Youth Risk Behavior Survey - 2011 Page 5

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26.
During the past 12 months, how
30.
During the past 12 months, did you
frequently have you been
ever seriously consider attempting
electronically bullied, such as
suicide?
through e-mail, chat rooms, instant
A.
Yes
messaging, web sites, or text
B.
No
messaging?
A.
Never
31.
During the past 12 months, did you
B.
Once or twice
make a plan about how you would
C.
Monthly
attempt suicide?
D.
Weekly
A.
Yes
E.
Daily
B.
No
27.
During the past 12 months, how
32.
During the past 12 months, how
frequently have you electronically
many times did you actually attempt
bullied someone else, such as
suicide?
through e-mail, chat rooms, instant
A.
0 times
messaging, web sites, or text
B.
1 time
messaging?
C.
2 or 3 times
A.
Never
D.
4 or 5 times
B.
Once or twice
E.
6 or more times
C.
Monthly
If you attempted suicide during the
D.
Weekly
33.
E.
Daily
past 12 months, did any attempt
result in an injury, poisoning, or
28.
During the past 12 months, how
overdose that had to be treated by a
frequently has someone stolen or
doctor or nurse?
deliberately damaged your property
A.
I did not attempt suicide
such as your car, clothing, or books
during the past 12 months
on school property?
B.
Yes
A.
Never
C.
No
B.
Once or twice
C.
Monthly
34.
During the past 12 months, how
D.
Weekly
many times did you do something to
E.
Daily
purposely hurt yourself without
wanting to die, such as cutting or
The next 6 questions ask about sad
burning yourself on purpose?
A.
0 times
feelings and attempted suicide. Sometimes
people feel so depressed about the future
B.
1 time
that they may consider attempting
C.
2 or 3 times
D.
4 or 5 times
suicide, that is, taking some action to end
their own life.
E.
6 or more times
29.
During the past 12 months, did you
The next 15 questions ask about tobacco
ever feel so sad or hopeless almost
use.
every day for two weeks or more in
a row that you stopped doing some
35.
Have you ever tried cigarette
usual activities?
smoking, even one or two puffs?
A.
Yes
A.
Yes
B.
No
B.
No
-5-
2011 YRBS

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