General Questions | |||||
G01. What is (are) your current position(s) in this school/district? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. G01a. Respondent 1 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) |
G01b. Respondent 2 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify ...) f) law enforcement official _ g) other _ (specify ..................) |
G01c. Respondent 3 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify ....) f) law enforcement official _ g) other _ (specify .................) |
G01d. Respondent 4 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......) f) law enforcement official _ g) other _ (specify ........) |
G01e. Respondent 5 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify ...........) f) law enforcement official _ g) other _ (specify ....................) |
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G02. What was (were) your position(s) during the period in which this event took place? Do NOT read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. G02a. Respondent 1 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) |
G02b. Respondent 2 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify ...) f) law enforcement official _ g) other _ (specify ..................) |
G02c. Respondent 3 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify ....) f) law enforcement official _ g) other _ (specify .................) |
G02d. Respondent 4 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......) f) law enforcement official _ g) other _ (specify ........) |
G02e. Respondent 5 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify ...........) f) law enforcement official _ g) other _ (specify ....................) |
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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 |
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*If option 1 is selected proceed to Question #S01 | |||||
*If option 3 is selected, skip to Question # SOC01 | |||||
*If option 2, 4, or 6 are selected, skip to Question #E02 | |||||
QUESTIONS about the school (for events occurring on school property) | |||||
S01. Is the school associated with this death an alternative school? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
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S02. 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 |
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S03. Did this school recently experience an increase in the size of the student population due to a merger with another school / with other schools? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
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S04. 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 |
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Code | |||||
S04.a) At any time during school hours | |||||
S04.b) While students were arriving and/or leaving | |||||
S04.c) At selected school activities (e.g., athletic and social events, open houses, science fairs) | |||||
S04.d) When school/school activities not occurring | |||||
S04.e) Other (please specify) | |||||
S05. 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 |
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*If school did not use full-time security personnel, skip to Question #S06 otherwise, proceed with Question #S05a | |||||
S05a. Number of School Resource Officers/Sworn Law Enforcement Officers __ | |||||
S05b Number of Private Security Officers __ | |||||
S06. 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 |
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Measure | Location or Type of Measure | Code | |||
S06a) Walk Through Metal Detectors | |||||
S06a1 | If yes, how often? | ||||
1 Daily | |||||
2 2 to 3 times per week | |||||
3 Weekly | |||||
4 Biweekly | |||||
5 As warranted | |||||
6 Never | |||||
S06a2) | Where were the walk through metal detectors used? | ||||
S06a2.a) Main entry | |||||
S06a.2b) Secondary entries | |||||
S06a2.c) Other | |||||
Specify | |||||
S06b) Hand Held Metal Detectors | |||||
S06b1 | If yes, how often? | ||||
1 Daily | |||||
2 2 to 3 times per week | |||||
3 Weekly | |||||
4 Biweekly | |||||
5 As warranted | |||||
6 Never | |||||
S06b2) | Where were the walk through metal detectors used? | ||||
S06b2.a) Main entry | |||||
S06b2.b) Secondary entries | |||||
S06b2.c) Other | |||||
Specify | |||||
S06c) Surveillance Cameras | |||||
S06c1) | 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 | |||||
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 | |||||
S06c2) | Where were the surveillance cameras used? | ||||
S06c2.a) Entry/exit areas – exterior | |||||
S06c2.b) Athletic areas | |||||
S06c2.c) Entry/exit areas – interior | |||||
S06c2.d) Corridors | |||||
S06c2.e) Other | |||||
Specify | |||||
S06d) Communication Devices | |||||
S06d.1) 2-way radios | |||||
S06d.2) 2-way intercom in most classrooms | |||||
S06d.3) Other | |||||
Specify | |||||
S06e) Access Restrictions | |||||
S06e.1) Proximity or card swipe access for staff | |||||
S06e.2) Intrusion Alarm Systems | |||||
S06e3.a) Main building(s) / areas | |||||
S06e3.b) Parking lot(s) | |||||
S06e3.c) Other | |||||
Specify | |||||
S06e4 | 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 | |||||
7 After official activities | |||||
8 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||
S07. At the time of the event, was it a policy of the school to do any of the following? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
School Policies | Code | ||||
S07.a) Require visitors to sign or check in | |||||
S06.b) Require visitors to sign or check out | |||||
S07.c) Control access to school buildings during school hours (e.g., locked or monitored doors) | |||||
S07.d) Control access to school grounds during school hours (e.g., locked or monitored gates) | |||||
S07.e) Require students to pass through metal detectors each day | |||||
S07.f) Require visitors to pass through metal detectors | |||||
S07.g) Perform one or more random metal detector checks on students | |||||
S07.h) Require most students to stay on campus at lunchtime | |||||
S07.i) Perform one or more random sweeps for contraband (e.g., drugs or weapons) | |||||
S07.j) Require drug testing for any students | |||||
S07.k) Require students to wear uniforms | |||||
S07.l) Enforce a dress code | |||||
S07.m) Provide a printed code of student conduct to students | |||||
S07.n) Provide a printed code of student conduct to parents | |||||
S07.o) Provide school lockers to students | |||||
S07.p) Require clear book bags on school grounds | |||||
S07.q) Ban book bags on school grounds | |||||
S07.r) Require students to wear badges or picture IDs | |||||
S07.s) Require faculty and staff to wear badges or picture IDs | |||||
S07.t) Provide telephones in most classrooms | |||||
S07.u) Prohibit all tobacco use on school grounds. | |||||
S07.v) Does the school have a written policy about bullying? (if NO skip to Q6.2) | |||||
S07.w) Is the written bullying policy included in a student handbook that goes home for student and parental review? | |||||
S08. What actions did the school take in response to the death? (PROBE FOR: immediate, long-term, policy, environmental, social, curricular) to be coded later, please note sources ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
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S09. How many incidents of student weapon carrying were identified by school staff during the year in which the incident took place? (Excluding this event) _ _ 00-##=actual number 77=not applicable 88=unknown 99=refused to answer |
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S10. Please describe what actions the school policy stipulated should be taken by the school when a student was identified with a weapon while under the supervision of the school?.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... | |||||
skip to Question #E01. | |||||
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 |
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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 |
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*If school did not use paid law enforcement or security services, skip to Question #SOC05 otherwise, proceed with Question #SOC03 | |||||
SOC03. 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 |
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SOC04. 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 |
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SOC05. 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 | |||
SOC05a) Walk Through Metal Detectors | |||||
SOC05a1) | If yes, how often? | ||||
1 Daily | |||||
2 2 to 3 times per week | |||||
3 Weekly | |||||
4 Biweekly | |||||
5 As warranted | |||||
6 Never | |||||
SOC05a2) | Where were the walk through metal detectors used? | ||||
SOC05a2.a) Main entry | |||||
SOC05a2.b) Secondary entries | |||||
SOC05a2.c) Other | |||||
Specify | |||||
SOC05b) Hand Held Metal Detectors | |||||
SOC05b1) | If yes, how often? | ||||
1 Daily | |||||
2 2 to 3 times per week | |||||
3 Weekly | |||||
4 Biweekly | |||||
5 As warranted | |||||
6 Never | |||||
SOC05b2) | Where were the walk through metal detectors used? | ||||
SOC05b2.a) Main entry | |||||
SOC05b2.b) Secondary entries | |||||
SOC05b2.c) Other | |||||
Specify | |||||
SOC05c) Surveillance Cameras | |||||
SOC05c1) | 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 | |||||
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 | |||||
SOC05c2) | Where were the surveillance cameras used? | ||||
SOC05c2.a) Entry/exit areas – exterior | |||||
SOC05c2.b) Athletic areas | |||||
SOC05c2.c) Entry/exit areas – interior | |||||
SOC05c2.d) Corridors | |||||
SOC05c2.e) Other | |||||
Specify | |||||
SOC05d) Communication Devices | |||||
SOC05d.1) 2-way radios | |||||
SOC05d.2) 2-way intercom in most classrooms | |||||
SOC05d.3) Other | |||||
Specify | |||||
SOC05e) Access Restrictions | |||||
SOC05e.1) Proximity or card swipe access for staff | |||||
SOC05e.2) Intrusion Alarm Systems | |||||
SOC05e3) | If yes, where? | ||||
SOC05e3.a) Main building(s) / areas | |||||
SOC05e3.b Parking lot(s) | |||||
SOC05e3.c) Other | |||||
Specify | |||||
SOC05e4) | 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 | |||||
7 After official activities | |||||
8 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||
Skip to Question #E02. | |||||
QUESTIONS about the event: | SCHOOL INTERVIEW | ||||
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 | |||||
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 |
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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 |
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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. |
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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) act of terrorism | |||||
o) random victim | |||||
p) victim was a bystander | |||||
q) victim was intervener assisting a crime victim | |||||
r) other | |||||
Specify | |||||
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 utilized. |
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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 noone 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. |
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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 | |||||
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 |
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*If option 2 is selected, 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 _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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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 |
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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 | |||||
QUESTIONS about the Victim: SCHOOL INTERVIEW | |||||
CaseID. Case ID Number To be assigned by study coordinator, record 5-digit number _ _ _ _ _ |
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V01. How many victims were fatally injured in this event? Write in actual number _ _ |
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V01a. Victim Number Number for this victim, is assigned by the primary data collector _ |
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V02. What was the date of the fatal injury? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ |
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V03. What was the date of the fatal injury? Record in military time _ _ _ _ | |||||
V04. What was the date of death? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ |
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V05. What was this victim's date of birth? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ |
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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 |
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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 |
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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 |
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V09. | |||||
Was this victim 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 8 Unknown if victim is of Hispanic or Latino origin 9 Refused to Answer |
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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 |
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V11. 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 |
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V12. 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* |
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*If answer is 2 -9, skip to Question # V15. Otherwise, proceed with Question # V12a. | |||||
V12a. What group (s) were they affiliated with? Code later ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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V13. 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 |
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V14. 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 |
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V15. 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 |
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*If answer is 2-9, skip to Question # V16. . otherwise, proceed with Question #V15a. | |||||
V15a. What types of substances did the victim use? Code later ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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V16. 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 |
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V17. 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 |
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V18. 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 #V21. | |||||
V19. 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 weapon | |||||
b) knife, razor, box cutter or other blade | |||||
c) bat, pipe, chain, or other object | |||||
d) rope or wire | |||||
e) other | |||||
specify weapon | |||||
V20. 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 | |||||
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=a student at another school 03=a teacher at this school* 04=administrator at this school* 05=other staff at this school* 06=security guard or police officer* 07=family member of a student* 08=resident of surrounding community* 09=not associated with the school or community* 10=unidentified victim* 66=other* (specify.............................................................................................................) 77=not applicable* 88=unknown* 99=refused to answer* |
|||||
*If the victim is NOT a student, Go to Question # V31. | |||||
V22. During the year prior to this incident, how many times had the victim been found carrying a weapon on school grounds or on the way to or from school? _ _ 00-##=actual number of times the victim carried a weapon 77=not applicable 88=unknown 99=refused to answer |
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*If answer is zero (0), Go to Question #V25. | |||||
V23. For the most recent event prior to the date of fatal injury, which of the following types of weapons was the victim carrying? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown |
|||||
Weapon | Code | ||||
a) firearm | |||||
specify weapon | |||||
b) knife, razor, box cutter or other blade | |||||
c) bat, pipe, chain, or other object | |||||
d) rope or wire | |||||
e) other | |||||
specify weapon | |||||
V24. What, if any, actions did the school take in response to the victim’s most recent incident of weapon carrying? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
V25. 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 |
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V26. How many times in the last year was the victim suspended from his or her school? (including in-school suspensions) _ Do NOT read options 0=none, never suspended 1-5=actual number of times 6=more than five times 7=not applicable 8=unknown 9=refused to answer |
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V27. In the last year was the victim expelled from his or her school? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
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V28. What extracurricular activities was the victim involved in? | |||||
To be coded later ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
V29. 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* |
|||||
*If no, not applicable, unknown, or refuse, Go to Question #V30. | |||||
If yes, please complete V29a : | |||||
V29a. Please briefly describe the specific school-related crises or traumatic events experienced. Code later ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
V30. 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 no, not applicable, unknown, or refuse, Go to Question #V31. | |||||
If yes, please complete V30a : | |||||
V30a. Please briefly describe the specific school-related crises or traumatic events that may have been imminent. Code later ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
V31. 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* |
|||||
*If no, not applicable, unknown, or refuse, Go to Question #V32. | |||||
If yes, please complete V31a : | |||||
V31a. Please briefly describe the specific community-related crises or traumatic events experienced. Code later ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
V32. Was a community-related crisis or traumatic event imminent within two weeks of the this incident? _ 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 #V33. | |||||
If yes, please complete V32a : | |||||
V32a. Please briefly describe the specific community-related crises or traumatic events that may have been imminent. Code later ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
V33. Did any the victim experience any family-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* |
|||||
*If no, not applicable, unknown, or refuse, Go to Question #V34. | |||||
If yes, please complete V33a : | |||||
V33a. Please briefly describe the specific family-related crises or traumatic events experienced. Code later ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
V34. Was a family-related crisis or traumatic event imminent within two weeks of the this incident? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
|||||
*If no, not applicable, unknown, or refuse and victim is a student Go to Question #V35. *If no, not applicable, unknown, or refuse and victim is not a student Go to Question #V43. |
|||||
If yes, please complete V34a : | |||||
V34a. Please briefly describe the specific family-related crises or traumatic events that may have been imminent. Code later ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
*If victim is not a student Go to Question #V43. Otherwise proceed to Question # V35. | |||||
V35. In the 12 months prior to this event was the victim reported to the principal’s office for any of the following behaviors? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. |
|||||
Behavior | Code | ||||
{V35a} disobeying authority figure | |||||
{V35b} namecalling, taunting, or teasing peers | |||||
V35b.1 Face to face? | |||||
V35b.2 Using Electronic means? | |||||
{V35c} verbal threats | |||||
{V35d} sent written threats | |||||
{V35e} sent electronic threats | |||||
{V35f} Bullied peers | |||||
{V35g} physically threatened peers | |||||
{V35h} physical fought with peers | |||||
{V35i} damaged another's personal property | |||||
{V35j} damaged school property (tagging, vandalism etc…) | |||||
{V35k}stole another's personal property | |||||
{V35l} truancy (skipped school) | |||||
{V35m} possessed / used illegal substances | |||||
{V35n}possessed a weapon | |||||
V36. 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 | ||||
{V36a.1} called names by peers | |||||
{V36a.2} bullied by peers | |||||
{V36a.3} had personal property damaged or stolen | |||||
{V36a.4}verbally threatened by peers | |||||
{V36a.5}received written threats | |||||
{V36a.6} electronic threats | |||||
{V36a.7}physically threatened by peers | |||||
{V36a.8}physically assaulted by peers | |||||
V37. 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 |
|||||
V38. 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 | ||||
V38.a guidance counseling / advising | |||||
V38.b psychological counseling | |||||
V38.c Psychiatric or mental health services | |||||
V38.d social services | |||||
V38.e supplemental educational services (including efforts to address learning disabilities) | |||||
V38.f other services | |||||
Specify | |||||
V39. 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 |
|||||
V40. Had the victim ever received professional treatment for any other mental health problem? _ Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
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V41. If yes, What specific kinds of emotional or mental health problems were treated? To be coded later ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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V42. Did this victim have a documented family history of ..... Read options, Coding instructions: 1=yes, 2=no, 8=unknown. |
|||||
Code | |||||
{V42a.1} alcoholism | |||||
{V42a.2} drug abuse | |||||
{V42a.3} intimate partner violence | |||||
{V42a.4.} sexual violence | |||||
{V42a.5}attempted / completed suicide | |||||
{V42a.6} arrests / convictions for violent offenses (e.g., assault, homicide etc…) | |||||
V42b. Did this victim suffer Read options, Coding instructions: 1=yes, 2=no, 8=unknown. |
|||||
Code | |||||
{V42b.1} physical child abuse | |||||
{V42b.2} sexual child abuse | |||||
{V42b.3} emotional / psychological abuse as a child | |||||
{V42b.4} neglect | |||||
{V42b.5} victimization in intimate partner violence_/ teen dating violence | |||||
{V42b.6} victimization in sexual violence | |||||
V43. 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 |
|||||
V44. 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 | ||||
{V44a} Thoughts/threats of suicide | |||||
{V44b} Plans of suicide | |||||
{V44c} Previous suicide attempts | |||||
*If no to all, skip to V47. | |||||
V45. To whom was this suicidal behavior reported? Do not read options | |||||
Code | |||||
01=no one | |||||
02=parents | |||||
03=other family | |||||
04=peers | |||||
05=school staff | |||||
06=other medical/mental health professional | |||||
66=other | |||||
specify weapon | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
V46. What, if any, actions were taken by the school in response to this suicidal behavior? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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V47. Did perceptions about the victim being gay, bisexual, or transgendered contribute to their victimization? _ Do not read options 1=homosexual 2=heterosexual 3=bisexual 4=transgender 5=questioning 7=not applicable 8=unknown 9=refused to answer |
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V48. 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* |
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*If no, skip to Question #V51. | |||||
V49. How many persons suffered nonfatal injuries occurred at the time of this event? _ _ 01-##=actual number of nonfatal injuries 77=not applicable 88=unknown 99=refused to answer |
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V50. 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 |
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*If there is more than one victim, complete a"Victim" section for each victim, starting with Question V01...Otherwise go to Question #V51. | |||||
V51. 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. | |||||
QUESTIONS about Alleged Offender: SCHOOL INTERVIEW | |||||
777=not applicable | CaseID. Case ID Number Case number is assigned by study coordinator. _ _ _ _ _ |
||||
888=unknown | O01. How many alleged offenders were officially charged for this incident? Write in actual number. _ _ |
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999=refused to answer | O01a. Offender Number Number for this alleged offender is assigned by the primary data collector. _ |
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O02. What was this alleged offender's date of birth? Record month/date/year, code leading zeros, code four-digit years _ _/_ _/_ _ _ _ |
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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 |
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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 |
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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 |
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O06. Was this alleged offender 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 9 =Unknown if elder is of Hispanic or Latino origin |
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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 independently 05= foster care 06= residential institution 66= other (specify:...................) 77=not applicable 88=unknown 99=refused to answer |
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O08. 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 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 |
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O09. 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 |
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O10. 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 |
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If yes, please complete O10a & O10b. If no, skip to Question O11. |
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O10a. What types of charges did the alleged offender face? Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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O10b. Which charges resulted in convictions? Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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O11. Individuals 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 |
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*If answer is not yes, skip to Question # O14.... otherwise, proceed with Question # O11a | |||||
O11a. What groups were they affiliated with? Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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O12. In the year prior to this event, did the offender leave an existing peer group? Do NOTread options 1=yes Specify _________________________ 2=no 7=not applicable 8=unknown 9=refused to answer |
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O13. In the year prior to this event, did the offender join a new peer group? Do NOT read options 1=yes Specify_____________ 2=no 7=not applicable 8=unknown 9=refused to answer |
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O14. Did this alleged offender use alcohol or other 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 |
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*If answer is 2 -9, skip to Question # O15...otherwise, proceed with Question # O14a. | |||||
O14a. What types of substances did the alleged offender use? Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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O15. Was there evidence that this alleged offender was intoxicated with alcohol or other 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 |
|||||
O15a. 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 |
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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= casual acquaintances 05= strangers 66= other (specify......................) 77=not applicable 88=unknown 99=refused to answer |
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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 answer is not yes, skip to Question #O20. | |||||
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 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=a student at another school 03=a teacher at this school* 04=administrator at this school* 05=other staff at this school* 06=security guard or police officer* 07=family member of a student* 08=family member of a school staff member 09= resident of surrounding community* 10= not associated with the school or community* 11= unidentified offender* 66=other* (specify..................) 77=not applicable 88=unknown 99=refused to answer |
|||||
*If this offender is NOT a student, Go to Question O30. | |||||
O21. During the year prior to this incident, had the alleged offender ever been found carrying a weapon on school grounds or on the way to or from school? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
|||||
If no, Go to Question #O25. | |||||
O22. During the year prior to this incident, how many times had this alleged offender been found carrying a weapon on school grounds or on the way to or from school? _ _ Do NOT read options, code leading zeros 01-##=actual number of times the victim carried a weapon 77=not applicable 88=unknown 99=refused to answer |
|||||
O23. For the most recent event prior to the date of fatal injury, was this alleged offender carrying any of the following types of weapon? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown |
|||||
Weapon | Code | ||||
a) firearm | |||||
specify weapon | |||||
b) knife, razor, box cutter or other blade | |||||
c) bat, pipe, chain, or other object | |||||
d) rope or wire | |||||
e) other | |||||
specify weapon | |||||
O24. What, if any, actions did the school take in response to this alleged offender’s most recent incident of weapon carrying? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
O25. How many times was this alleged offender suspended from his or her school? (including in school suspensions) _ Do NOT read options 0=none, never suspended or expelled 1-5=actual number of times 6=more than five times 7=not applicable 8=unknown 9=refused to answer |
|||||
O26. Had this alleged offender been expelled from his or her school, in the 12 months preceding the event? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
|||||
O27. 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. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
O28. Did any of the alleged offenders 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 #O29. | |||||
O28a. Please briefly describe the specific school-related crises or traumatic events experienced. Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
O29. Was a school-related crisis or traumatic event imminent within two weeks of the this incident? _ 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 #O30. | |||||
If yes, please complete O29a. | |||||
O29a. Please briefly describe the specific school-related crises or traumatic events that may have been imminent. Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
O30. Did any of the alleged offenders 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* |
|||||
*If no, not applicable, unknown, or refuse Go to Question #O31. | |||||
If yes, please complete O30a. | |||||
O30a. Please briefly describe the specific community-related crises or traumatic events experienced. Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
O31. Was a community-related crisis or traumatic event imminent within two weeks of the this incident? 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 #O32. | |||||
If yes, please complete O31a. | |||||
O31a. Please briefly describe the specific community-related crises or traumatic events that may have been imminent. Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
O32. Did the alleged offender experience any family-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* |
|||||
*If no, not applicable, unknown, or refuse and victim is a student Go to Question #O33. *If no, not applicable, unknown, or refuse and victim is not a student Go to Question #O43. |
|||||
If yes, please complete O32a | |||||
O32a. Please briefly describe the specific family-related crises or traumatic events experienced. Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
O33. Was a family-related crisis or traumatic event imminent within two weeks of the this incident? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
|||||
*If no, not applicable, unknown, or refuse and Offender is a student Go to Question #O34. *If no, not applicable, unknown, or refuse and victim is not a student Go to Question #O43. |
|||||
If yes, please complete O33a. | |||||
O33a. Please briefly describe the specific family-related crises or traumatic events that may have been imminent. Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
*If offender is not a student Go to Question #O36. Otherwise proceed to Question # O34. | |||||
O34. 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 | ||||
{O34a} disobeying authority figure | |||||
{O34b} name-calling, taunting, or teasing peers | |||||
O34b.1 Face to face? | |||||
O34b.2 Using Electronic means? | |||||
{O34c} Verbal threats | |||||
{O34d} sent written threats | |||||
{O34e} sent electronic threats | |||||
{O34f} Bullied peers | |||||
{O34g} physically threatened peers | |||||
{O34h} physically fought with peers | |||||
{O34i} damaged another's personal property | |||||
{O34j} damaged school property (tagging, vandalism etc…) | |||||
{O34k}stole another's personal property | |||||
{O34l} truancy (skipped school) | |||||
{O34m} possessed / used illegal substances | |||||
{O34n}possessed a weapon | |||||
O35a. 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 | ||||
{O35a.1} called names by peers | |||||
{O35a.2} bullied by peers | |||||
{O35a.3} had personal property damaged or stolen | |||||
{O35a.4}verbally threatened by peers | |||||
{O35a.5}received written threats | |||||
{O35a.6} electronic threats | |||||
{O35a.7}physically threatened by peers | |||||
{O35a.8}physically assaulted by peers | |||||
O36. 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 |
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O37. 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. |
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Services | Code | ||||
O37.a guidance counseling / advising | |||||
O37.b psychological counseling | |||||
O37.c Psychiatric or mental health services | |||||
O37.d social services | |||||
O37.e supplemental educational services (including efforts to address learning disabilities) | |||||
O37.f other services | |||||
Specify | |||||
O38. 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 |
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O39. 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 |
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If yes, please complete O39a…otherwise, skip to O40. | |||||
O39a. If yes, what specific kinds of emotional or mental health problems were treated? To be coded later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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O40. Did this alleged offender have a documented family history of ..... Read options, Coding instructions: 1=yes, 2=no, 8=unknown. |
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Code | |||||
{O40.1} alcoholism | |||||
{O40.2} drug abuse | |||||
{O40.3} intimate partner violence | |||||
{O40.4.} sexual violence | |||||
{O40.5}attempted / completed suicide | |||||
{O40.6} arrests / convictions for violent offenses (e.g., assault, homicide etc…) | |||||
O41 Did this alleged offender suffer Read options, Coding instructions: 1=yes, 2=no, 8=unknown. |
|||||
Code | |||||
{O41.1} physical child abuse | |||||
{O41.2} sexual child abuse | |||||
{O41.3} emotional / psychological abuse as a child | |||||
{O41.4} neglect | |||||
{O41.5} victimization in intimate partner violence_/ teen dating violence | |||||
{O41.6} victimization in sexual violence | |||||
O42. 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 | ||||
{O42a} Thoughts/threats of suicide | |||||
{O42b} Plans of suicide | |||||
{O42c} Previous suicide attempts | |||||
*If no to all, skip to O45. | |||||
O43. To whom was this suicidal behavior reported? Do not read 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 | |||||
*If no, not applicable, unknown, or refuse and Offender is a student Go to Question #O45. *If no, not applicable, unknown, or refuse and Offender is not a student Go to Question #O45. |
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O44. What, if any, actions were taken by the school in response to this suicidal behavior? To be coded later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
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O45. 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 O52…otherwise proceed to question O46. | |||||
O46. What was the date of the injury event? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ |
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O47. What was the time of the injury event? Record in military time_ _ _ _ | |||||
O48. What was the date of death? Record month/date/year, code leading zeros (code four-digit years)_ _/_ _/_ _ _ _ |
|||||
O49 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) victim killed by law enforcement or security personnel | |||||
d) victim killed by civilian during commission of a crime | |||||
e) other | |||||
specif y | |||||
O50. Briefly describe the circumstances of the fatal injury and events leading up to it, including history of prior conflicts between the principals, etc. Code later ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
|||||
O51. 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 | |||||
O52. Did perceptions about the offender being gay, bisexual, or transgendered contribute to their perpetration? _ Do NOT read options 1=homosexual 2=heterosexual 3=bisexual 4=transgender 5=questioning 7=not applicable 8=unknown 9=refused to answer |
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O53. 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 |
|||||
O54. 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. What is (are) your current position(s) in this school/district? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown 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 | |
a) principal _ | a) principal _ | a) principal _ | a) principal _ | a) principal _ | |
b) teacher _ | b) teacher _ | b) teacher _ | b) teacher _ | b) teacher _ | |
c) counselor _ | c) counselor _ | c) counselor _ | c) counselor _ | c) counselor _ | |
d) superintendent _ | d) superintendent _ | d) superintendent _ | d) superintendent _ | d) superintendent _ | |
e) school support staff _ | e) school support staff _ | e) school support staff _ | e) school support staff _ | e) school support staff _ | |
G01a.e.1. (specify ....................................) | G01b.e.1. (specify ..............................) | G01c.e.1. (specify ..............................) | G01d.e.1. (specify ....................................) | G01e.e.1 (specify ..............................) | |
f) law enforcement official _ | f) law enforcement official _ | f) law enforcement official _ | f) law enforcement official _ | f) law enforcement official _ | |
g) other _ | g) other _ | g) other _ | g) other _ | g) other _ | |
G01a.g.1. (specify ....................................) | G01b.g.1. (specify .............................) | G01c.g.1. (specify ................................) | G01d.g.1. (specify ....................................) | G01e.g.1 (specify ...............................) | |
G02. What was (were) your position(s) during the period in which this event took place? | |||||
Do NOT read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. | |||||
G02a. Respondent 1 | G02b. Respondent 2 | G02c. Respondent 3 | G02d. Respondent 4 | G02e. Respondent 5 | |
a) principal _ | a) principal _ | a) principal _ | a) principal _ | a) principal _ | |
b) teacher _ | b) teacher _ | b) teacher _ | b) teacher _ | b) teacher _ | |
c) counselor _ | c) counselor _ | c) counselor _ | c) counselor _ | c) counselor _ | |
d) superintendent _ | d) superintendent _ | d) superintendent _ | d) superintendent _ | d) superintendent _ | |
e) school support staff _ | e) school support staff _ | e) school support staff _ | e) school support staff _ | e) school support staff _ | |
G02a.e.1. (specify ................................) | G02b.e.1. (specify ................................) | G02c.e.1. (specify .................................) | G02d.e.1. (specify .................................) | G02e.e.1 (specify ................................) | |
f) law enforcement official _ | f) law enforcement official _ | f) law enforcement official _ | f) law enforcement official _ | f) law enforcement official _ | |
g) other _ | g) other _ | g) other _ | g) other _ | g) other _ | |
G02a.g.1. (specify ....................................) | G02b.g.1. (specify ..................................) | G02c.g.1. (specify ....................................) | G02d.g.1. (specify ....................................) | G02e.g.1 (specify ................................) | |
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- specify..............................................................................................) | |||||
8= unknown* | |||||
9= refused to answer* | |||||
*If option 1 is selected proceed to Question #S01, Page 2. | |||||
*If option 3 is selected, skip to Question # SOC01, page 8. | |||||
*If option 2, 4, 6, 8 or 9 (Other-Specify) are selected, skip to Question #E02, page E12. | |||||
QUESTIONS about the school (for events occurring on school property) | |||||
S01. Is the school associated with this death an alternative school? _ (If respondent is unfamiliar with this language, give an example, e.g., trade school, disciplinary school, special education, art school.) |
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Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
S02. 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 | |||||
S03. Prior to the injury event did the school recently experience an increase in the size of the student population due to a merger with another school / with other schools? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
S04. 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 S04a & S04b. | |||||
*If answer is 2 -9, skip to Question #S05. | |||||
S04a. Number of School Resource Officers/Sworn Law Enforcement Officers __ | |||||
S04b. Number of Private Security Officers __ | |||||
S05. During the time when the event 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 | |||||
{S05a} Were they full time? (e.g., 8 hours/day} | |||||
{S05b} At any time during school hours | |||||
{S05c} While students were arriving and/or leaving | |||||
{S05d} At selected school activities (e.g., athletic and social events, open houses, science fairs} | |||||
{S05e} When school/school activities not occurring | |||||
{S05f} Other | |||||
{S05f.1} If Other selected, please specify: | |||||
S06. 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 | |||
S06a) Walk Through Metal Detectors | |||||
If yes, proceed to S06a1 & S06a2; if no, proceed to S06b. | |||||
S06a1) If yes, how often? | |||||
1 - Daily 2 - 2 to 3 times per week 3 - Weekly 4 - Biweekly 5 - As warranted 6 - Randomly 7 - Never |
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S06a2) Where were the walk through metal detectors used? (Answer each option) | |||||
S06a2.a) Main entry | |||||
S06a2.b) Secondary entries | |||||
S06a2.c) Other | |||||
S06a2.c1) If Other selected, please specify: | |||||
S06b) Hand Held Metal Detectors | |||||
If yes, proceed to S06b1 & S06b2; if no, proceed to S06c. | |||||
S06b1) | If yes, how often? | ||||
1 - Daily 2 - 2 to 3 times per week 3 - Weekly 4 - Biweekly 5 - As warranted 6 - Randomly 7 - Never |
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S06b2) Where were the walk through metal detectors used? (Answer each option) | |||||
S06b2.a) Main entry | |||||
S06b2.b) Secondary entries | |||||
S06b2.c) Other | |||||
S06b2.c1) If Other selected, please specify: | |||||
S06c) Surveillance Cameras | |||||
If yes, proceed to S06c1 – S06ce3; if no, proceed to S06d. | |||||
S06c1) If yes, when were they used? (Answer each option) | |||||
S06c1.a) On school days before classes or official school activities began | |||||
S06c1.b) While classes were being held | |||||
S06c1.c) During lunch, recess, or other breaks, | |||||
S06c1.d) During class changes | |||||
S06c1.e) Immediately after school | |||||
S06c1.f) During after school practice or detention | |||||
S06c1.g) After official activities | |||||
S06c1.h) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||
S06c1.i) Cameras only used as visual detterent | |||||
S06c2) If yes, where were the surveillance cameras used? (Answer each option) | |||||
S06c2.a) Entry/exit areas – exterior | |||||
S06c2.b) Athletic areas | |||||
S06c2.c) Entry/exit areas – interior | |||||
S06c2.d) Corridors | |||||
S06c2.e) Other | |||||
S06c2.e1) If Other selected, please specify: | |||||
S06c3) If yes, when were the surveillance cameras monitored? | |||||
1 - Always 2 - Occasionally 3 - After an incident 4 - Rarely |
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S06d) Communication Devices | |||||
If yes, proceed to S06d1; if no, proceed to S06e. | |||||
S06d1) If yes, what types of devices were used? (Answer each option) | |||||
S06d1.a) 2-way radios | |||||
S06d1.b) 2-way intercom in most classrooms | |||||
S06d1.c) Mass text messages | |||||
S06d1.d) Mass emails | |||||
S06d1.e) Other | |||||
S06d1.e1) If Other selected, please specify: | |||||
S06e) Access Restrictions | |||||
If yes, proceed to S06e1; if no, proceed to S07. | |||||
S06e1) Proximity or card swipe access for staff | |||||
If yes, proceed to S06e1a; if no, proceed to S06e2. | |||||
S06e1.a) If yes, where? (Answer each option) | |||||
S06e1.a1) Main building(s) / areas | |||||
S06e1.a2) Parking lot(s) | |||||
S06e1.a3) Other | |||||
S06e1a31) If Other selected, please specify: | |||||
S06e2) Intrusion Alarm Systems | |||||
If yes, proceed to S06e2a & S06e2b; if no, proceed to S07. | |||||
S06e2.a) If yes, where? (Answer each option) | |||||
S06e2.a1) Main building(s) / areas | |||||
S06e2.a2) Parking lot(s) | |||||
S06e2.a3) Other | |||||
S06e2.a3.1) If other selected, please specify | |||||
S06e2.b) If yes, when were they used? (Answer each option) | |||||
S06e2.b1) on school days before classes or official school activities began | |||||
S06e2.b2) While classes were being held | |||||
S06e2.b3)During lunch, recess, or other breaks | |||||
S06e2.b4) During class changes | |||||
S06e2.b5) immediately after school | |||||
S06e2.b6) During after school practice or detention | |||||
S06e2.b7) After official activities | |||||
S06e2.b8) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||
S07. At the time of the event, was it a policy of the school to do any of the following? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown (Answer each option) _ | |||||
School Policies | Code | ||||
S07a) Require visitors to sign or check in | |||||
S07b) Require visitors to sign or check out | |||||
S07c) Control access to school buildings during school hours (e.g., locked or monitored doors) | |||||
S07d) Control access to school grounds during school hours (e.g., locked or monitored gates) | |||||
S07e) Require students to pass through metal detectors each day | |||||
S07f) Require visitors to pass through metal detectors | |||||
S07g) Perform one or more random metal detector checks on students | |||||
S07h) Require most students to stay on campus at lunchtime | |||||
S07i) Perform one or more random sweeps for contraband (e.g., drugs or weapons) | |||||
S07j) Require drug testing for any students | |||||
S07k) Require students to wear uniforms | |||||
S07l) Enforce a dress code | |||||
S07m) Provide a printed code of student conduct to students | |||||
S07n) Provide a printed code of student conduct to parents | |||||
S07o) Provide school lockers to students | |||||
S07p) Require clear book bags on school grounds | |||||
S07q) Ban book bags on school grounds | |||||
S07r) Require students to wear badges or picture IDs | |||||
S07s) Require faculty and staff to wear badges or picture IDs | |||||
S07t) Provide telephones in most classrooms | |||||
S07u) Prohibit all tobacco use on school grounds | |||||
S07v) Does the school have a written policy about bullying? (if NO skip to S07x; If YES, answer S07v1) | |||||
S07v1) Is the written bullying policy included in a student handbook that goes home for student and parental review? | |||||
S07x) Increased security or monitoring during high traffic times (e.g., class changes, lunch time) | |||||
S08. What is the school’s protocol for responding to a violent event? (e.g., lockdown procedures, immediate SRO response, etc.) | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
S09. What actions did the school take in response to the injury event? | |||||
(PROBE FOR: immediate, long-term, policy, environmental, social, curricular) | |||||
to be coded later, please note sources | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
S10. How many incidents of student weapon carrying were identified by school staff during the year in which the incident took place? (Excluding this event) _ _ | |||||
00-##=actual number | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
S11. Please describe what actions the school policy stipulated should be taken by the school when a person is identified with a weapon while under the supervision of the school? | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................... | |||||
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) If yes, 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) | |||||
SOC03c1.a) On school days before classes or official school activities began | |||||
SOC03c1.b) While classes were being held | |||||
SOC03c1.c) During lunch, recess, or other breaks | |||||
SOC03c1.d) During class changes | |||||
SOC03c1.e) Immediately after school | |||||
SOC03c1.f) During after school practice or detention | |||||
SOC03c1.g) After official activities | |||||
SOC03c1.h) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||
SOC03c1.i) 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 | |||||
SOC03c3.c) Entry/exit areas – interior | |||||
SOC03c2.d) Corridors | |||||
SOC03c2.e) Other | |||||
SOC03c2.e1) If Other selected, please specify: | |||||
SOC03c3) If yes, when were the surveillance cameras monitored? | |||||
1 Always 2 Occasionally 3 After an incident 4 Other |
|||||
SOC03c3.a) If Other selected, please specify: | |||||
SOC03d) Communication Devices | |||||
If yes, proceed to SOC03d1; 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 | |||||
If yes, proceed to SOC03.e1a; if no, proceed to SOC03f. | |||||
SOC03e1.a) If yes, where? (Answer each option) | |||||
SOC03e1.a1) Main building(s) / areas | |||||
SOC03e1.b1) Parking lot(s) | |||||
SOC03e1.c1) Other | |||||
SOC03e1.c1a) 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) | |||||
SOC03f1.a) Main building(s) / areas | |||||
SOC03f1.b) Parking lot(s) | |||||
SOC03f1.c) Other | |||||
SOC03f1.c1) If Other selected, please specify: | |||||
SOC03f2) If yes, when were they used? (Answer each option) | |||||
SOC03f2.a) On school days before classes or official school activities began | |||||
SOC03f2.b) While classes were being held | |||||
SOC03f2.c) During lunch, recess, or other breaks | |||||
SOC03f2.d) During class changes | |||||
SOC03f2.e) Immediately after school | |||||
SOC03f2.f) During after school practice or detention | |||||
SOC03f2.g) After official activities | |||||
SOC03f2.h) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) | |||||
QUESTIONS about the event: | SCHOOL INTERVIEW | ||||
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 | ||||
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 perpetrator’s motives for the fatal injury? | (answer each option) | ||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; | |||||
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 the principles, etc. | |||||
Code later | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................................................... | |||||
E06. What was the method of fatal injury? (answer each option) | |||||
Read options; Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; | |||||
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 alleged 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, 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 at | 06= fellow student at | 06= fellow student at | |
school, but not | school, but not | school, but not | school, but not | school, but not | |
classmate | classmate | classmate | classmate | classmate | |
07= community / | 07= community / neighborhood acquaintance | 07= community / | 07= community / | 07= community / | |
neighborhood | 08= strangers | neighborhood | neighborhood | neighborhood | |
acquaintance | 66= other (E10b2 - specify......................) | acquaintance | acquaintance | acquaintance | |
08= strangers | 77=not applicable | 08= strangers | 08= strangers | 08= strangers | |
66= other (E10a2)specify......................) | 88=unknown | 66= other (E10c2 - specify......................) | 66= other (E10d2 - specify......................) | 66= other (E10e2 - specify......................) | |
77=not applicable | 99=refused to answer | 77=not applicable | 77=not applicable | 77=not applicable | |
88=unknown | 88=unknown | 88=unknown | 88=unknown | ||
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 (E11a. If yes, 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 | |||||
QUESTIONS about the Victim: | SCHOOL INTERVIEW | ||||
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? | |||||
Record month/date/year, code leading zeros (code four-digit years) | _ _/_ _/_ _ _ _ | ||||
V03. What was the time of the injury? 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 (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 | |||||
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 | |||||
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. 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 (V11a: If Other selected, please specify: _________________ ) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
V12. 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 V12a; | |||||
*If answer is 2 -9, skip to Question # V13. | |||||
V12a. If yes, what group(s) were they affiliated with? | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V13. In the year prior to this event, did the victim leave an existing peer group? | |||||
Do not read options _ | |||||
1=yes (V13a. If yes, 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. In the year prior to this event, did the victim join a new peer group? _ | |||||
Do not read options | |||||
1=yes (V14a. If yes, specify _________________________________) | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
If yes, proceed to V14a; | |||||
*If answer is 2 -9, skip to Question # V15. | |||||
V15. 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. | |||||
V15a. If yes, what types of substances did the victim use?_ | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V16. 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 | |||||
V17. 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 | |||||
V18. 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 V18a; | |||||
*If answer is 2 -9, skip to Question # V20. | |||||
V18a. If yes, which of the following types of weapon was this victim carrying? (Answer all options) | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
Weapon | Code | ||||
V18a) firearm | |||||
V18a1) Specify firearm: | |||||
V18b) knife, razor, box cutter or other blade | |||||
V18c) bat, pipe, chain, or other object | |||||
V18d) rope or wire | |||||
V18e) other | |||||
V18e1) If Other selected, please specify: | |||||
V18. Where did this victim obtain these weapons? | (Answer all options) | ||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown | |||||
Weapons source | Code | ||||
V18a) from home | |||||
V18a1)if yes, specify weapon: | |||||
V18b) from friend or relative outside household | |||||
V18 b1)if yes, specify weapon | |||||
V18c) purchased for himself/herself | |||||
V18c1) if yes, specify weapon | |||||
V18d) stolen | |||||
V18d1)if yes, specify weapon | |||||
V18e) home-made weapon | |||||
V18f) weapon of opportunity (used weapon already present in environment / used object in environment as weapon) | |||||
V18g) from the victim | |||||
V18 g1)if yes, specify weapon | |||||
V18h) other | |||||
V18 h1)if yes, specify weapon | |||||
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=a student at another school | |||||
03=a teacher at this school* | |||||
04=administrator at this school* | |||||
05=other staff at this school* | |||||
06=security guard or police officer* | |||||
07=family member of a student* | |||||
08=resident of surrounding community* | |||||
09=not associated with the school or community* | |||||
10=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, skip to Question # V41. | |||||
V20. During the year prior to this incident, how many times had the victim been found carrying a weapon on school grounds or on the way to or from school? _ _ | |||||
00-##=actual number of times the victim carried a weapon* | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
*If answer is zero (0), skip to Question #V21; otherwise proceed to Questions V20a – V20b. | |||||
V20a. For the most recent event prior to the date of fatal injury, which of the following types of weapons was the victim carrying? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown (Answer all options) | |||||
Weapon | Code | ||||
{V20a1} firearm | |||||
{V20a1.1} If firearm selected, please specify | |||||
{V20a2} knife, razor, box cutter or other blade | |||||
{V20a3} bat, pipe, chain, or other object | |||||
{V20a4} rope or wire | |||||
{V20a5} other | |||||
{V20a5.1} If other selected, please specify | |||||
V20b. What, if any, actions did the school take in response to the victim’s most recent incident of weapon carrying? | |||||
...................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................... | |||||
...................................................................................................................................................................................................................................................................................................................................................... | |||||
V21. 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 | |||||
V22. How many times in the last year was the victim suspended from his or her school? _ | |||||
(including in-school suspensions) | |||||
Do NOT read options | |||||
0=none, never suspended | |||||
1-5=actual number of times | |||||
6=more than five times | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
V23. In the last year was the victim expelled from his or her school? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
V24. What extracurricular activities was the victim involved in? | |||||
To be coded later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V25. Did the victim experience any school-related crises or traumatic events during the 2 weeks before the fatal 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 2 - 9, skip to Question #V26. | |||||
V25a. Please briefly describe the specific school-related crises or traumatic events experienced. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V26. 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 V26a. | |||||
*If answer 2 - 9, skip to Question #V27. | |||||
V26a. Please briefly describe the specific school-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V27. 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 V27a. | |||||
*If answer 2 - 9, skip to Question #V28. | |||||
V27a. Please briefly describe the specific community-related crises or traumatic events experienced. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V28. 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 V28a. | |||||
*If answer 2 - 9, skip to Question #V29. | |||||
V28a. Please briefly describe the specific community-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V29. 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 V29a. | |||||
*If answer 2 - 9, skip to Question #V30. | |||||
V29a. Please briefly describe the specific family-related crises or traumatic events experienced. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V30a. 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 V30a. | |||||
*If answer 2 - 9, skip to Question #V31. | |||||
V30a. Please briefly describe the specific family-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V31. 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 V31a. | |||||
*If answer 2 - 9, skip to Question #V32. | |||||
V31. Please briefly describe the specific relationship-related crises or traumatic events experienced. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V32. 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 V32a. | |||||
*If answer 2 - 9, skip to Question #V33. | |||||
V32a. Please briefly describe the specific relationship-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V33. In the 12 months prior to this event was the victim reported to the principal’s office for any of the following behaviors? | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) | |||||
Behavior | Code | ||||
{V33a} disobeying authority figure | |||||
{V33b} namecalling, taunting, or teasing peers | |||||
If yes to V33b, please complete V33b.1 & V33b.2: | |||||
V33b.1 Face to face? | |||||
V33b.2 Using Electronic means (e.g., phone, computer)? | |||||
{V33c} verbal threats | |||||
{V33d} sent written threats | |||||
{V33e} sent electronic threats | |||||
{V33f} bullied peers | |||||
{V33g} physically threatened peers | |||||
{V33h} physically fought with peers | |||||
{V33i} damaged another's personal property | |||||
{V33j} damaged school property (tagging, vandalism etc…) | |||||
{V33k} stole another's personal property | |||||
{V33l} truancy (skipped school) | |||||
{V33m} possessed / used illegal substances | |||||
{V33n} possessed a weapon | |||||
{V33o} physically threatened an authority figure | |||||
V34. 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. (Answer all options) |
|||||
Type | Code | ||||
{V34a} called names by peers | |||||
{V34b} bullied by peers | |||||
{V34c} had personal property damaged or stolen | |||||
{V34d} verbally threatened by peers | |||||
{V34e} received written threats | |||||
{V34f} electronic threats | |||||
{V34g} physically threatened by peers | |||||
{V34h} physically assaulted by peers | |||||
V35. At the time of this event, did this victim have a diagnosed Learning Disability, physical disability, or physical health problem? _ | |||||
Do not read options | |||||
1=yes (V35a. If yes, please specify ___________________) | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
If yes, proceed to V35a. | |||||
*If answer 2 - 9, skip to Question #V36. | |||||
V36. 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. (Answer all options) | |||||
Services | Code | ||||
{V36a} guidance counseling / advising | |||||
{V36b} social services | |||||
{V36c} supplemental educational services (including efforts to address learning disabilities, such as a formal school psychoeducational evaluation) |
|||||
{V36d} other services | |||||
{V36d1} If other selected, please specify: | |||||
V37. 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 | |||||
V38. Had the victim ever received professional treatment for any other 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 V38a & V38b. | |||||
*If answer 2 - 9, skip to Question #V39. | |||||
V38a. If yes, what specific kinds of emotional or mental health problems were treated? | |||||
To be coded later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V38b. In what type of setting were they treated (e.g., inpatient, outpatient)? | |||||
To be coded later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V39. Did this victim have a documented family history of ..... | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) | |||||
Code | |||||
{V39a } alcoholism | |||||
{V39b} drug abuse | |||||
{V39c} intimate partner violence | |||||
{V39d} sexual violence | |||||
{V39e} attempted / completed suicide | |||||
{V39f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) |
|||||
V40. Did this victim suffer… | |||||
Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) | |||||
Code | |||||
{V40a} physical child abuse | |||||
{V40b} sexual child abuse | |||||
{V40c} emotional / psychological abuse as a child | |||||
{V40d} neglect | |||||
{V40e} victimization in intimate partner violence_/ teen dating violence |
|||||
{V40f} victimization in sexual violence | |||||
V41. 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 (V41a:If Other selected, please specify..........................................................) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
V42. 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 V42a & V42b. | |||||
*If answer 2 - 9, skip to Question #V43. | |||||
V42a. To whom was this self-harm behavior reported? Do not read options (Answer all options) | |||||
Code | |||||
{V42a1} no one | |||||
{V42a2} parents | |||||
{V42a3} other family | |||||
{V42a4} peers | |||||
{V42a5} school staff | |||||
{V42a6} other medical/mental health professional | |||||
{V42a7} other | |||||
{V42a7a} If Other selected, please specify: | |||||
{V42a8} not applicable | |||||
{V42a9} unknown | |||||
V42b. What, if any, actions were taken by the school in response to this self-harm behavior? | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
V43. 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 | ||||
{V43a} Thoughts/threats of suicide* | |||||
{V43b} Plans of suicide* | |||||
{V43c} Previous suicide attempts* | |||||
If yes to any of V43.a – V43.c, proceed to V43.d & V43.e. | |||||
*If no to all of V43.a – V43.c, skip to V44. | |||||
V43d. To whom was this suicidal behavior reported? Do not read options (Answer all options) | |||||
Code | |||||
{V43d1} no one | |||||
{V43d2} parents | |||||
{V43d3} other family | |||||
{V43d4} peers | |||||
{V43d5} school staff | |||||
{V43d6} other medical/mental health professional | |||||
{V43d7} other | |||||
{V43d7a}: If Other selected, please specify | |||||
{V43d8} not applicable | |||||
{V43d9} unknown | |||||
V43e. What, if any, actions were taken by the school 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 | |||||
V45. 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 to V45, proceed to V45a & V45b. | |||||
*If no to all, skip to V46. | |||||
V45a. How many nonfatal injuries occurred at the time of this event? _ _ | |||||
01-##=actual number of nonfatal injuries | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
V45b. 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 | |||||
V46. Is there more than one fatal victim to report and are you ready to complete another victim questionnaire? Do not read options 1=yes 2=no* |
|||||
Do not read options | |||||
1=yes | |||||
2=no* | |||||
If yes to V46, go back to V01 to complete another "Victim" section starting with Question V01. | |||||
*If no, skip to V47. | |||||
V47. 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 | |||||
QUESTIONS about Alleged Offender: | SCHOOL INTERVIEW | ||||
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 | |||||
01-100=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? _ _ | |||||
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. 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 | |||||
14=some college or trade school | |||||
15=college graduate or more | |||||
16=never attended | |||||
66=other (O08a: If Other selected, please specify__________________________________) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
O09. Had this alleged offender ever been arrested before the the victim's death? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O10. 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 to O10, proceed to O10a & O10b. | |||||
*If answers 2 – 9, skip to O11. | |||||
O10a. What types of charges did the alleged offender face? | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O10b. Which charges resulted in convictions? | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O11. Individuals 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 to O10, proceed to O11a – O11c. | |||||
*If answers 2 – 9, skip to O12. | |||||
O11a. What groups were they affiliated with? | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O11b. In the year prior to this event, did the alleged offender leave an existing peer group? _ | |||||
Do NOT read options | |||||
1=yes (O11b1. If yes, specify ____________________) | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
If yes to O11b, proceed to O11b1. | |||||
*If answers 2 – 9, skip to O11c. | |||||
O11c. In the year prior to this event, did the alleged offender or join a new peer group? _ | |||||
Do NOT read options | |||||
1=yes (O11c1. If yes, specify ____________________) | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
If yes to O11c, proceed to O11c1. | |||||
*If answers 2 – 9, skip to O12. | |||||
O12. Did this alleged offender use alcohol or other 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 O12, proceed to O12a. | |||||
*If answers 2 – 9, skip to O13. | |||||
O12a. What types of substances did the alleged offender use? | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O13. Was there evidence that this alleged offender was intoxicated with alcohol or other 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 | |||||
O14. 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 | |||||
O15. What was the relationship of this alleged offender to the victim? _ _ | |||||
Read options; code written responses later | |||||
01= relatives (O15a: 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 (O15b: If Other selected, please specify__________________________________) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
O16. 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 O16, proceed to O16a – O16b. | |||||
*If answers 2 – 9, skip to O17. | |||||
O16a. 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 (Answer all options) | |||||
Weapon | Code | ||||
{O16a1} firearm | |||||
{O16a1.1} If firearm selected, please specify | |||||
{O16a2} knife, razor, box cutter or other blade | |||||
{O16a3} bat, pipe, chain, or other object | |||||
{O16a4} rope or wire | |||||
{O16a5} other | |||||
{O16a5.1} If other selected, please specify | |||||
O16b. Where did this alleged offender obtain these weapons? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown (Answer all options) | |||||
Weapons source | Code | ||||
{O16b1} from home | |||||
{O16b1.1} specify weapon | |||||
{O16b2} from friend or relative outside household | |||||
{O16b2.1} specify weapon | |||||
{O16b3} purchased for himself/herself | |||||
{O16b3.1} specify weapon | |||||
{O16b4} stolen | |||||
{O16b4.1} specify weapon | |||||
{O16b5} home-made weapon | |||||
{O16b6} weapon of opportunity (used weapon already present in environment / used | |||||
object in environment as weapon} | |||||
{O16b7} from the victim | |||||
{O16b7.1} specify weapon | |||||
O17. What was this alleged offender's affiliation with the school associated with the the victim's death? _ _ | |||||
Do NOT read options, code leading zero | |||||
01=a student at this school | |||||
02=a student at another school | |||||
03=a teacher at this school* | |||||
04=administrator at this school* | |||||
05=other staff at this school* | |||||
06=security guard or police officer* | |||||
07=family member of a student* | |||||
08=family member of a school staff member | |||||
09= resident of surrounding community* | |||||
10= not associated with the school or community* | |||||
11= unidentified offender* | |||||
66=other* (O17a: If Other selected, please specify__________________________________) | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
*If this offender is NOT a student, go to Question O26. | |||||
O18. During the year prior to this incident, had the alleged offender ever been found carrying a weapon on school grounds or on the way to or from school? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
If yes to O18, proceed to O18a – O18b. | |||||
*If answers 2 – 9, skip to O19. | |||||
O18a. During the year prior to this incident, how many times had this alleged offender been found carrying a weapon on school grounds or on the way to or from school? _ _ | |||||
Do NOT read options, code leading zeros | |||||
01-##=actual number of times the victim carried a weapon | |||||
77=not applicable | |||||
88=unknown | |||||
99=refused to answer | |||||
O18b. For the most recent time the alleged offender was found to be carrying a weapon prior to the date of fatal injury, was he/she carrying any of the following types of weapon? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown (Answer all options) | |||||
Weapon | Code | ||||
{O18b1} firearm | |||||
{O18b1.1} If firearm selected, please specify | |||||
{O18b2} knife, razor, box cutter or other blade | |||||
{O18b3} bat, pipe, chain, or other object | |||||
{O18b4} rope or wire | |||||
{O18b5} other | |||||
{O18b5.1} If other selected, please specify | |||||
If yes to O18b, proceed to O18b1. | |||||
*If answers 2 – 9, skip to O19. | |||||
O18b6. If yes to any of the above, what, if any, actions did the school take in response to this alleged offender’s most recent incident of weapon carrying? | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O19. How many times was this alleged offender suspended from his or her school? (including in school suspensions) _ | |||||
Do NOT read options | |||||
0=none, never suspended or expelled | |||||
1-5=actual number of times | |||||
6=more than five times | |||||
7=not applicable | |||||
8=unknown | |||||
9=refused to answer | |||||
O20. Had this alleged offender been expelled from his or her school, in the 12 months preceding the event? _ | |||||
Do NOT read options | |||||
1=yes | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
O21. What extracurricular activities was this alleged offender involved in at the time of the fatal incident? | |||||
to be coded later; please note the sources. | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O22. 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 O22, proceed to O22a. | |||||
*If answers 2 – 9, skip to O23. | |||||
O22a. Please briefly describe the specific school-related crises or traumatic events experienced. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O23. 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 O23, proceed to O23a. | |||||
*If answers 2 – 9, skip to O24. | |||||
O23a. Please briefly describe the specific school-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O24. 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 O24, proceed to O24a. | |||||
*If answers 2 – 9, skip to O25. | |||||
O24a. Please briefly describe the specific community-related crises or traumatic events experienced. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O25. 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 O25, proceed to O25a. | |||||
*If answers 2 – 9, skip to O26. | |||||
O25a. Please briefly describe the specific community-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
.......................................................................................................................................................................................................................................................................................................... | |||||
O26. 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 O26, proceed to O26a. | |||||
*If answers 2 – 9 and victim is a student, skip to O27. | |||||
*If answers 2 – 9 and victim is NOT a student, skip to O39. | |||||
O26a. Please briefly describe the specific family-related crises or traumatic events experienced. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O27. 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 O27, proceed to O27a. | |||||
*If answers 2 – 9, skip to O28. | |||||
*If answers 2 – 9 and victim is NOT a student, skip to O39. | |||||
O27a. Please briefly describe the specific family-related crises or traumatic events that may have been imminent. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O28. 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 O28, proceed to O28a. | |||||
*If answers 2 – 9, skip to O29. | |||||
*If answers 2 – 9 and victim is NOT a student, skip to O39. | |||||
O28a. Please briefly describe the specific relationship-related crises or traumatic events experienced. | |||||
Code later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O29. 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 O29, proceed to O29a. | |||||
*If answers 2 – 9, skip to O30. | |||||
*If answers 2 – 9 and victim is NOT a student, skip to O39 | |||||
O29a. Please briefly describe the specific relationship-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. (Answer all options) | |||||
Behavior | Code | ||||
{O30a} disobeying authority figure | |||||
{O30b} name-calling, taunting, or teasing peers (If yes, answer O30b1 &O30b2 ) | |||||
{O30b1} Face to face? | |||||
{O30b2} Using Electronic means (e.g., phone, computer)? | |||||
{O30c} verbal threats | |||||
{O30d} sent written threats | |||||
{O30e} sent electronic threats | |||||
{O30f} bullied peers | |||||
{O30g} physically threatened peers | |||||
{O30h} physically fought with peers | |||||
{O30i} damaged another's personal property | |||||
{O30j} damaged school property (tagging, vandalism etc…) | |||||
{O30k} stole another's personal property | |||||
{O30l} truancy (skipped school) | |||||
{O30m} possessed / used illegal substances | |||||
{O30n} 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. (Answer all options) | |||||
Type | Code | ||||
{O31a} called names by peers | |||||
{O31b} bullied by peers | |||||
{O31c} had personal property damaged or stolen | |||||
{O31d} verbally threatened by peers | |||||
{O31e} received written threats | |||||
{O31f} electronic threats | |||||
{O31g} physically threatened by peers | |||||
{O31h} physically assaulted by peers | |||||
O32. 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 (O32a. If yes, specify. ________________) | |||||
2=no* | |||||
7=not applicable* | |||||
8=unknown* | |||||
9=refused to answer* | |||||
If yes to O32, proceed to O32a. | |||||
*If answers 2 – 9, skip to O33. | |||||
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. (Answer all options) | |||||
Services | Code | ||||
O33a) guidance counseling / advising | |||||
O33b) social services | |||||
O33c.) supplemental educational services (including efforts to address learning disabilities), such as a formal school psychoeducational evaluation |
|||||
O33d) other services | |||||
O33d1) If other services selected, please 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, 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 O35, proceed to O35a – O35b. | |||||
*If answers 2 – 9, skip to O36. | |||||
O35a. If yes, what specific kinds of emotional or mental health problems were treated? | |||||
To be coded later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O35b. In what type of setting were they treated (e.g., inpatient, outpatient)? | |||||
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. (Answer all options) | |||||
Code | |||||
{O36a} alcoholism | |||||
{O36b} drug abuse | |||||
{O36c} intimate partner violence | |||||
{O36d} sexual violence | |||||
{O36e}attempted / completed suicide | |||||
{O36f} 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. (Answer all options) | |||||
Code | |||||
{O37a} physical child abuse | |||||
{O37b} sexual child abuse | |||||
{O37c} emotional / psychological abuse as a child | |||||
{O37d} neglect | |||||
{O37e} victimization in intimate partner violence / teen dating violence |
|||||
{O37f} victimization in sexual violence | |||||
O38. 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 O38, proceed to O38a – O38b. | |||||
*If answers 2 – 9, skip to O39. | |||||
O38a. To whom was this self-harm behavior reported? Do not read options; Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) |
|||||
Code | |||||
O38a1) no one | |||||
O38a2) parents | |||||
O38a3) other family | |||||
O38a4) peers | |||||
O38a5) school staff | |||||
O38a6) other medical/mental health professional | |||||
O38a7) other | |||||
O38a7a) If Other selected, please specify | |||||
O38a8) not applicable | |||||
O38a9) unknown | |||||
O38a10) refused to answer | |||||
O38b. What, if any, actions were taken by the school in response to this self-harm behavior? | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O39. 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. (Answer all options) | |||||
Signs | Code | ||||
{O39a} Thoughts/threats of suicide | |||||
{O39b} Plans of suicide | |||||
{O39c} Previous suicide attempts | |||||
If yes to any of O39a – O39c, proceed to O39d – O39e. | |||||
*If answers 2 – 9, skip to O40. | |||||
O39d. To whom was this suicidal behavior reported? | |||||
Do NOT read options. Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) | |||||
Code | |||||
{O39d1} no one | |||||
{O39d2} parents | |||||
{O39d3} other family | |||||
{O39d4} peers | |||||
{O39d5} school staff | |||||
{O39d6} other medical/mental health professional | |||||
{O39d7} other | |||||
{O39d7a} If Other selected, please specify | |||||
{O39d8} not applicable | |||||
{O39d9} unknown | |||||
{O39d10} refused to answer | |||||
O39e. What, if any, actions were taken by the school in response to this suicidal behavior? | |||||
To be coded later | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O40. 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 O40, proceed to O40a – O40f. | |||||
*If answers 2 – 9, skip to O41. | |||||
O40a. What was the date of the injury event? | |||||
Record month/date/year, code leading zeros (code four-digit years)_ _/_ _/_ _ _ _ | |||||
O40b. What was the time of the injury event? Record in military time _ _:_ _ | |||||
O40c. What was the date of death? | |||||
Record month/date/year, code leading zeros (code four-digit years)_ _/_ _/_ _ _ _ | |||||
O40d. What were the motives for the fatal injury? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; (Answer all options) | |||||
Motive | Code | ||||
{O40d1} single suicide | |||||
{O40d2} suicide pact | |||||
{O40d3} victim killed by law enforcement or security personnel | |||||
{O40d4} victim killed by civilian during commission of a crime | |||||
{O40d5} other | |||||
{O40d5a} If Other selected, please specify: | |||||
O40e. 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 | |||||
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. | |||||
O40f. What was the method of fatal injury? | |||||
Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; (Answer all options) | |||||
Weapon | Code | ||||
O40f1) firearm | |||||
O40f1a) - If firearm selected, please specify | |||||
O40f2) knife, razor, box cutter or other blade | |||||
O40f3) bat, pipe, chain, or other object | |||||
O40f4) rope or wire | |||||
O40f5) other | |||||
O40f5a) - If Other selected, please specify | |||||
O41. 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 | |||||
O42. 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 | |||||
O43. 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. |
Eliminated Items - Reason for removal | Item | Original Questions |
Eliminated original question | CASEID | Case ID Number To be assigned by study coordinator, record 5-digit number _ _ _ _ _ |
ITEMS | SCHOOL INTERVIEW |
S05. | During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services--- {S05a} Were they full time? (e.g., 8 hours/day} {S05b} At any time during school hours {S05c} While students were arriving and/or leaving {S05d} At selected school activities (e.g., athletic and social events, open houses, science fairs} {S05e} When school/school activities not occurring {S05f} Other {S05f.1} If Other selected, please specify: |
S08. | What is the school’s protocol for responding to a violent event? (e.g., lockdown procedures, immediate SRO response, etc.) ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
V32. | 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* |
V32a. | Please briefly describe the specific relationship-related crises or traumatic events experienced. Code later ................................................................................................................................................................................................................................................................................................................................................................................................... |
V33. | 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* |
V33a. | Please briefly describe the specific relationship-related crises or traumatic events that may have been imminent. Code later ................................................................................................................................................................................................................................................................................................................................................................................................... |
V39b. | In what type of setting were they treated (e.g., inpatient, outpatient)? To be coded later ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
V43. | 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* |
V43a. | To whom was this self-harm behavior reported? Do not read options (Answer all options) Code {V43a1} no one {V43a2} parents {V43a3} other family {V43a4} peers {V43a5} school staff {V43a6} other medical/mental health professional {V43a7} other {V43a7a} If Other selected, please specify: {V43a8} not applicable {V43a9} unknown {V43a10} refused to answer |
V43b. | What, if any, actions were taken by the school in response to this self-harm behavior? ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
Q28. | 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* |
Q28a. | Please briefly describe the specific relationship-related crises or traumatic events experienced. Code later ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... |
Q29. | 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* |
Q29a. | Please briefly describe the specific relationship-related crises or traumatic events that may have been imminent. Code later ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... |
O35b. | In what type of setting were they treated (e.g., inpatient, outpatient)? To be coded later ................................................................................................................................................................................................................................................................................................................................................. |
O38. | 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* |
O38a. | To whom was this self-harm behavior reported? Do not read options (Answer all options) Code {O38a1} no one {O38a2} parents {O38a3} other family {O38a4} peers {O38a5} school staff {O38a6} other medical/mental health professional {O38a7} other {O38a7a} If Other selected, please specify: {O38a8} not applicable {O38a9} unknown {O38a10} refused to answer |
O38b. | What, if any, actions were taken by the school in response to this self-harm behavior? ........................................................................................................................................................................................................................................................................................................................................................ |
V46. | Is there more than one fatal victim to report and are you ready to complete another victim questionnaire? Do not read options 1=yes 2=no* |
General Questions SCHOOL INTERVIEW | ORIGINAL | REVISION |
Revised. - "Prior to the injury event" wording added. | S03. Did this school recently experience an increase in the size of the student population due to a merger with another school / with other schools? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
S03. Prior to the injury event, did the school recently experience an increase in the size of the student population due to a merger with another school / with other schools? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
Revised - Additional option added.See SH 2015, item number S05. | S04 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 S04.a) At any time during school hours S04.b) While students were arriving and/or leaving S04.c) At selected school activities (e.g., athletic and social events, open houses, science fairs) S04.d) When school/school activities not occurring S04.e) Other (please specify) |
S05. During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services--- {S05a} Were they full time? (e.g., 8 hours/day} {S05b} At any time during school hours {S05c} While students were arriving and/or leaving {S05d} At selected school activities (e.g., athletic and social events, open houses, science fairs} {S05e} When school/school activities not occurring {S05f} Other {S05f.1} If Other selected, please specify: |
Revised - Additional option added. | S07. At the time of the event, was it a policy of the school to do any of the following? School Policies Code S07.a) Require visitors to sign or check in S07.b) Require visitors to sign or check out S07.c) Control access to school buildings during school hours (e.g., locked or monitored doors) S07.d) Control access to school grounds during school hours (e.g., locked or monitored gates) S07.e) Require students to pass through metal detectors each day S07.f) Require visitors to pass through metal detectors S07.g) Perform one or more random metal detector checks on students S07.h) Require most students to stay on campus at lunchtime S07.i) Perform one or more random sweeps for contraband (e.g., drugs or weapons) S07.j) Require drug testing for any students S07.k) Require students to wear uniforms S07.l) Enforce a dress code S07.m) Provide a printed code of student conduct to students S07.n) Provide a printed code of student conduct to parents S07.o) Provide school lockers to students S07.p) Require clear book bags on school grounds S07.q) Ban book bags on school grounds S07.r) Require students to wear badges or picture IDs S07.s) Require faculty and staff to wear badges or picture IDs S07.t) Provide telephones in most classrooms S07.u) Prohibit all tobacco use on school grounds. S07.v) Does the school have a written policy about bullying? (if NO skip to Q6.2) S07.w) Is the written bullying policy included in a student handbook that goes home for student and parental review? |
S07. At the time of the event, was it a policy of the school to do any of the following? School Policies Code S07a) Require visitors to sign or check in S07b) Require visitors to sign or check out S07c) Control access to school buildings during school hours (e.g., locked or monitored doors) S07d) Control access to school grounds during school hours (e.g., locked or monitored gates) S07e) Require students to pass through metal detectors each day S07f) Require visitors to pass through metal detectors S07g) Perform one or more random metal detector checks on students S07h) Require most students to stay on campus at lunchtime S07i) Perform one or more random sweeps for contraband (e.g., drugs or weapons) S07j) Require drug testing for any students S07k) Require students to wear uniforms S07l) Enforce a dress code S07m) Provide a printed code of student conduct to students S07n) Provide a printed code of student conduct to parents S07o) Provide school lockers to students S07p) Require clear book bags on school grounds S07q) Ban book bags on school grounds S07r) Require students to wear badges or picture IDs S07s) Require faculty and staff to wear badges or picture IDs S07t) Provide telephones in most classrooms S07u) Prohibit all tobacco use on school grounds S07v) Does the school have a written policy about bullying? (if NO skip to S07x) If YES, answer S07v1) S07v1)) Is the written bullying policy included in a student handbook that goes home for student and parental review? S07x) Increased security or monitoring during high traffic times (e.g., class changes, lunch time) |
Revised. - wording change from "death" to "injury event" and renumbered to S09. | S08. What actions did the school take in response to the death. (PROBE FOR: immediate, long-term, policy, environmental, social, curricular) to be coded later, please note sources ...................................................................................................................................................................................................................................................................................................................................... |
S09. What actions did the school take in response to the injury event? ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ |
Revised to include additional motives. See SH 2015, item number E04. Word "perpetrator" added to question. | 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) act of terrorism o) random victim p) victim was a bystander q) victim was intervener assisting a crime victim r) other Specify |
E04. What were the perpetrator’s motives for the fatal injury? (answer each option) Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; 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 to 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 alleged 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 |
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 SH 2015, question V09. | V09. Was this victim 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 8 Unknown if victim is of Hispanic or Latino origin 9 Refused to Answer |
V09. V09. Was this victim 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 {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. - wording change from "death" to "the fatal incident". | V17. 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. 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 SH 2015 question V26. | V29. 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* |
V26. Did the victim experience any school-related crises or traumatic events during the 2 weeks before the fatal 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 V30. | V33. Did any the victim experience any family-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* |
V30. 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* |
Revised to include additional behaviors. See SH 2015, item number V34. | V35. In the 12 months prior to this event was the victim reported to the principal’s office for any of the following behaviors? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Behavior Code {V35a} disobeying authority figure {V35b} namecalling, taunting, or teasing peers V35b.1 Face to face? V35b.2 Using Electronic means? {V35c} verbal threats {V35d} sent written threats {V35e} sent electronic threats {V35f} bullied peers {V35f} physically threatened peers {V35g} physical fought with peers {V35h} damaged another's personal property {V35i} damaged school property (tagging, vandalism etc…) {V35j}stole another's personal property {V35k} truancy (skipped school) {V35l} possessed / used illegal substances {V35m}possessed a weapon |
V34. In the 12 months prior to this event was the victim reported to the principal’s office for any of the following behaviors? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) Behavior {V34a} disobeying authority figure {V34b} namecalling, taunting, or teasing peers If yes to V34b, please complete V34b.1 & V34b.2: V34b.1 Face to face? V34b.2 Using Electronic means (e.g., phone, computer)? {V34c} verbal threats {V34d} sent written threats {V34e} sent electronic threats {V34f} bullied peers {V34g} physically threatened peers {V34h} physically fought with peers {V34i} damaged another's personal property {V34j} damaged school property (tagging, vandalism etc…) {V34k} stole another's personal property {V34l} truancy (skipped school) {V34m} possessed / used illegal substances {V34n} possessed a weapon {V34o} physically threatened an authority figure |
Revised. - expanded question to include additional services and specification. See SH 2015, item number V36. | VR05. 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 |
V36. 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 (V36a. If yes, please specify. ____________________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Revised. - two items removed reflecting behaviors. See SH 2015, item number V37. | V37. 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 V37.a) guidance counseling / advising V37.b) psychological counseling V37.c) psychiatric or mental health services V37.d) social services V37.e) supplemental educational services (including efforts to address learning disabilities) V37.f) other services Specify |
V37. 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. (Answer all options) Services Code {V37a} guidance counseling / advising {V37b} social services {V37c} supplemental educational services (including efforts to address learning disabilities, such as a formal school psychoeducational evaluation) {V37d} other services {V37d1} If other selected, please specify: |
Revised. - wording added to include example of professional treatment. | V39. Had the victim ever received professional treatment for any other mental health problem? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V39. Had the victim ever received professional treatment for any other 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 - options reworded in order to capture multiple responses to question. See SH 2015, question O06. | O06. Was this alleged offender 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 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 to include additional options. See SH 2015, item number O15. | 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= casual acquaintances 05= strangers 66= other (specify......................) 77=not applicable 88=unknown 99=refused to answer |
O15. What was the relationship of this alleged offender to the victim? _ _ Read options; code written responses later 01= relatives (O15a: 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 (O15b: If Other selected, please specify__________________________________) 77=not applicable 88=unknown 99=refused to answer |
Additional definition added to question regarding weapon carrying and question renumbered as O18b. | O23. For the most recent event prior to the date of fatal injury, was this alleged offender carrying any of the following types of weapon? 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 |
O18b. For the most recent time the alleged offender was found to be carrying a weapon prior to the date of this fatal incident, was he/she carrying any of the following types of weapon? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown (Answer all options) Weapon Code {O18a} firearm {O18a1} If firearm selected, please specify {O18b} knife, razor, box cutter or other blade {O18c} bat, pipe, chain, or other object {O18d} rope or wire {O18e} other {O18e1} Specify |
Revised. - wording added "alleged" and question renumbered as O22. | O28. Did any the offender 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* |
O22. 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 O24. | O34. Did any the offender 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* |
O24.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 - rephrased time-frame of question.See SH 2015, question O26. | O32. Did the alleged offender experience any family-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* |
O26.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* |
Revised. - expanded question to include additional services and specification. See SH 2015, item number V32. | O36.At the time of the event, did this offender have a diagnosed Learning Disability? _ Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O32.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 (O32aa. 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. | O39. 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 |
O35. 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 M Crosswalk for SAVD Survey Tools School Official | |||||
Description of Change | ITEMS | ORIGINAL 2012 SCHOOL INTERVIEW | ITEMS | REVISED 2015 SCHOOL INTERVIEW | |
General Questions | General Questions | ||||
No Change | G01. | What is (are) your current position(s) in this school/district? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. G01a. Respondent 1 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) G01b. Respondent 2 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) G01c. Respondent 3 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) G01d. Respondent 4 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) G01e. Respondent 5 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) |
G01. | What is (are) your current position(s) in this school/district? Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. G01a. Respondent 1 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ G01a.e.1. (specify ....................................) f) law enforcement official _ g) other _ G01a.g.1. (specify ....................................) G01b. Respondent 2 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ G01b.e.1. (specify ..............................) f) law enforcement official _ g) other _ G01b.g.1. (specify .............................) G01c. Respondent 3 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ G01c.e.1. (specify ..............................) f) law enforcement official _ g) other _ G01c.g.1. (specify ................................) G01d. Respondent 4 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _G01d.e.1. (specify ....................................) f) law enforcement official _ g) other _ G01d.g.1. (specify ....................................) G01e. Respondent 5 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _G01e.e.1 (specify ..............................) f) law enforcement official _ g) other _ G01e.g.1 (specify ...............................) |
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No Change | G02. | What was (were) your position(s) during the period in which this event took place? Do NOT read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. G02a. Respondent 1 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) G02b. Respondent 2 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) G02c. Respondent 3 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) G02d. Respondent 4 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) G02e. Respondent 5 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ (specify .......................................................) f) law enforcement official _ g) other _ (specify .......................................................) |
G02. | What was (were) your position(s) during the period in which this event took place? Up to five respondents can be captured using the items below. Coding should reflect actual participant number up to five. G01a. Respondent 1 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ G01a.e.1. (specify ....................................) f) law enforcement official _ g) other _ G01a.g.1. (specify ....................................) G01b. Respondent 2 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ G01b.e.1. (specify ..............................) f) law enforcement official _ g) other _ G01b.g.1. (specify .............................) G01c. Respondent 3 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _ G01c.e.1. (specify ..............................) f) law enforcement official _ g) other _ G01c.g.1. (specify ................................) G01d. Respondent 4 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _G01d.e.1. (specify ....................................) f) law enforcement official _ g) other _ G01d.g.1. (specify ....................................) G01e. Respondent 5 a) principal _ b) teacher _ c) counselor _ d) superintendent _ e) school support staff _G01e.e.1 (specify ..............................) f) law enforcement official _ g) other _ G01e.g.1 (specify ...............................) |
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No Change | 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 |
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* ( G03a- specify................................................................................) 8= unknown* 9= refused to answer* |
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QUESTIONS about the school | QUESTIONS about the school | ||||
No Change. | S01. | Is the school associated with this death an alternative school? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
S01. | Is the school associated with this death an alternative school? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
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No Change. | S02 | 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 | 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 |
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Revised. - "Prior to the injury event" wording added to indicate timing of potential merger. | S03 | Did this school recently experience an increase in the size of the student population due to a merger with another school / with other schools? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
S03. | Prior to the injury event, did the school recently experience an increase in the size of the student population due to a merger with another school / with other schools? Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
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Revised - Additional option added to identify whether law enforcement or security services were available on a full time schedule. See SH 2015, item renumbered as S05. | S04 | 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 S04.a) At any time during school hours S04.b) While students were arriving and/or leaving S04.c) At selected school activities (e.g., athletic and social events, open houses, science fairs) S04.d) When school/school activities not occurring S04.e) Other (please specify) |
S05. | During the time when the event of interest occurred, did the school regularly use paid law enforcement or security services--- {S05a} Were they full time? (e.g., 8 hours/day} {S05b} At any time during school hours {S05c} While students were arriving and/or leaving {S05d} At selected school activities (e.g., athletic and social events, open houses, science fairs} {S05e} When school/school activities not occurring {S05f} Other {S05f.1} If Other selected, please specify: |
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No Change in question - renumbered as S04. | S05. | 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 |
S04. | 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* |
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No Change in question - renumbered as S04a. | S05a | Number of School Resource Officers/Sworn Law Enforcement Officers __ | S04a | Number of School Resource Officers/Sworn Law Enforcement Officers __ | |
No Change in question - renumbered as S04b. | S05b | Number of Private Security Officers __ | S04b | Number of Private Security Officers __ | |
No Change | S06. | 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 S06a) Walk Through Metal Detectors S06a1) If yes, how often? 1 Daily 2 2 to 3 times per week 3 Weekly 4 Biweekly 5 As warranted 6 Never S06a2)Where were the walk through metal detectors used? S06a2.a) Main entry S06a2.b) Secondary entries S06a2.c) Other Specify S06b) Hand Held Metal Detectors S06b1) If yes, how often? 1 Daily 2 2 to 3 times per week 3 Weekly 4 Biweekly 5 As warranted 6 Never S06b2) Where were the walk through metal detectors used? S06b2.a) Main entry S06b2.b) Secondary entries S06b2.c) Other Specify S06c) Surveillance Cameras S06c1)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 S06c2)Where were the surveillance cameras used? S06c2.a) Entry/exit areas – exterior S06c2.b) Athletic areas S06c2.c) Entry/exit areas – interior S06c2.d) Corridors S06c2.e) Other Specify S06d) Communication Devices S06d.1) 2-way radios S06d.2) 2-way intercom in most classrooms S06d.3) Other Specify S06e) Access Restrictions S06e.1) Proximity or card swipe access for staff S06e.2) Intrusion Alarm Systems S06e3)If yes, where? S06e3.a) Main building(s) / areas S06e3.b) Parking lot(s) S06e3.c) Other Specify S06e4)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 7 After official activities 8 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) |
S06. | Were any of the following security measures in use at the time of this event? Measure S06a) Walk Through Metal Detectors If yes, proceed to S06a1 & S06a2; if no, proceed to S06b. S06a1)If yes, how often? 1 - Daily 2 - 2 to 3 times per week 3 - Weekly 4 - Biweekly 5 - As warranted 6 - Randomly 7 - Never S06a2)Where were the walk through metal detectors used? S06a2.a) Main entry S06a2.b) Secondary entries S06a2.c) Other S06a2.c1) If Other selected, please specify: S06b) Hand Held Metal Detectors If yes, proceed to S06b1 & S06b2; if no, proceed to S06c. S06b1)If yes, how often? 1 - Daily 2 - 2 to 3 times per week 3 - Weekly 4 - Biweekly 5 - As warranted 6 - Randomly 7 - Never S06b2)Where were the walk through metal detectors used? (Answer each option) S06b2.a) Main entry S06b2.b) Secondary entries S06b2.c) Other S06b2.c1) If Other selected, please specify: S06c) Surveillance Cameras If yes, proceed to S06c1 – S06ce3; if no, proceed to S06d. S06c1) If yes, when were they used? (Answer each option) S06c1.a) On school days before classes or official school activities began S06c1.b) While classes were being held S06c1.c) During lunch, recess, or other breaks, S06c1.d) During class changes S06c1.e) Immediately after school S06c1.f) During after school practice or detention S06c1.g) After official activities S06c1.h) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) S06c1.i) Cameras only used as visual detterent S06c2) If yes, where were the surveillance cameras used? (Answer each option) S06c2.a) Entry/exit areas – exterior S06c2.b) Athletic areas S06c2.c) Entry/exit areas – interior S06c2.d) Corridors S06c2.e) Other S06c2.e1) If Other selected, please specify: S06c3) If yes, when were the surveillance cameras monitored? 1 - Always 2 - Occasionally 3 - After an incident 4 - Rarely S06d) Communication Devices If yes, proceed to S06d1; if no, proceed to S06e. S06d1) If yes, what types of devices were used? (Answer each option) S06d1.a) 2-way radios S06d1.b) 2-way intercom in most classrooms S06d1.c) Mass text messages S06d1.d) Mass emails S06d1.e) Other S06d1.e1) If Other selected, please specify: S06e) Access Restrictions If yes, proceed to S06e1; if no, proceed to S07. S06e1) Proximity or card swipe access for staff If yes, proceed to S06e1a; if no, proceed to S06e2. S06e1.a) If yes, where? (Answer each option) S06e1.a1) Main building(s) / areas S06e1.a2) Parking lot(s) S06e1.a3) Other S06e1a31) If Other selected, please specify: S06e2) Intrusion Alarm Systems If yes, proceed to S06e2a & S06e2b; if no, proceed to S07. S06e2.a) If yes, where? S06e2.a1) Main building(s) / areas S06e2.a2) Parking lot(s) S06e2.a3) Other S06e2.a3.1) If other selected, please specify S06e2.b)If yes, when were they used? (Answer each question) S06e2.b1) on school days before classes or official school activities began S06e2.b2) While classes were being held S06e2.b3)During lunch, recess, or other breaks, S06e2.b4) During class changes S06e2.b5) immediately after school S06e2.b6) During after school practice or detention S06e2.b7) After official activities S06e2.b8) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) |
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Revised - Additional option added (S07x) to indicate whether security is increased during high traffic times. | S07. | At the time of the event, was it a policy of the school to do any of the following? School Policies Code S07.a) Require visitors to sign or check in S07.b) Require visitors to sign or check out S07.c) Control access to school buildings during school hours (e.g., locked or monitored doors) S07.d) Control access to school grounds during school hours (e.g., locked or monitored gates) S07.e) Require students to pass through metal detectors each day S07.f) Require visitors to pass through metal detectors S07.g) Perform one or more random metal detector checks on students S07.h) Require most students to stay on campus at lunchtime S07.i) Perform one or more random sweeps for contraband (e.g., drugs or weapons) S07.j) Require drug testing for any students S07.k) Require students to wear uniforms S07.l) Enforce a dress code S07.m) Provide a printed code of student conduct to students S07.n) Provide a printed code of student conduct to parents S07.o) Provide school lockers to students S07.p) Require clear book bags on school grounds S07.q) Ban book bags on school grounds S07.r) Require students to wear badges or picture IDs S07.s) Require faculty and staff to wear badges or picture IDs S07.t) Provide telephones in most classrooms S07.u) Prohibit all tobacco use on school grounds. S07.v) Does the school have a written policy about bullying? (if NO skip to Q6.2) S07.w) Is the written bullying policy included in a student handbook that goes home for student and parental review? |
S07. | At the time of the event, was it a policy of the school to do any of the following? School Policies Code S07a) Require visitors to sign or check in S07b) Require visitors to sign or check out S07c) Control access to school buildings during school hours (e.g., locked or monitored doors) S07d) Control access to school grounds during school hours (e.g., locked or monitored gates) S07e) Require students to pass through metal detectors each day S07f) Require visitors to pass through metal detectors S07g) Perform one or more random metal detector checks on students S07h) Require most students to stay on campus at lunchtime S07i) Perform one or more random sweeps for contraband (e.g., drugs or weapons) S07j) Require drug testing for any students S07k) Require students to wear uniforms S07l) Enforce a dress code S07m) Provide a printed code of student conduct to students S07n) Provide a printed code of student conduct to parents S07o) Provide school lockers to students S07p) Require clear book bags on school grounds S07q) Ban book bags on school grounds S07r) Require students to wear badges or picture IDs S07s) Require faculty and staff to wear badges or picture IDs S07t) Provide telephones in most classrooms S07u) Prohibit all tobacco use on school grounds S07v) Does the school have a written policy about bullying? (if NO skip to S07x) If YES, answer S07v1) S07v1) Is the written bullying policy included in a student handbook that goes home for student and parental review? S07x) Increased security or monitoring during high traffic times (e.g., class changes, lunch time) |
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New Question added to obtain information on school protocols for responding to violent events. | S08. | What is the school’s protocol for responding to a violent event? (e.g., lockdown procedures, immediate SRO response, etc.) ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
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Revised. - wording change from "death" to "injury event" for consistency purposes and renumbered to S09. | S08. | What actions did the school take in response to the death. (PROBE FOR: immediate, long-term, policy, environmental, social, curricular) to be coded later, please note sources ...................................................................................................................................................................................................................................................................................................................................... |
S09 | What actions did the school take in response to the injury event? ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ |
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No Change in question - renumbered as S10. | S09. | How many incidents of student weapon carrying were identified by school staff during the year in which the incident took place? (Excluding this event) _ _ 00-##=actual number 77=not applicable 88=unknown 99=refused to answer |
S10 | How many incidents of student weapon carrying were identified by school staff during the year in which the incident took place? (Excluding this event) _ _ 00-##=actual number 77=not applicable 88=unknown 99=refused to answer |
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No Change in question - renumbered as S11. | S10. | Please describe what actions the school policy stipulated should be taken by the school when a student was identified with a weapon while under the supervision of the school? ...................................................................................................................................................................................................................................................................................................................................... ......................................................................................................................................................................... |
S11 | Please describe what actions the school policy stipulated should be taken by the school when a person is identified with a weapon while under the supervision of the school? ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ |
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QUESTIONS about off-campus school sponsored events: SCHOOL INTERVIEW | QUESTIONS about off-campus school sponsored events: SCHOOL INTERVIEW | ||||
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 |
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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 eventof 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* |
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No Change in question - renumbered as S0C02a. | SOC03. | 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 |
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No Change in question - renumbered as S0C02b. | SOC04. | 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 |
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No Change in question - renumbered as SOC03. | SOC05. | 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 SOC05a) Walk Through Metal Detectors SOC05a1 If yes, how often? 1 Daily 2 2 to 3 times per week 3 Weekly 4 Biweekly 5 As warranted 6 Never SOC05a2 Where were the walk through metal detectors used? SOC05a2.a) Main entry SOC05a2.b) Secondary entries SOC05a2.c) Other Specify SOC05b) Hand Held Metal Detectors SOC05b1 If yes, how often? 1 Daily 2 2 to 3 times per week 3 Weekly 4 Biweekly 5 As warranted 6 Never SOC05b2 Where were the walk through metal detectors used? SOC05b2.a) Main entry SOC05b2.b) Secondary entries SOC05b2.c) Other Specify SOC05c) Surveillance Cameras SOC05c1 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 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 SOC05c2 Where were the surveillance cameras used? SOC05c2.a) Entry/exit areas – exterior SOC05c2.b) Athletic areas SOC05c2.c) Entry/exit areas – interior SOC05c2.d) Corridors SOC05c2.e) Other Specify SOC05d) Communication Devices SOC05d.1) 2-way radios SOC05d.2) 2-way intercom in most classrooms SOC05d.3) Other Specify SOC05e) Access Restrictions SOC05e.1) Proximity or card swipe access for staff SOC05e.2) Intrusion Alarm Systems SOC05e3 If yes, where? SOC05e3.a) Main building(s) / areas SOC05e3.b) Parking lot(s) SOC05e3.c) Other Specify SOC05e4 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 7 After official activities 8 On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) |
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 SOC03a2) Where were the walk through metal detectors used? 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) Where were the walk through metal detectors used? 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) SOC03c1.a) On school days before classes or official school activities began SOC03c1.b) While classes were being held SOC03c1.c) During lunch, recess, or other breaks SOC03c1.d) During class changes SOC03c1.e) Immediately after school SOC03c1.f) During after school practice or detention SOC03c1.g) After official activities SOC03c1.h) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) SOC03c1.i) 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: SOC03c3) If yes, when were the surveillance cameras monitored? 1 Always 2 Occasionally 3 After an incident 4 Other SOC03c3.a) If Other selected, please specify: SOC03d) Communication Devices If yes, proceed to SOC03d1; 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 SOC03.e1; if no, proceed to SOC0.5f. SOC03e1) Proximity or card swipe access for staff If yes, proceed to SOC03.e1a; if no, proceed to SOC0.5f. SOC03e1.a) If yes, where? (Answer each option) SOC03e1.a1) Main building(s) / areas SOC03e1.a2) Parking lot(s) SOC03e1.a3) Other SOC03e1.a3.1) If Other selected, please specify: SOC03f) Intrusion Alarm Systems If yes, proceed to SOC03.f1 & SOC03.f2; if no, proceed to E01.. SOC03f1) If yes, where? (Answer each option) SOC03f1.a) Main building(s) / areas SOC03f1.b) Parking lot(s) SOC03f1.c) Other SOC03f1.c1) If Other selected, please specify: SOC03f2) If yes, When were they used? SOC03f2.a) On school days before classes or official school activities began SOC03f2.b) While classes were being held SOC03f2.c) During lunch, recess, or other breaks SOC03f2.d) During class changes SOC03f2.e) Immediately after school SOC03f2.f) During after school practice or detention SOC03f2.g) After official activities SOC03f2.h) On days when no classes or school events were held (e.g., weekends, holidays, or official school breaks) |
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QUESTIONS about the event: SCHOOL INTERVIEW | QUESTIONS about the event: SCHOOL INTERVIEW | ||||
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 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? (answer all options) Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; 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 |
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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 |
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No Change | 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 |
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Revised to include additional motives. See SH 2015, item number E04. Word "perpetrator" added to question. | 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) act of terrorism o) random victim p) victim was a bystander q) victim was intervener assisting a crime victim r) other Specify |
E04. | E04. What were the perpetrator’s motives for the fatal injury? (answer each option) Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; 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 |
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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 the principles, etc. Code later .......................................................................................................................................................................................................................................................................................................................................................................... |
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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 utilized. 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? (answer each option) Read options; Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; 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 |
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Revised to add data entry areas for 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 alleged 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 |
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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, specify ____________________________________) 2=no* 7=not applicable* 9=unknown/refused to answer* |
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No Change. | 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 ________________________________________________________________________________________________________________________________________________ |
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 ________________________________________________________________________________________________________________________________________________ |
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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 |
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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, specify ________________________________________) 2=no* 7=not applicable* 9=unknown/refused to answer* |
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No Change in question - renumbered as E11b. | 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 |
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 |
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QUESTIONS about the Victim: SCHOOL INTERVIEW | QUESTIONS about the Victim: SCHOOL INTERVIEW | ||||
Eliminated original 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? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ | V02. | What was the date of the injury? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ | |
No Change | V03 | What was the time of the injury? Record in military time _ _ _ _ | V03. | What was the time of the injury? 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) _ _/_ _/_ _ _ _ |
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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) _ _/_ _/_ _ _ _ |
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No Change | 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 |
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 |
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No Change | 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 |
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 |
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No Change | 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 |
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 |
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Revised - options reworded in order to capture multiple responses to question. See SH 2015, question V09.. | V09. | Was this victim 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 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) Do NOT read options 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 |
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No Change | 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 |
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 |
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No Change | V11. | 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 |
V11. | 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 (V11a: If Other selected, please specify: _________________ ) 77=not applicable 88=unknown 99=refused to answer |
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No Change | V12. | 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* |
V12. | 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* |
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No Change | V12a. | What group(s) were they affiliated with? Code later .................................................................................................................................................................................................................................................................................................................................................................. |
V12a. | If yes, what group(s) were they affiliated with? Code later ............................................................................................................................................................................................................................................................................................................................................................................ |
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No Change | V13. | 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 leave an existing peer group? Do not read options _ 1=yes (V13a. If yes, specify _______________________________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
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No Change | V14. | 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. | In the year prior to this event, did the victim join a new peer group? _ Do not read options 1=yes (V14a. If yes, specify ______________________________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
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No Change | V15. | 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 |
V15. | 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* |
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No Change | V15a. | What types of substances did the victim use? Code later .................................................................................................................................................................................................................................................................................................... |
V15a. | If yes, what types of substances did the victim use?_ Code later ........................................................................................................................................................................................................................................................................................................................................................ |
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No Change | V16. | 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. | 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 |
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No Change | V17. | 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. | 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 |
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No Change | V18. | 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* |
V18. | 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 |
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No Change in question - renumbered as V18a. | V19. | 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 |
V18a. | If yes, which of the following types of weapon was this victim carrying? (Answer all options) Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown {V18a1} firearm {V18a1.1} If firearm selected, please specify {V18a2} knife, razor, box cutter or other blade {V18a3} bat, pipe, chain, or other object {V18a4} rope or wire {V18a5} other {V18a5.1} If other selected, please specify |
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No Change in question - renumbered as V18b. | V20. | 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 |
V18b. | Where did this victim obtain these weapons? (Answer all options) Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown Weapons source {V18b1} from home {V18b1.1} specify weapon {V18b2} from friend or relative outside household {V18b2.1} specify weapon {V18b3} purchased for himself/herself {V18b3.1} specify weapon {V18b4} stolen {V18b4.1} specify weapon {V18b5} home-made weapon {V18b6} weapon of opportunity (used weapon already present in environment / used object in environment as weapon} {V18b7} from the victim {V18b7.1} specify weapon {V18b1} from home {V18b1.1} specify weapon |
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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=a student at another school 03=a teacher at this school* 04=administrator at this school* 05=other staff at this school* 06=security guard or police officer* 07=family member of a student* 08=resident of surrounding community* 09=not associated with the school or community* 10=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=a student at another school 03=a teacher at this school* 04=administrator at this school* 05=other staff at this school* 06=security guard or police officer* 07=family member of a student* 08=resident of surrounding community* 09=not associated with the school or community* 10=unidentified victim* 66=other* (V20a: If Other selected, please specify: ................................................) 77=not applicable* 88=unknown* 99=refused to answer* |
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No Change in question - renumbered as V20. | V22 | During the year prior to this incident, how many times had the victim been found carrying a weapon on school grounds or on the way to or from school? _ _ 01-##=actual number of times the victim carried a weapon 77=not applicable 88=unknown 99=refused to answer |
V20. | During the year prior to this incident, how many times had the victim been found carrying a weapon on school grounds or on the way to or from school? _ _ 00-##=actual number of times the victim carried a weapon* 77=not applicable 88=unknown 99=refused to answer |
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No Change in question - renumbered as V20a. | V23. | For the most recent event prior to the date of fatal injury, which of the following types of weapons was the 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 |
V20a. | For the most recent event prior to the date of fatal injury, which of the following types of weapons was the victim carrying? (Answer all options) Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown {V20a1} firearm {V20a1.1} If firearm selected, please specify {V20a2} knife, razor, box cutter or other blade {V20a3} bat, pipe, chain, or other object {V20a4} rope or wire {V20a5} other {V20a5.1} If other selected, please specify |
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No Change in question - renumbered as V20b. | V24. | What, if any, actions did the school take in response to the victim’s most recent incident of weapon carrying? ...................................................................................................................................................................................................................................................................................................................................................... | V20b. | What, if any, actions did the school take in response to the victim’s most recent incident of weapon carrying? ...................................................................................................................................................................................................................................................................................................................................................... |
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No Change in question - renumbered as V21. | V25. | 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. | 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 |
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No Change in question - renumbered as V22. | V26. | How many times in the last year was the victim suspended from his or her school? _ (including in-school suspensions) Do NOT read options 0=none, never suspended 1-5=actual number of times 6=more than five times 7=not applicable 8=unknown 9=refused to answer |
V22. | How many times in the last year was the victim suspended from his or her school? _ (including in-school suspensions) Do NOT read options 0=none, never suspended 1-5=actual number of times 6=more than five times 7=not applicable 8=unknown 9=refused to answer |
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No Change in question - renumbered as V23. | V27. | In the last year was the victim expelled from his or her school? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V23. | In the last year was the victim expelled from his or her school? _ Do NOT read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
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No Change in question - renumbered as V24. | V28. | What extracurricular activities was the victim involved in? To be coded later .................................................................................................................................................................................................................................................. |
V24. | What extracurricular activities was the victim involved in? To be coded later .............................................................................................................................................................................................................................................................................................................................................................................................................................. |
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Revised wording of question to only before the incident, as the victim would be deceased after the incident, and imminent crises are captured by another item. See SH 2015 question V25. | V29. | 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* |
V25. | Did the victim experience any school-related crises or traumatic events during the 2 weeks before the fatal incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
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No Change in question - renumbered as V25a. | V29a. | Please briefly describe the specific school-related crises or traumatic events experienced. Code later ...................................................................................................................................................................................................................................................... |
V25a. | Please briefly describe the specific school-related crises or traumatic events experienced. Code later .................................................................................................................................................................................................................................................................................................................................. |
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No Change in question - renumbered as V26. | V30. | 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* |
V26. | 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* |
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No Change in question - renumbered as V26a. | V30a. | Please briefly describe the specific school-related crises or traumatic events that may have been imminent. Code later ...................................................................................................................................................................................................................................................... |
V26a. | Please briefly describe the specific school-related crises or traumatic events that may have been imminent. Code later ........................................................................................................................................................................................................................................................................................................................................................ |
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No Change in question - renumbered as V27. | V31. | 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* |
V27. | 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* |
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No Change in question - renumbered as V27a. | V31a. | Please briefly describe the specific community-related crises or traumatic events experienced. Code later .................................................................................................................................................................................................................................................... |
V27a. | Please briefly describe the specific community-related crises or traumatic events experienced. Code later .................................................................................................................................................................................................................................................................................................................................. |
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No Change in question - renumbered as V28. | V32. | Was a community-related crisis or traumatic event imminent within two weeks of the this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V28. | 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* |
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No Change in question - renumbered as V28a. | V32a. | Please briefly describe the specific community-related crises or traumatic events that may have been imminent. Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
V28a. | Please briefly describe the specific community-related crises or traumatic events that may have been imminent. Code later ........................................................................................................................................................................................................................................................................................................................................................ |
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Revised - rephrased time-frame of question. See SH 2015, question V29. | V33. | Did any the victim experience any family-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* |
V29. | 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* |
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No Change in question - renumbered as V29a. | V33a. | Please briefly describe the specific family-related crises or traumatic events experienced. Code later ...................................................................................................................................................................................................................................................... |
V29a. | Please briefly describe the specific family-related crises or traumatic events experienced. Code later ........................................................................................................................................................................................................................................................................................................................................................ |
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No Change in question - renumbered as V30. | V33. | Was a family-related crisis or traumatic event imminent within two weeks of the this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
V30. | 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* |
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No Change in question - renumbered as V30a. | V33a. | Please briefly describe the specific family-related crises or traumatic events that may have been imminent. Code later .................................................................................................................................................................................................................................................................... |
V30a. | Please briefly describe the specific family-related crises or traumatic events that may have been imminent. Code later ................................................................................................................................................................................................................................................................................................................................................................................................... |
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New Question - Added to capture whether a relationship-related crisis was experienced prior to the incident. | V31. | 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* |
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New Question - Added to capture the context of the relationship-related crisis experienced prior to the incident. | V31a. | Please briefly describe the specific relationship-related crises or traumatic events experienced. Code later ................................................................................................................................................................................................................................................................................................................................................................................................... |
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New Question - Added to capture whether a relationship-related crisis was imminent within two weeks of the incident. | V32. | 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* |
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New Question - Added to capture the context of the imminent relationship-related crisis. | V32a. | Please briefly describe the specific relationship-related crises or traumatic events that may have been imminent. Code later ................................................................................................................................................................................................................................................................................................................................................................................................... |
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Revised to include additional behaviors. See SH 2015, item number V33. | V34. | In the 12 months prior to this event was the victim reported to the principal’s office for any of the following behaviors? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Behavior Code {V34a} disobeying authority figure {V34b} namecalling, taunting, or teasing peers V34b.1 Face to face? V34b.2 Using Electronic means? {V34c} verbal threats {V34d} sent written threats {V34e} sent electronic threats {V34f} bullied peers {V34f} physically threatened peers {V34g} physical fought with peers {V34h} damaged another's personal property {V34i} damaged school property (tagging, vandalism etc…) {V34j}stole another's personal property {V34k} truancy (skipped school) {V34l} possessed / used illegal substances {V34m}possessed a weapon |
V33. | In the 12 months prior to this event was the victim reported to the principal’s office for any of the following behaviors? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) Behavior {V33a} disobeying authority figure {V33b} namecalling, taunting, or teasing peers If yes to V33b, please complete V33b.1 & V33b.2: V33b.1 Face to face? V33b.2 Using Electronic means (e.g., phone, computer)? {V33c} verbal threats {V33d} sent written threats {V33e} sent electronic threats {V33f} bullied peers {V33g} physically threatened peers {V33h} physically fought with peers {V33i} damaged another's personal property {V33j} damaged school property (tagging, vandalism etc…) {V33k} stole another's personal property {V33l} truancy (skipped school) {V33m} possessed / used illegal substances {V33n} possessed a weapon {V33o} physically threatened an authority figure |
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No Change in question - renumbered as V34. | V36a. | 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 {V36a.1} called names by peers {V36a.2} bullied by peers {V36a.3} had personal property damaged or stolen {V36a.4}verbally threatened by peers {V36a.5}received written threats {V36a.6} electronic threats {V36a.7}physically threatened by peers {V36a.8}physically assaulted by peers |
V34. | To the best of your knowledge, in the 12 months prior to this incident was this individual victimized in any of the following ways? Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) Type Code {V34a} called names by peers {V34b} bullied by peers {V34c} had personal property damaged or stolen {V34d} verbally threatened by peers {V34e} received written threats {V34f} electronic threats {V34g} physically threatened by peers {V34h} physically assaulted by peers |
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Revised. - expanded question to include additional services and specification. See SH 2015, item number V35. | VR05 | 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 |
V35. | 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 (V35a. If yes, please specify. ____________________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
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Revised. - two items removed reflecting behaviors. | V36. | 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 V36.a) guidance counseling / advising V36.b) psychological counseling V36.c) psychiatric or mental health services V36.d) social services V36.e) supplemental educational services (including efforts to address learning disabilities) V36.f) other services Specify |
V36. | 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. (Answer all options) Services Code {V36a} guidance counseling / advising {V36b} social services {V36c} supplemental educational services (including efforts to address learning disabilities, such as a formal school psychoeducational evaluation) {V36d} other services {V36d1} If other selected, please specify: |
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No Change in question - renumbered as V37. | V38. | 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 |
V37. | 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 |
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Revised. - wording added to include example of professional treatment. | V39. | Had the victim ever received professional treatment for any other mental health problem? Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
V38. | Had the victim ever received professional treatment for any other 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* |
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No Change in question - renumbered as V39a. | V39. | If yes, What specific kinds of emotional or mental health problems were treated? To be coded later ........................................................................................................................................................................................................................................................................................................................................................ |
V38a. | If yes, what specific kinds of emotional or mental health problems were treated? To be coded later ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
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New Question - Added to capture information regarding which type of setting the victim may have been treated in for mental health problems. | V38b. | In what type of setting were they treated (e.g., inpatient, outpatient)? To be coded later ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
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No Change in question - renumbered as V39. | V40. | Did this victim have a documented family history of ..... Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code {V40.a } alcoholism {V40.b} drug abuse {V40.c} intimate partner violence {V40.d} sexual violence {V40.e}attempted / completed suicide {V40.f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) |
V39. | Did this victim have a documented family history of ... (Answer all options) Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code {V39a } alcoholism {V39b} drug abuse {V39c} intimate partner violence {V39d} sexual violence {V39e} attempted / completed suicide {V39f} arrests / convictions for violent offenses (e.g., assault, homicide etc…) |
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No Change in question - renumbered as V40. | V42. | Did this victim suffer… Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code {V42.a} physical child abuse {V42.b} sexual child abuse {V42.c} emotional / psychological abuse as a child {V42.d} neglect {V42.e} victimization in intimate partner violence_/ teen dating violence {V42.f} victimization in sexual violence |
V40. | Did this victim suffer… Read options, Coding instructions: 1=yes, 2=no, 8=unknown. (Answer all options) Code {V40a} physical child abuse {V40b} sexual child abuse {V40c} emotional / psychological abuse as a child {V40d} neglect {V40e} victimization in intimate partner violence_/ teen dating violence {V40f} victimization in sexual violence |
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No Change in question - renumbered as V41. | V42. | 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. | 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 (V41a: If Other selected, please specify..........................................................) 77=not applicable 88=unknown 99=refused to answer |
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New Question - Added to capture information on whether victim ever engaged in non-suicidal self harm | V42. | 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* |
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New Question - Added to identify to whom self-harm behavior may have been reported. | V42a. | To whom was this self-harm behavior reported? Do not read options (Answer all options) Code {V42a1} no one {V42a2} parents {V42a3} other family {V42a4} peers {V42a5} school staff {V42a6} other medical/mental health professional {V42a7} other {V42a7a} If Other selected, please specify: {V42a8} not applicable {V42a9} unknown {V42a10} refused to answer |
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New Question - Added to capture information on what actions the school took in response to reports of victim's self-harm behavior | V42b. | What, if any, actions were taken by the school in response to this self-harm behavior? ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
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No Change in question - renumbered as V43. | V44. | 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 {V44a} Thoughts/threats of suicide* {V44b} Plans of suicide* {V44c} Previous suicide attempts* |
V43. | 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 {V43a} Thoughts/threats of suicide* {V43b} Plans of suicide* {V43c} Previous suicide attempts* |
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No Change in question - renumbered as V43d. | V45. | To whom was this suicidal behavior reported? _ _ Do not read 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 |
V43d. | To whom was this suicidal behavior reported? Do not read options (Answer all options) Code {V43d1} no one {V43d2} parents {V43d3} other family {V43d4} peers {V43d5} school staff {V43d6} other medical/mental health professional {V43d7} other {V43d7a}: If Other selected, please specify {V43d8} not applicable {V43d9} unknown {V43d10} refused to answer |
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No Change in question - renumbered as V43e. | V46. | What, if any, actions were taken by the school in response to this suicidal behavior? ...................................................................................................................................................................................................................................................................................................................................... |
V43e. | What, if any, actions were taken by the school in response to this suicidal behavior? ...................................................................................................................................................................................................................................................................................................................................... |
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No Change in question - renumbered as V44. | V47. | 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 |
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 |
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No Change in question - renumbered as V45. | V48. | 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* |
V45. | 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* |
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No Change in question - renumbered as V45a. | V49. | How many nonfatal injuries occurred at the time of this event? _ _ 01-##=actual number of nonfatal injuries 77=not applicable 88=unknown 99=refused to answer |
V45a. | How many nonfatal injuries occurred at the time of this event? _ _ 01-##=actual number of nonfatal injuries 77=not applicable 88=unknown 99=refused to answer |
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No Change in question - renumbered as V45b. | V50. | 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 |
V45b. | 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 |
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New Question - Added to identify whether there was more than one fatal victim. | V46 | Is there more than one fatal victim to report and are you ready to complete another victim questionnaire? Do not read options 1=yes 2=no* |
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No Change in question - renumbered as V47. | V51. | 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 |
V47. | 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 |
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QUESTIONS about the Alleged Offender: SCHOOL INTERVIEW | QUESTIONS about the Alleged Offender: SCHOOL INTERVIEW | ||||
No Change | CASEID | Case ID Number Case number is assigned by study coordinator. _ _ _ _ _ | CaseID | Case ID Number Case number is assigned by study coordinator. _ _ _ _ _ |
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No Change | O01 | How many 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. _ _ |
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No Change | O01A | Offender Number Number for this offender is assigned by the primary data collector. _ | O01a. | Offender Number Number for this offender is assigned by the primary data collector. |
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No Change | O02. | What was this 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 _ _/_ _/_ _ _ _ |
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No Change | 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 |
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 |
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No Change | 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 |
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 |
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No Change | 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 |
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 (O05a: If Other selected, please specify__________________________________) 88 =Unknown—a person’s race is unknown 99=Refused to Answer |
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Revised - options reworded in order to capture multiple responses to question. See SH 2015, question O06. | O06. | Was this alleged offender 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 9 =Unknown if elder is of Hispanic or Latino origin |
O06. | 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 |
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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? _ _ 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 |
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No Change | O08. | 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 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 |
O08. | 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 14=some college or trade school 15=college graduate or more 16=never attended 66=other (O08a: If Other selected, please specify__________________________________) 77=not applicable 88=unknown 99=refused to answer |
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No Change | O09. | 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 arrested before the victim's death? _ Do NOT read options 1=yes 2=no* 7=not applicable 8=unknown 9=refused to answer |
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No Change | O10. | 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 |
O10. | 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 |
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No Change | O10a. | What types of charges did the alleged offender face? Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
O10a. | What types of charges did the alleged offender face? Code later ................................................................................................................................................................................................................................................................................................................................................................................................................................. |
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No Change | O10b. | Which charges resulted in convictions? Code later ...................................................................................................................................................................................................................................................................................................................................... |
O10b. | Which charges resulted in convictions? Code later ...................................................................................................................................................................................................................................................................................................................................... |
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No Change | O11. | Individuals 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 |
O11. | Individuals 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* |
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No Change | O11a. | What groups were they affiliated with? Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
O11a. | What groups were they affiliated with? Code later .............................................................................................................................................................................................................................................................................................................................................................................................................................. |
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Revised. - wording added "alleged" and question renumbered as O11b. | O12. | In the year prior to this event, did the offender leave an existing peer group? Do NOTread options 1=yes Specify _________________________ 2=no 7=not applicable 8=unknown 9=refused to answer |
O11b. | In the year prior to this event, did the alleged offender leave an existing peer group? _ Do NOT read options 1=yes (O11b1. If yes, specify ____________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
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Revised. - wording added "alleged" and question renumbered as O11c. | O13. | 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 |
O11c. | In the year prior to this event, did the alleged offender or join a new peer group? _ Do NOT read options 1=yes (O11c1. If yes, specify _____________________) 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
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No Change in question - renumbered as O12. | O14 | Did this alleged offender use alcohol or other 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. | Did this alleged offender use alcohol or other 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 |
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No Change in question - renumbered as O12a. | O14a. | What types of substances did the alleged offender use? Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
O12a | What types of substances did the alleged offender use? Code later .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
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No Change in question - renumbered as O13. | O15 | Was there evidence that this offender was intoxicated with alcohol or other 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. | Was there evidence that this offender was intoxicated with alcohol or other 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 |
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No Change in question - renumbered as O14. | O15a. | 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. | 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 |
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Revised to include additional options regarding the relationship between the alleged offender and the victim. See SH 2015, item number O15. | 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= casual acquaintances 05= strangers 66= other (specify......................) 77=not applicable 88=unknown 99=refused to answer |
O15. | What was the relationship of this alleged offender to the victim? _ _ Read options; code written responses later 01= relatives (O15a: 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 (O15b: If Other selected, please specify__________________________________) 77=not applicable 88=unknown 99=refused to answer |
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No Change in question - renumbered as O16. | 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* |
O16. | 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* |
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No Change in question - renumbered as O16a. | 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 |
O16a. | 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 {O16a} firearm {O16a1} If firearm selected, please specify {O16b} knife, razor, box cutter or other blade {O16c} bat, pipe, chain, or other object {O16d} rope or wire {O16e} other {O16e1} If other selected, please specify |
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No Change in question - renumbered as O16b. | 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 |
O16b. | 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 {O16a} from home {O16a1} specify weapon {O16b} from friend or relative outside household {O16b1} specify weapon {O16c} purchased for himself/herself {O16c1} specify weapon {O16d} stolen {O16d1} specify weapon {O16e} home-made weapon {O16f} weapon of opportunity (used weapon already present in environment / used object in environment as weapon} {O16g} from the victim {O16g1} specify weapon {O16h} other _ {O16h1} specify weapon |
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No Change in question - renumbered as O20. | O20. | What was this 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=a student at another school 03=a teacher at this school* 04=administrator at this school* 05=other staff at this school* 06=security guard or police officer* 07=family member of a student* 08=resident of surrounding community* 09=not associated with the school or community* 10=unidentified offender* 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 this incident? _ _ Do NOT read options, code leading zero 01=a student at this school 02=a student at another school 03=a teacher at this school* 04=administrator at this school* 05=other staff at this school* 06=security guard or police officer* 07=family member of a student* 08=family member of a school staff member 09= resident of surrounding community* 10= not associated with the school or community* 11= unidentified offender* 66=other* (O17a: If Other selected, please specify__________________________________) 77=not applicable 88=unknown 99=refused to answer |
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No Change in question - renumbered as O16b. | O21 | During the year prior to this incident, had the alleged offender ever been found carrying a weapon on school grounds or on the way to or from school? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O18. | During the year prior to this incident, had the alleged offender ever been found carrying a weapon on school grounds or on the way to or from school? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
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No Change in question - renumbered as O16b. | O22 | During the year prior to this incident, how many times had this alleged offender been found carrying a weapon on school grounds or on the way to or from school? _ _ Do NOT read options, code leading zeros 01-##=actual number of times the victim carried a weapon 77=not applicable 88=unknown 99=refused to answer |
O18a. | During the year prior to this incident, how many times had this alleged offender been found carrying a weapon on school grounds or on the way to or from school? _ _ Do NOT read options, code leading zeros 01-##=actual number of times the victim carried a weapon 77=not applicable 88=unknown 99=refused to answer |
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Additional definition added to question regarding weapon carrying and question renumbered as O18b. | O23. | For the most recent event prior to the date of fatal injury, was this alleged offender carrying any of the following types of weapon? 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 |
O18b. | For the most recent time the alleged offender was found to be carrying a weapon prior to the date of this fatal incident, was he/she carrying any of the following types of weapon? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown (Answer all options) Weapon Code {O18a} firearm {O18a1} If firearm selected, please specify {O18b} knife, razor, box cutter or other blade {O18c} bat, pipe, chain, or other object {O18d} rope or wire {O18e} other {O18e1} Specify |
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No Change in question - renumbered as O18b1. | O24. | What, if any, actions did the school take in response to this offender’s most recent incident of weapon carrying? ...................................................................................................................................................................................................................................................................................................................................... | O18b1. | If yes to any of the above, what, if any, actions did the school take in response to this alleged offender’s most recent incident of weapon carrying? ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... |
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No Change in question - renumbered as O19. | O25. | How many times was this alleged offender suspended from his or her school? (including in school suspensions) _ Do NOT read options 0=none, never suspended or expelled 1-5=actual number of times 6=more than five times 7=not applicable 8=unknown 9=refused to answer |
Q19. | How many times was this alleged offender suspended from his or her school? (including in school suspensions) _ Do NOT read options 0=none, never suspended or expelled 1-5=actual number of times 6=more than five times 7=not applicable 8=unknown 9=refused to answer |
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No Change in question - renumbered as O20. | O26. | Had this alleged offender been expelled from his or her school, in the 12 months preceding the event? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
Q20. | Had this alleged offender been expelled from his or her school, in the 12 months preceding the event? _ Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
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No Change in question - renumbered as O21. | O27. | What extracurricular activities was this offender involved in at the time of the victim's death? to be coded later; please note the sources. ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
Q21. | What extracurricular activities was this offender involved in at the time of the victim's death? to be coded later; please note the sources. ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
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Revised. - wording added "alleged" and question renumbered as O22. | O28. | Did any the offender 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* |
O22. | 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* |
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No Change in question - renumbered as O22a. | O28a. | Please briefly describe the specific school-related crises or traumatic events experienced. Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
O22a. | Please briefly describe the specific school-related crises or traumatic events experienced. Code later ......................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... |
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No Change in question - renumbered as O23. | O29. | Was a school-related crisis or traumatic event imminent within two weeks of the this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O23. | 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* |
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No Change in question - renumbered as O23a. | O29a. | Please briefly describe the specific school-related crises or traumatic events that may have been imminent. Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
Q23a. | Please briefly describe the specific school-related crises or traumatic events that may have been imminent. Code later ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... |
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Revised - rephrased time-frame of question.See SH 2015, question O24. | O34. | Did any the offender 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* |
O24. | 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* |
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No Change in question - renumbered as O24a. | O34a. | Please briefly describe the specific community-related crises or traumatic events experienced. Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
O24a. | Please briefly describe the specific community-related crises or traumatic events experienced. Code later .......................................................................................................................................... .......................................................................................................................................... .......................................................................................................................................... |
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No Change in question - renumbered as O25. | O31. | Was a community-related crisis or traumatic event imminent within two weeks of the this incident? Do NOT read options _ 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O25. | 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* |
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No Change in question - renumbered as O25a. | O31a. | Please briefly describe the specific community-related crises or traumatic events that may have been imminent. Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
Q25a. | Please briefly describe the specific community-related crises or traumatic events that may have been imminent. Code later ......................................................................................................................................... ......................................................................................................................................... |
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Revised - rephrased time-frame of question. See SH 2015, question O26. | O32. | Did the alleged offender experience any family-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* |
O26. | 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* |
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No Change in question - renumbered as O26a. | O32a. | Please briefly describe the specific family-related crises or traumatic events experienced. Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
O26a. | Please briefly describe the specific family-related crises or traumatic events experienced. Code later .......................................................................................................................................... .......................................................................................................................................... .......................................................................................................................................... |
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No Change in question - renumbered as O27. | O33. | Was a family-related crisis or traumatic event imminent within two weeks of the this incident? Do NOT read options 1=yes 2=no* 7=not applicable* 8=unknown* 9=refused to answer* |
O27. | 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* |
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No Change in question - renumbered as O27a. | O33a. | Please briefly describe the specific family-related crises or traumatic events that may have been imminent. Code later ...................................................................................................................................................................................................................................................................................................................................................................................... |
O27a. | Please briefly describe the specific family-related crises or traumatic events that may have been imminent. Code later ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... |
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New Question - Added to capture whether a relationship-related crisis was experienced prior to the incident. | O28. | 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* |
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New Question - Added to capture the context of the relationship-related crisis experienced prior to the incident. | O28a. | Please briefly describe the specific relationship-related crises or traumatic events experienced. Code later ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... |
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New Question - Added to capture whether a relationship-related crisis was imminent within two weeks of the incident. | O29. | 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* |
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New Question - Added to capture the context of the imminent relationship-related crisis. | O29a. | Please briefly describe the specific relationship-related crises or traumatic events that may have been imminent. Code later ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... |
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No Change in question - renumbered as O30. | O34. | 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 {O34a} disobeying authority figure {O34b} name-calling, taunting, or teasing peers O34b.1 Face to face? O34b.2 Using Electronic means? {O34c} verbal threats {O34d} sent written threats {O34e} sent electronic threats {O34f} bullied peers {O34g} physically threatened peers {O34h} physical fought with peers {O34i}damaged another's personal property {O34j} damaged school property (tagging, vandalism etc…) {O34k}stole another's personal property {O34l} truancy (skipped school) {O34m} possessed / used illegal substances {O34n}possessed a weapon |
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. (Answer all options) Behavior Code {O30a} disobeying authority figure {O30b} name-calling, taunting, or teasing peers (If yes, answer O30b1 & O30b2 ) {O30b1} Face to face? {O30b2} Using Electronic means (e.g., phone, computer)? {O30c} verbal threats {O30d} sent written threats {O30e} sent electronic threats {O30f} bullied peers {O30g} physically threatened peers {O30h} physically fought with peers {O30i} damaged another's personal property {O30j} damaged school property (tagging, vandalism etc…) {O30k} stole another's personal property {O30l} truancy (skipped school) {O30m} possessed / used illegal substances {O30n} possessed a weapon |
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No Change in question - renumbered as O31. | O35. | 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 {O35.a} called names by peers {O35.b} bullied by peers {O35.c} had personal property damaged or stolen {O35.d}verbally threatened by peers {O35.e}received written threats {O35.f} electronic threats {O35.g}physically threatened by peers {O35.h}physically assaulted by peers |
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 |
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Revised. - expanded question to include additional services and specification. See SH 2015, item number O32. | O36. | At the time of the event, did this offender have a diagnosed Learning Disability? _ Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O32. | 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 (O32aa. If yes, please specify_________________________) 2=no 7=not applicable 8=unknown 9=refused to answer |
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Revised. - two items removed reflecting behaviors. See SH 2015, item number O33. | O37. | 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 O37.a guidance counseling / advising O37.b psychological counseling O37.c Psychiatric or mental health services O37.d social services O37.e supplemental educational services (including efforts to address learning disabilities) O37.f other services Specify |
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. (Answer all options) Services Code {O33.a} guidance counseling / advising {O33.b} social services {O33.c} supplemental educational services (including efforts to address learning disabilities), such as a formal school psychoeducational evaluation {O33.d} other services {O33d1} If other services selected, please specify: |
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No Change in question - renumbered as O34. | O38. | In the year prior to this event, was this offender ever treated for depression? _ Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
O34. | In the year prior to this event, was this offender ever treated for depression? _ Do not read options 1=yes 2=no 7=not applicable 8=unknown 9=refused to answer |
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Revised. - wording added to include example of professional treatment and question renumbered as O35. | O39. | 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 |
O35. | 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 |
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No Change in question - renumbered as O36. | O39a. | If yes, what specific kinds of emotional or mental health problems were treated? to be coded later ...................................................................................................................................................................................................................................................................................................................................................................................... |
O35a. | If yes, what specific kinds of emotional or mental health problems were treated? To be coded later ................................................................................................................................................................................................................................................................................................................................................. |
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New Question - Added to capture the type of setting in which the alleged offender was treated for mental health problems. | O35b. | In what type of setting were they treated (e.g., inpatient, outpatient)? To be coded later ................................................................................................................................................................................................................................................................................................................................................. |
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No Change in question - renumbered as O36. | O40. | Did this alleged offender have a documented family history of ..... Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code {O39.1} alcoholism {O39.2} drug abuse {O39.3} intimate partner violence {O39.4.} sexual violence {O39.5}attempted / completed suicide {O39.6} arrests / convictions for violent offenses (e.g., assault, homicide etc…) |
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…) |
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No Change in question - renumbered as O37. | O41. | Did this alleged offender suffer Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code {O40.1} physical child abuse {O40.2} sexual child abuse {O40.3} emotional / psychological abuse as a child {O40.4} neglect {O40.5} victimization in intimate partner violence_/ teen dating violence {O40.5} victimization in sexual violence |
O37. | Did this alleged offender suffer Read options, Coding instructions: 1=yes, 2=no, 8=unknown. Code {O37a} physical child abuse {O37b} sexual child abuse {O37c} emotional / psychological abuse as a child {O37d} neglect {O37e} victimization in intimate partner violence_/ teen dating violence {O37f} victimization in sexual violence |
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New Question - Added to capture information on whether alleged offender ever engaged in non-suicidal self harm | O38. | 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* |
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New Question - Added to identify to whom self-harm behavior may have been reported. | O38a. | To whom was this self-harm behavior reported? Do not read options (Answer all options) Code {O38a1} no one {O38a2} parents {O38a3} other family {O38a4} peers {O38a5} school staff {O38a6} other medical/mental health professional {O38a7} other {O38a7a} If Other selected, please specify: {O38a8} not applicable {O38a9} unknown {O38a10} refused to answer |
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New Question - Added to capture information on what actions the school took in response to reports of offender's self-harm behavior | O38b. | What, if any, actions were taken by the school in response to this self-harm behavior? ........................................................................................................................................................................................................................................................................................................................................................ |
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No Change in question - renumbered as O39. | O42. | Do you have any knowledge that this 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 {Xs01a} Thoughts/threats of suicide*_ {Xs01b} Plans of suicide*_ {Xs01c} Previous suicide attempts*_ |
O39. | 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. (Answer all options) Signs Code {O39a} Thoughts/threats of suicide {O39b} Plans of suicide {O39c} Previous suicide attempts |
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No Change in question - renumbered as O39d. | O43. | To whom was this suicidal behavior reported? _ _ Do not read options 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 |
O39d. | To whom was this suicidal behavior reported? Do NOT read options (Answer all options) Code {O39d1} no one {O39d2} parents {O39d3} other family {O39d4} peers {O39d5} school staff {O39d6} other medical/mental health professional {O39d7} other {O39d7a}) If Other selected, please specify {O39d8} not applicable {O39d9} unknown {O39d10} refused to answer |
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No Change in question - renumbered as O39e. | O44. | What, if any, actions were taken by the school in response to this suicidal behavior? To be coded later .................................................................................................................................................................................................................................................................................................................................................................. |
O39e. | What, if any, actions were taken by the school in response to this suicidal behavior? To be coded later ........................................................................................................................................................................................................................................................................................................................................................ |
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No Change | O45. | 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 |
O40. | 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 |
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No Change | O46. | What was the date of the injury event? Record month/date/year, code leading zeros (code four-digit years)_ _/_ _/_ _ _ _ |
O40a. | What was the date of the injury event? Record month/date/year, code leading zeros (code four-digit years)_ _/_ _/_ _ _ _ |
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No Change | O47. | What was the time of the injury event? Record in military time _ _ _ _ |
O40b. | What was the time of the injury event? Record in military time _ _ _ _ |
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No Change in question - renumbered as O40c. | O48. | What was the date of death? Record month/date/year, code leading zeros (code four-digit years)_ _/_ _/_ _ _ _ |
O40c. | What was the date of death? Record month/date/year, code leading zeros (code four-digit years) _ _/_ _/_ _ _ _ |
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No Change in question - renumbered as O40d. | O49. | 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) victim killed by law enforcement or security personnel d) victim killed by civilian during commission of a crime e) other specify |
O40d. | What were the motives for the fatal injury? (Answer all options) Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; Motive Code {O40d1} single suicide {O40d2} suicide pact {O40d3} victim killed by law enforcement or security personnel {O40d4} victim killed by civilian during commission of a crime {O40d5} other {O40d5a} If Other selected, please specify: |
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No Change in question - renumbered as O40e. | O50. | 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 ...................................................................................................................................................................................................................................................................................................................................................................................... |
O40e. | 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 .................................................................................................................................................................................................................................................................................................................................................................................... |
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No Change in question - renumbered as O40f. | O51. | What was the method of fatal injury? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; Weapon 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 |
O40f. | What was the method of fatal injjury? Read options, Coding instructions: 1=yes, 2=no, 7=not applicable, 8=unknown; (Answer all options) Weapon Code {O40f1} firearm {O430f1a}) - If firearm selected, please specify {O40f2} knife, razor, box cutter or other blade {O40f3} bat, pipe, chain, or other object {O40f4} rope or wire {O40f5} other {O40f5a} - If Other selected, please specify |
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No Change in question - renumbered as O41. | O52. | 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 |
O41. | 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 |
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No Change in question - renumbered as O42. | O53. | Was there evidence that this 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 |
O42. | 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 |
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No Change in question - renumbered as O43. | O54. | 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 |
O43. | 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 |