ONS/REC: 1 = WITHIN LAST 2 WEEKS 2 = 2 WEEKS TO < 1 MONTH 3 = 1 MONTH TO < 6 MONTHS 4 = 6 MONTHS TO < 1 YEAR 5 = 1 YEAR OR LONGER CARD_ONS.WPD: 05/01/2001
CARD A LIFE EVENTS Record these events on the comorbidity timeline. Before we get started, I want to ask you some real quick questions about some special or important things that may have happened in your life. 1. Have you ever moved from one house or apartment to another? 2. Have you ever changed schools? 3. Have you ever had a favorite teacher? 4. Have you had any special family vacations? 5. Have you ever gone away to camp? 6. Have you ever had a pet? 7. Have you had any other (special or unique) experiences that stand out in your mind (that were very important to you)? OK. Now we can start the interview questions. CARD_A.WPD: 05/01/2001
CARD A-1 CODE Native American/American Indian... 01 Asian... 02 Pacific Islander... 03 African-American/Black, not of Hispanic origin... 04 African-American/Black, of Hispanic origin... 05 Caucasian/White, not of Hispanic origin... 06 Caucasian/White, of Hispanic origin... 07 Other... 08 CARD_A1.WPD: 05/01/2001
CARD F ALCOHOL EQUIVALENTS BEER/LITE BEER 1 12-oz. bottle/can of beer... 1 DRINK 1 case of beer... 24 DRINKS 1 40-oz. bottle of beer... 3.3 DRINKS WINE (INCLUDES CHAMPAGNE) 1 glass of wine (5-6 oz.)... 1 DRINK 1 bottle of wine (750 ml)... 6 DRINKS 1 liter of wine... 6 DRINKS 1 "wine cooler" (12 oz.)... 1 DRINK HARD LIQUOR 1 highball, or shot glass... 1 DRINK 1/2 pint of liquor... 6 DRINKS 1 pint of liquor... 12 DRINKS 1 fith of liquor... 20 DRINKS 1 quart of liquor... 24 DRINKS 1 liter of liquor... 25.4 DRINKS 1 gallon... 96 DRINKS OTHER 1 12-oz. bottle of malt liquor... 1 DRINK 1 pint of fortified wine (e.g., Mad Dog)... 6 DRINKS 1 fith of fortified wine (e.g., Mad Dog)... 8 DRINKS 1 DRINK = APPROXIMATELY 9 GM ABSOLUTE ALCOHOL CARD_F.WPD: 05/01/2001
CARD F1 FREQUENCY CODES Daily... 01 4+ times/week... 02 2-3 times/week... 03 3-4 times/month... 04 1-2 times/month... 05 Once every 2-4 months... 06 1-3 times ever... 07 Never... 08 CARD_F1.WPD: 05/01/2001
BARBITURATES SEDATIVES SLEEPING PILLS SECONAL VALIUM LIBRIUM TRANQUILIZERS QUAALUDES XANAX COCAINE CRACK COCA LEAVES AMPHETAMINES SPEED STIMULANTS WHITE CROSSES BLACK BEAUTIES CRANK CRYSTAL METH CARD H OPIATES HEROIN CODEINE DEMEROL MORPHINE PERCODAN METHADONE DARVON OPIUM DILAUDID PRESCRIPTION PAIN KILLERS HALLUCINOGENS PSYCHEDELICS LSD (Acid) MESCALINE PEYOTE PSILOCYBIN (Mushrooms) DMT PCP (Angel Dust) INHALANTS GLUE TOLUENE GASOLINE PAINT PAINT THINNERS OTHER KHAT BETEL NUT NITROUS OXIDE AMYL NITRITE ECSTASY CARD_H.WPD: 05/01/2001
COCAINE CRACK COCA LEAVES AMPHETAMINES SPEED STIMULANTS WHITE CROSSES BLACK BEAUTIES CRANK CRYSTAL METH CARD J-1 OPIATES HEROIN CODEINE DEMEROL MORPHINE PERCODAN METHADONE DARVON OPIUM DILAUDID PRESCRIPTION PAIN KILLERS BARBITURATES SEDATIVES SLEEPING PILLS SECONAL VALIUM LIBRIUM TRANQUILIZERS QUAALUDES XANAX MARIJUANA HASHISH HALLUCINOGENS PSYCHEDELICS LSD (Acid) MESCALINE PEYOTE PSILOCYBIN (Mushrooms) DMT PCP (Angel Dust) CARD_J1.WPD: 05/01/2001
CARD J-2 Cimetidine (Tagamet) Clonidine Dexedrine Ephedrine Guaifenesin (cough medicines, expectorants, Robitussin, Sinutab, Sudafed, Triaminic) Phenylpropanolamine (Diet pills, Dexatrim, Acutrim, children's cold tablets) Propanolol (blood pressure medication) Ritalin (Methylphenidate) Steroids (Dexamethasone, Prednisone) CARD_J2.WPD: 05/01/2001
CARD L Sedatives Barbiturates Sleeping Pills Valium Librium Tranquilizers Quaaludes Xanax Stimulants Cocaine Crack Coca Leaves Amphetamines Speed White Crosses Black Beauties Crank Dexedrine Ephedrine Phenylpropanolamine (Diet pills, Dexatrim, Acutrim, children's cold tablets) Ritalin Steroids (Dexamethasone, Prednisone) Marijuana CARD_L.WPD: 05/01/2001
CARD_S.WPD: 05/01/2001 CARD S WEIGHT CHART GIRLS BOYS Height Age (years) Height Age (years) 7 8 9 10 11 12 13 14 15 16 17 7 8 9 10 11 12 13 14 15 16 17 3'4" 36 3'4" 36 3'5" 37 3'5" 38 38 3'6" 39 3'6" 39 39 40 3'7" 41 41 3'7" 41 41 42 3'8" 42 42 3'8" 44 44 44 3'9" 45 45 45 3'9" 46 45 46 46 3'10 47 48 48 3'10" 48 48 48 48 3'11" 50 50 50 50 3'11" 50 50 50 50 4' 52 52 52 53 53 4' 53 53 53 53 4'1" 54 55 55 56 56 4'1" 55 55 55 55 55 4'2" 56 57 58 59 61 62 4'2" 58 58 58 58 58 58 4'3" 59 60 61 61 63 65 4'3" 61 61 61 61 61 61 4'4" 63 64 64 64 65 67 4'4" 63 64 64 64 64 64 64 4'5" 66 67 67 68 68 69 71 4'5" 66 67 67 67 67 68 68 4'6" 69 69 70 70 71 71 73 73 4'6" 69 70 70 70 70 71 71 72 72 4'7" 72 72 74 74 74 75 77 78 4'7" 72 72 73 73 74 74 74 77 74 4'8" 78 75 76 78 78 79 81 83 4'8" 75 76 77 77 77 78 78 80 78 4'9" 81 78 80 82 82 82 84 88 92 4'9" 78 79 80 81 81 82 83 83 83 4'10" 81 81 84 84 86 86 88 93 96 101 4'10" 83 84 84 85 85 86 87 86 4'11" 87 90 90 92 96 100 103 104 4'11" 87 87 88 89 89 90 90 90 90 5' 91 95 95 97 101 105 108 109 5' 91 92 92 93 94 95 96 94 5'1" 93 99 100 101 105 108 112 113 5'1" 95 95 96 97 99 100 103 99 5'2" 96 104 105 106 109 113 115 117 5'2" 99 100 101 102 103 104 107 103 5'3" 99 108 110 110 112 116 117 119 5'3" 103 105 106 107 108 110 113 108 5'4" 102 108 114 115 117 119 120 122 5'4" 109 111 113 115 117 113 5'5" 105 118 120 121 122 123 125 5'5" 114 117 118 120 122 118 5'6" 108 122 124 124 125 128 129 5'6" 118 119 122 125 128 122 5'7" 111 128 130 131 133 133 5'7" 123 124 128 130 134 128 5'8" 114 131 133 135 136 138 5'8" 127 134 134 137 134 5'9" 117 135 137 138 140 5'9" 134 136 139 143 136 5'10 136 138 140 142 5'10" 143 144 145 143 5'11" 138 140 142 144 5'11" 148 150 151 108 6' 6' 153 155 6'1" 6'1" 157 160 6'2" 160 164 Adapted from K-SADS-E (H. Orvaschel and J. Puig-Antich, February, 1987). 6'3" 6'4"