOTES 1 - 5].
In the last year (that is, since [NAME CURRENT MONTH] of last year), has
[he/she] been to see someone at a hospital or a clinic or at their office because [he/
she] did these things?
0
2
7
9
[20]
0
2
7
9
[21]
IF YES, GO TO OPTIONAL DETAILS
IF NO, A. Does [he/she] have an appointment set up to see someone because
you do these things?
IF YES, GO TO OPTIONAL DETAILS
OPTIONAL DETAILS:
42.
Who [did [he/she] /is [he/she] going to] see? (WRITE IN:)
Name:
|____ ____|
[22-23]
|____ ____|
[24-25]
Profession:
Address:
A. IF SOMEONE WAS SEEN, ASK:
What did the person [he/she] saw say was the matter?
r:
IF 3 OR MORE [ ] RESPONSES WERE CODED IN
Q 1 - 29 AND NOTES 1 - 5 (see tally sheet), GO TO MODULE F
IF 3 OR MORE ‹ › RESPONSES WERE CODED, CONTINUE
ALL OTHERS, GO TO MODULE F
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 61
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
43. You said that there was a time when [he/she] [NAME BACK ‹ › SYMPTOMS IN
Q 1 - 29 AND NOTES 1 - 5].
Was there ever a time when [he/she] did [all/at least three] of these things in a single
twelve-month period?
0
2
7
9
[26]
IF YES, A. How old was [he/she] when [he/she] did these things most often?
CODE AGE -------------------------------------------------------------->
|____ ____| YRS.
[27-28]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____| GRADE
[29-30]
s:
IF ‹ › IN QUESTION 5, ASK B
ALL OTHERS, GO TO INSTRUCTION BOX “t”
B. At that time, did [he/she] secretly steal things from other people?
t:
0
2
7
9
[31]
0
2
7
9
[32]
0
2
7
9
[33]
0
2
7
9
[34]
0
2
7
9
[35]
IF ‹ › IN QUESTION 10, ASK C
ALL OTHERS, GO TO INSTRUCTION BOX “u”
C. At that time, did [he/she] attack or threaten somebody in order to steal
from them … or snatch somebody’s purse or jewelry?
u:
IF ‹ › IN QUESTION 12, ASK D
ALL OTHERS, GO TO INSTRUCTION BOX “v”
D. At that time, did [he/she] often stay out late without permission?
v:
IF ‹ › IN QUESTION 13, ASK E
ALL OTHERS, GO TO INSTRUCTION BOX “w”
E. At that time, did [he/she] run away from home overnight?
w:
IF ‹ › IN QUESTION 16, ASK F
ALL OTHERS, GO TO INSTRUCTION BOX “x”
F. At that time, did [he/she] often lie to get things [he/she] wanted or to
get out of things?
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 62
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
x:
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
IF ‹ › IN QUESTION 18, ASK G
ALL OTHERS, GO TO INSTRUCTION BOX “y”
G. At that time, did [he/she] often skip [school/work]?
y:
0
2
7
0
2
0
8
9
[36]
7
9
[37]
2
7
9
[38]
0
2
7
9
[39]
0
2
7
9
[40]
0
2
7
9
[41]
IF ‹ › IN QUESTION 19, ASK H
ALL OTHERS, GO TO INSTRUCTION BOX “z”
H. At that time, did [he/she] break into a house, building, or car?
z:
IF ‹ › IN QUESTION 20, ASK I
ALL OTHERS, GO TO INSTRUCTION BOX “aa”
I. At that time, did [he/she] break things or mess up some place on
purpose?
aa: IF ‹ › IN QUESTION 22, ASK J
ALL OTHERS, GO TO INSTRUCTION BOX “bb”
J. At that time, did [he/she] start a fire to cause damage or hurt someone?
bb: IF ‹ › IN QUESTION 23, ASK K
ALL OTHERS, GO TO INSTRUCTION BOX “cc”
K. At that time, was [he/she] physically cruel to animals?
cc:
IF ‹ › IN QUESTION 24, ASK L
ALL OTHERS, GO TO INSTRUCTION BOX “dd”
L. At that time, did [he/she] force someone to do something sexual with
[him/her] that they didn’t want to do?
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 63
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0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
dd: IF ‹ › IN NOTE 5, ASK M
ALL OTHERS, GO TO INSTRUCTION BOX “ee”
M. At that time, was [he/she] often a bully … or did [he/she] threaten or
frighten other people on purpose?
ee:
0
2
7
9
[42]
0
2
7
9
[43]
0
2
7
9
[44]
0
2
7
9
[45]
IF ‹ › IN QUESTION 27, ASK N
ALL OTHERS, GO TO INSTRUCTION BOX “ff”
N. At that time, did [he/she] start more than one fight in which someone
was hurt or could have been hurt?
ff:
IF ‹ › IN QUESTION 28, ASK O
ALL OTHERS, GO TO INSTRUCTION BOX “gg”
O. At that time, did [he/she] try to hurt someone badly or was [he/she]
physically cruel to somebody?
gg: IF ‹ › IN QUESTION 29, ASK P
ALL OTHERS, GO TO NEXT MODULE
P. At that time, did [he/she] use a weapon to threaten or hurt someone?
Module E: Disruptive Behavior Disorders
Conduct Disorder
DISC IV-P, past year
Page 64
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| File Type | application/pdf |
| File Title | P-CD past year |
| Subject | P-CD past year |
| Author | Emerson |
| File Modified | 2003-10-17 |
| File Created | 2003-10-17 |