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1. CoRonavIruS Health Impact Survey (CRISIS)
Source: National Institute of Mental Health [National Institutes of Health] (NIMH)
Date Published: 4/2020
Format: Text
Annotation: The CRISIS Survey is designed to enable researchers and care providers to examine the extent and impact of life changes induced by the COVID-19 epidemic on the mental health and behavior of individuals and families across diverse international settings. This data may enable the identification of pre-, peri, and post-COVID-19 demographic, social, and clinical predictors of both short- and long-term impairment and distress induced by COVID-19 and its sequelae. The survey is designed to allow for follow-ups on a regular basis, with recommended frequencies of twice monthly or monthly. To facilitate multicultural perspectives, translations in a broad range of languages are available. Download surveys in PDF or Word Format, via GitHub, or via REDCap.


Population: All/Anyone
Length: 99 questions
Time to Complete: 12 minutes
Administered by: Self Administered/Self Report
Language(s): English, Brazilian Portuguese, French, German, Greek, Hebrew, Spanish, Swedish, Turkish

CRISIS Surveys: Adult Self-Report Baseline Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult.pdf
CRISIS Baseline Current Form- Background: Demographics; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Background.pdf
Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Status.pdf
Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Life_Changes.pdf
Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Daily_Behaviors.pdf
Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Worries.pdf
Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Media_Use.pdf
Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Substance_Use.pdf

CRISIS Surveys: Youth Self-Report Baseline Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth.pdf
CRISIS Baseline Current Form- Background: Demographics; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Background.pdf
Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Status.pdf
Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Life_Changes.pdf
Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Daily_Behaviors.pdf
Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Worries.pdf
Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Media_Use.pdf
Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Substance_Use.pdf

CRISIS Surveys: Parent/Caregiver Self-Report Baseline Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver.pdf
CRISIS BaselineCurrent Form- Background: Demographics; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Background.pdf
Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Status.pdf
Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Life_Changes.pdf
Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Daily_Behaviors.pdf
Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Worries.pdf
Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Media_Use.pdf
Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Substance_Use.pdf

CRISIS Surveys: Adult Self-Report Follow-up Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult.pdf
Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Status.pdf
Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Life_Changes.pdf
Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Daily_Behaviors.pdf
Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Worries.pdf
Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Media_Use.pdf
Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Substance_Use.pdf

CRISIS Surveys: Youth Self-Report Follow-up Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth.pdf
Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Status.pdf
Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Life_Changes.pdf
Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Daily_Behaviors.pdf
Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Worries.pdf
Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Media_Use.pdf
Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Substance_Use.pdf

CRISIS Surveys: Parent/Caregiver Self-Report Follow-up Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver.pdf
Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Status.pdf
Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Life_Changes.pdf
Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Daily_Behaviors.pdf
Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Worries.pdf
Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Media_Use.pdf
Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Substance_Use.pdf...[See more] [See less]
URL: http://www.crisissurvey.org/download/
Authors: Merikangas, K.; Milham, M.; Stringaris, A.
Type: Guideline/Assessment Tool
Access Notes: Link to Adult Self-Report Baseline https://www.nlm.nih.gov/dr2/CRISIS_Adult_Self-Report_Baseline_Current_Form_V0.3.pdf
Link to Adult Self-Report Follow Up Form: https://www.nlm.nih.gov/dr2/CRISIS_Adult_Self-Report_Follow_Up_Current_Form_V0.3.pdf
Link to Parent/Caregiver Baseline Form https://www.nlm.nih.gov/dr2/CRISIS_Parent_Caregiver_Baseline_Current_Form_V0.3.pdf
Link to Parent Caregiver Follow Up Form: https://www.nlm.nih.gov/dr2/CRISIS_Parent_Caregiver_Follow_Up_Current_Form_V0.3.pdf
Link to Youth Self-Report Baseline Form https://www.nlm.nih.gov/dr2/CRISIS_Youth_Self-Report_Baseline_Current_Form_V0.3.pdf
Link to Youth Self Report Follow Up Form: https://www.nlm.nih.gov/dr2/CRISIS_Youth_Self-Report_Follow_Up_Current_Form_V0.3.pdf
Link to Forms and background material on GitHub: https://github.com/nimh-comppsych/CRISIS

Free/Publicly Available
Contact Information: National Institute of Mental Health Intramural Research Program Mood Spectrum Collaboration, Dr. Kathleen Merikangas at merikank@mail.nih.gov
Includes Research Tools: Yes.
ID: 21767. From: Disaster Lit®a database of the U.S. National Library of Medicine.
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