Form Structure: Alcohol, Smoking, and Substance Use Involvement Screening Test (ASSIST)
This form structure is an organized set of data definitions for a form that has not been copyrighted
Title:
Alcohol, Smoking, and Substance Use Involvement Screening Test (ASSIST)
Short Name:
ASSIST_FITBIR
Description:
The World Health Organization (WHO) Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) is a questionnaire that screens for all levels of problem or risky substance use in adults. The ASSIST consists of eight questions covering tobacco, alcohol, cannabis, cocaine, amphetamine-type stimulants (including ecstasy) inhalants, sedatives, hallucinogens, opioids and 'other drugs'. A risk score is provided for each substance, References: WHO ASSIST Working Group (2002) The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): development, reliability and feasibility.(opens in a new window) Addiction, 97:1183-1194. doi: 10.1046/j.1360-0443.2002.00185.x https://www.sahealth.sa.gov.au/wps/wcm/
Disease:
Traumatic Brain Injury
Organization:
NINDS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-07-22
Version:
1.1
Date Created:
2015-05-05
Owner:
Number of Data Elements:
92
eForms:
N
Logically grouped data elements with defined frequency at which they repeat.
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | GUID | Global Unique ID which uniquely identifies a subject | GUID | Required | CDE |
| 2 | Subject identifier number | An identification number assigned to the participant/subject within a given protocol or a study. | SubjectIDNum | Optional | CDE |
| 3 | Age in years | Value for participant's subject age recorded in years. | AgeYrs | Recommended | CDE |
| 4 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
| 5 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
| 6 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
| 7 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
| 8 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
Form Administration (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Context type | The context to which the questions were answered | ContextType | Recommended | CDE |
| 2 | Context type other text | The free-text related to ContextType specifying other text | ContextTypeOTH | Recommended | CDE |
| 3 | Data source | Source of the data provided on the case report form | DataSource | Recommended | CDE |
| 4 | Data source other text | The free-text field related to Data source specifying other text. Source of the data provided on the case report form | DataSourceOTH | Recommended | CDE |
ASSIST (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Tobacco product use indicator | Indicator for whether the participant/subject has ever used any tobacco products (cigarettes, chewing tobacco, cigars, etc) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTobaccoProductUseInd | Optional | CDE |
| 2 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage indicator | Indicator for whether the participant/subject has ever drank any sort of alcoholic beverages (beer, wine, spirits, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAlcoholicBeverageInd | Optional | CDE |
| 3 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis use indicator | Indicator for whether the participant/subject has ever used any cannabis products (marijuana, pot, grass, hash, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCannabisUseInd | Optional | CDE |
| 4 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine use indicator | Indicator for whether the participant/subject has ever used any cocaine products (coke, crack, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCocaineUseInd | Optional | CDE |
| 5 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant use indicator | Indicator for whether the participant/subject has ever used any amphetamine type stimulants (speed, diet pills, ecstasy, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAmphtmnTypStmlntUseInd | Optional | CDE |
| 6 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant use indicator | Indicator for whether the participant/subject has ever used any inhalants (nitrous, glue, petrol, paint thinner, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTInhalantUseInd | Optional | CDE |
| 7 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill indicator | Indicator for whether the participant/subject has ever used any sedatives or sleeping pills (Valium, Serepax, Rohypnol, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTSedativeSleepPillInd | Optional | CDE |
| 8 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen use indicator | Indicator for whether the participant/subject has ever used any hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTHallucinogenUseInd | Optional | CDE |
| 9 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid use indicator | Indicator for whether the participant/subject has ever used any opioids (heroin, morphine, methadone, codeine, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOpioidUseInd | Optional | CDE |
| 10 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other non-medical substance use indicator | Indicator for whether the participant/subject has ever used any other substance not listed for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOthrNonmedclSubUseInd | Optional | CDE |
| 11 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Tobacco product use frequency | Frequency for how often the participant/subject has used tobacco products (cigarettes, chewing tobacco, cigars, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTobaccoProductUseFreq | Optional | CDE |
| 12 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage frequency | Frequency for how often the participant/subject has consumed alcoholic beverages (beer, wine, spirits, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAlcoholicBeverageFreq | Optional | CDE |
| 13 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis used frequency | Frequency for how often the participant/subject has used cannabis (marijuana, pot, grass, hash, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCannabisUseFreq | Optional | CDE |
| 14 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine use frequency | Frequency for how often the participant/subject has used cocaine (coke, crack, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCocaineUseFreq | Optional | CDE |
| 15 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant use frequency | Frequency for how often the participant/subject has used amphetamine type stimulants (speed, diet pills, ecstasy, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAmphtmnTypStmlntUseFreq | Optional | CDE |
| 16 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant use frequency | Frequency for how often the participant/subject has used inhalants (nitrous, glue, petrol, paint thinner, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTInahalantUseFreq | Optional | CDE |
| 17 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill frequency | Frequency for how often the participant/subject has used sedatives or sleeping pills (Valium, Serepax, Rohypnol, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTSedativeSleepPillFreq | Optional | CDE |
| 18 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen use frequency | Frequency for how often the participant/subject has used hallucinogens (LSD< acid, mushrooms, PCP, Special K, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTHallucinogenUseFreq | Optional | CDE |
| 19 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid use frequency | Frequency for how often the participant/subject has used opioids (heroin, morphine, methadone, codeine, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOpioidUseFreq | Optional | CDE |
| 20 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other non-medical substance use frequency | Frequency for how often the participant/subject has used any other substance not for medical use in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOthrNonmedclSubUseFreq | Optional | CDE |
| 21 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire tobacco product frequency | Frequency for how often the participant/subject had a strong desire to use tobacco products (cigarettes, chewing tobacco, cigars, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDsrTobaccoProductFreq | Optional | CDE |
| 22 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire alcoholic beverage frequency | Frequency for how often the participant/subject had a strong desire to consume alcoholic beverages (beer, wine, spirits, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDsrAlcoholicBeverageFreq | Optional | CDE |
| 23 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire cannabis frequency | Frequency for how often the participant/subject had a strong desire to use cannabis (marijuana, pot, grass, hash, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDsrCannabisFreq | Optional | CDE |
| 24 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire cocaine frequency | Frequency for how often the participant/subject had a strong desire to use cocaine (coke, crack, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDsrCocaineFreq | Optional | CDE |
| 25 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire amphetamine type stimulant frequency | Frequency for how often the participant/subject had a strong desire to use amphetamine type stimulants (speed, diet pills, ecstasy, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDsrAmphtmnTypStmlntFreq | Optional | CDE |
| 26 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire inhalant frequency | Frequency for how often the participant/subject had a strong desire to use inhalants (nitrous, glue, petrol, paint thinner, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDsrInhalantFreq | Optional | CDE |
| 27 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire sedative sleep pill frequency | Frequency for how often the participant/subject had a strong desire to use sedative or sleeping pills (Valium, Serepax, Rohypnol, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDsrSedativeSleepPillFreq | Optional | CDE |
| 28 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire hallucinogen frequency | Frequency for how often the participant/subject had a strong desire to use hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDsrHallucinogenFreq | Optional | CDE |
| 29 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire opioid frequency | Frequency for how often the participant/subject had a strong desire to use opioids (heroin, morphine, methadone, codeine, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDsrOpioidFreq | Optional | CDE |
| 30 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire other substance frequency | Frequency for how often the participant/subject had a strong desire to use other substances not previously listed in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDsrOtherSubFreq | Optional | CDE |
| 31 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Tobacco product problem frequency | Frequency for how often the participant/subject has used tobacco products which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTobaccoProductPrblmFreq | Optional | CDE |
| 32 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage problem frequency | Frequency for how often the participant/subject has consumed alcoholic beverages which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAlcohlcBeveragePrblmFreq | Optional | CDE |
| 33 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis problem frequency | Frequency for how often the participant/subject has used cannabis which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCannabisPrblmFreq | Optional | CDE |
| 34 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine problem frequency | Frequency for how often the participant/subject has used cocaine (coke, crack, etc.) which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCocainePrblmFreq | Optional | CDE |
| 35 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant problem frequency | Frequency for how often the participant/subject has used amphetamine type stimulants which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTInahalantPrblmFreq | Optional | CDE |
| 36 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant problem frequency | Frequency for how often the participant/subject has used inhalants which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAmphtmnTypStmlntPrblmFrq | Optional | CDE |
| 37 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill problem frequency | Frequency for how often the participant/subject has used sedatives or sleeping pills which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTSedativSlepPIllPrblmFreq | Optional | CDE |
| 38 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen problem frequency | Frequency for how often the participant/subject has used hallucinogens which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTHallucinogenPrblmFreq | Optional | CDE |
| 39 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid problem frequency | Frequency for how often the participant/subject has used opioids which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOpioidPrblmFreq | Optional | CDE |
| 40 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other substance problem frequency | Frequency for how often the participant/subject has used any other substance which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOthrSubPrblmFreq | Optional | CDE |
| 41 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage fail frequency | Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of alcoholic beverages in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAlcoholcBeverageFailFreq | Optional | CDE |
| 42 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis fail frequency | Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of cannabis in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCannabisFailFreq | Optional | CDE |
| 43 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine fail frequency | Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of cocaine (coke, crack, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCocaineFailFreq | Optional | CDE |
| 44 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant fail frequency | Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of amphetamine type stimulants in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAmphtmnTypStmlntFailFreq | Optional | CDE |
| 45 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant fail frequency | Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of inhalants in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTInhalantFailFreq | Optional | CDE |
| 46 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill fail frequency | Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of sedatives or sleeping pills in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTSedativSleepPillFailFreq | Optional | CDE |
| 47 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen fail frequency | Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of hallucinogens in the past 3 months., as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTHallucinogenFailFreq | Optional | CDE |
| 48 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid fail frequency | Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of opioids in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOpioidFailFreq | Optional | CDE |
| 49 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other substance fail frequency | Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of other substances in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOtherSubFailFreq | Optional | CDE |
| 50 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Tobacco product concern indicator | Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of tobacco products, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTobaccoProductConcernInd | Optional | CDE |
| 51 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage concern indicator | Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of alcoholic beverages (beer, wine, spirits, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAlcoholcBeveragConcrnInd | Optional | CDE |
| 52 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis concern indicator | Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of cannabis (marijuana, pot, grass, hash, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCannabisConcernInd | Optional | CDE |
| 53 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine concern indicator | Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of cocaine (coke, crack, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCocaineConcernInd | Optional | CDE |
| 54 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant concern indicator | Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of amphetamine type stimulants, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAmphtmnTypStmlntCncrnInd | Optional | CDE |
| 55 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant concern indicator | Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of inhalants, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTInhalantConcernInd | Optional | CDE |
| 56 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill concern indicator | Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of sedatives or sleeping pills, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTSedativSleepPillCncrnInd | Optional | CDE |
| 57 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen concern indicator | Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of hallucinogens, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTHallucinogenConcernInd | Optional | CDE |
| 58 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid concern indicator | Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of opioids, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOpioidConcernInd | Optional | CDE |
| 59 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other substance concern indicator | Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of other substances not previously listed before, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOtherSubConcernInd | Optional | CDE |
| 60 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Tobacco product fail control indicator | Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using tobacco products (cigarettes, chewing tobacco, cigars, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTobaccoPrdctFailCntrlInd | Optional | CDE |
| 61 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage fail control indicator | Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using alcoholic beverages (beer, wine, spirits, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTAlcohlcBvragFailCntrlInd | Optional | CDE |
| 62 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis fail control indicator | Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using cannabis (marijuana, pot, grass, hash, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCannabisFailCntrlInd | Optional | CDE |
| 63 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine fail control indicator | Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using cocaine (coke, crack, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTCocaineFailCntrlFreq | Optional | CDE |
| 64 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant fail control indicator | Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using amphetamine type stimulants (speed, diet pills, ecstasy, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) | ASSISTAmphtnTypStmltFlCntrlInd | Optional | CDE |
| 65 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant fail control indicator | Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using inhalants (nitrous, glue, petrol, paint thinner, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTInhalantFailCntrlInd | Optional | CDE |
| 66 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill fail control indicator | Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using sedatives or sleeping pills (Valium, Serepax, Rohypnol, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTSedativSlpPillFlCntrlInd | Optional | CDE |
| 67 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen fail control indicator | Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTHallucinogenFailCntrlInd | Optional | CDE |
| 68 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid fail control indicator | Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using opioids (heroin, morphine, methadone, codeine, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOpioidFailCntrlInd | Optional | CDE |
| 69 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other substance fail control indicator | Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using other substances that was not previously listed before, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTOtherSubFailCntrlInd | Optional | CDE |
| 70 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Drug by injection indicator | Indicator for whether the participant/subject has ever taken a drug via injection before, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTDrugByInjectionInd | Optional | CDE |
| 71 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total a score | Score for the total sum of all the question A scores (tobacco products), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTotalAScore | Optional | CDE |
| 72 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total b score | Score for the total sum of all the question B scores (alcoholic beverages), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTotalBScore | Optional | CDE |
| 73 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total c score | Score for the total sum of all the question C scores (cannabis), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTotalCScore | Optional | CDE |
| 74 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total d score | Score for the total sum of all the question D scores (cocaine), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTotalDScore | Optional | CDE |
| 75 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total e score | Score for the total sum of all the question E scores (amphetamine type stimulants), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTotalEScore | Optional | CDE |
| 76 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total f score | Score for the total sum of all the question F scores (inhalants), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTotalFScore | Optional | CDE |
| 77 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total g score | Score for the total sum of all the question G scores (sedatives and sleeping pills), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTotalGScore | Optional | CDE |
| 78 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total h score | Score for the total sum of all the question H scores (hallucinogens), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTotalHScore | Optional | CDE |
| 79 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total I score | Score for the total sum of all the question I scores (opioids), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTotalIScore | Optional | CDE |
| 80 | Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total j score | Score for the total sum of all the question J scores (other substances), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). | ASSISTTotalJScore | Optional | CDE |
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