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The content validity of the 18 mQSF items was ascertained by asking 25 medical and nursing education experts from Switzerland, Germany and Austria to rank the importance of each item on a four-point rating scale (1 = not at all important; 4 = very important), using an online survey tool.
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For responders, missing items were ascertained and inconsistent responses were identified following the rules described by Ware et al. [ 10], for 15 pairs of items.
The follow-up for the patients who returned a non-zero score on the suicide-ideation item was ascertained only by interviewing the practice nurses concerned to maintain patient confidentiality.
Consumption of beer, wine, and liquor was ascertained in separate items.
Specialized training was ascertained by the item: "Please check the areas [major psychiatric, alcohol/drug, children 0-12, adolescents 13-17, and marital/family] in which you have at least 1500 hours of training and experience and wish to provide services.
The presence of antepartum depression was ascertained using the 9 item Spanish-language Patient Health Questionnaire-9 (PHQ-9) thas has been validated in this population [31 33].
Usual dietary intake was ascertained with a 114-item food frequency questionnaire.
In addition, the 11th option, I have never had any kind of beverage containing alcohol, was eliminated because this response was ascertained in the prior item.
Severity of depression in the depressed subjects was ascertained with the observer-rated 17-item Hamilton Depression Rating Scale (HDRS) [81].
Mortality was ascertained through verbal autopsies.
Mortality was ascertained in 2007.
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