Table 1.

List of sections of the Iranian Mental Health Survey (IranMHS) instruments and items of each section

Section	Number of items	Rule for Filling out	Subjects of each section
Basic information
Household information	10	All household informants or respondents	- Name of the province and city, urban/rural - Table for household members and list of eligibility criteria - Identity of selected individual, the contact address and telephone number
Short Screening section for mental illness and service use	3	All household informants or respondents	- Referring to any emergency service in L12M - Any mental or emotional problems in L12M - Referring or consulting to any health care provider for mental problems in L12M
Socio-demographic information	17	All respondents	- Identity, sex, age and birth date, educational status, history of immigration - marital status, number of children - occupational status, insurance status, disability benefit
Service use and cost of illness
Screening questionnaire for service use	42	All respondents	- Any service demand for any mental illness or problem in LT and L12M - Any health service use for mental illness or problem in LT and L12M - Delay in referring to health care system and their reasons
Inpatient psychiatric service use and costs	35	Respondents with history of psychiatric inpatient admission in L12M	- Date of all inpatient admissions in L12M, characteristics of the service in terms of location, organizational affiliation and specialization - Delay in admissions, services provided, quality of service received, and duration of stay - Detailed health and non-health cost, consumed time, - Patient’s satisfaction and rights - Subjective financial burden of using inpatient health services assessed by a numeric analogue of 0 to 100 point score
Outpatient mental health services and costs	38	Respondents reported any need for professional intervention for mental health problems in LT	- Services received in L12M, by type of health care setting, including primary health care setting, hospital emergency ward, hospital general clinic, professional psychiatric clinic, drug treatment facility, consultation center, private medical office, home care, other settings - Services received in L12M by provider, including psychiatrist, general practitioner, other medical specialty, psychologist, counselor, health care worker (Behvarz), social worker, other health care providers - Characteristics of the settings in terms of their location, organizational affiliation and specialization, reason for referral, days waiting for visit, type of services received, compliance to drug treatment, reasons for noncompliance, follow-up, reasons for discontinuation, quality of service received, patient’s satisfaction and rights - Cost of services and non-health costs of service use and consumed time for L3M - Receiving services from Drop-in-Centers (DICs) in L12M - Receiving services from self-help groups in L12M - Receiving mental health service through internet, hotline, telephone consultation in L12M - Receiving treatment service directly from pharmacy for mental health problem with/without previous prescription
Other service use for mental illness and costs	103	Respondents reported any need for professional intervention for mental health problems in LT	- Receiving services from traditional/complementary medicine in L12M including herbal medicine, acupuncture, spiritual/religious healer, homeopathy, chiropractic/massage therapy, yoga/meditation, phlebotomy/cup/leech, hypnotism, energy therapy, praying witch doctor, summoning the Spirit and other traditional healers - Reasons for referral, respondents’ satisfaction, and quality of services received - Cost of services & non-health costs of service use and consumed time for L3M - Other costs due to mental problems, including change in income, financial burden of illness on family, savings spent, money borrowed, family’s properties sold - Indirect cost including days of work lost - Receiving health services for any medical problem in past two weeks
Health services for medical problems and costs	8	All respondents	- Cost of medical services, non-health costs of service use, and consumed time in past two weeks
Admission to a hospital for medical reason and costs	13	Those hospitalized for medical reason in L12M	- Date of last hospitalization, location, specialization, and duration of stay - Cost of hospitalization and non-health costs of last hospitalization
Other costs	7	All respondents	- Litigation costs, costs of being sentenced, and fine in L12M
Mental disorders and problems
Anxiety disorders (section D & K, CIDI 2.1)	36	All respondents	- Diagnosis of social phobia, agoraphobia, panic disorder, generalized anxiety disorder, obsessive-compulsive disorder and post-traumatic stress disorder in L12M
Depressive disorders (section E, CIDI 2.1)	54	All respondents	- Diagnosis of major depressive disorder and dysthymia in L12M
Mania (section F, CIDI 2.1)	22	All respondents	- Diagnosis of manic and hypo-manic episodes in LT and L12M
Drug use disorders (section L, CIDI 2.1)	22	All respondents	- Diagnosis of drug abuse and dependence, including opioids, stimulants, cannabis, hallucinogens, inhalants and other drugs in L12M
Alcohol use disorders (section J, CIDI 2.1)	18	All respondents	- Alcohol use, diagnosis of alcohol abuse and dependence in L12M
Psychotic symptoms (section G, CIDI 2.1)	21	All respondents	- Screening of psychotic symptoms in LT
Psychotic disorders (SCID-1) (Phone interview)	20	Those with positive screening for psychotic symptoms by CIDI	- Diagnosis of any primary psychotic disorders in L12M and LT
Screening for somatoform disorders	15	All respondents	- Any considerable physical symptom in L12M, - Consulted a health care provider for the physical problems - Disorder diagnosed as mental or physical by the clinician
MDQ	15	All respondents	- screening a hypomanic/manic syndrome in LT
ASEX	5	Literate and married respondents with even-numbered identification code	- Screening sexual dysfunction in last week, separately for men and women
Suicidal thoughts and attempts	6	All respondents	- Serious thoughts about death and suicide in lifetime - plan for suicide, suicide attempts in past 12 months and seriousness of the suicide attempts
Aggressive behaviors	6	All respondents	- Manifestations of violent behaviors of respondents, including destroying properties, hurting oneself, the family members or the others - legal consequences for the act and any need to use health care for victim
Short-form for drug & alcohol use and other risk behaviors	12	All respondents with even-numbered identification code	- Use of various drugs commonly used in different parts of Iran - Frequency and pattern of drug and alcohol use in past 12 months - Other high risk behaviors and situations in lifetime, such as tattooing, imprisonment and homelessness
GHQ-28	28	All respondents with odd-numbered identification code	- Assessing psychological distress in L4W
Other questionnaires
Sheehan Disability Scale	5	All respondents	- Disability related to mental problems in four domains, including home management, work responsibilities, close relationships, and social life - Days out of role (number of days the individual was totally unable to work or carry out normal activities) due to a mental problem in past 12 months
Physical injury	8	All respondents	- Physical injury in L12M and L3M - The characteristics of all physical injuries in L3M, including type and cause of injury and the treatment applied
Socio-economic status	16	All respondents	- Number of households - Subjective ranking of socio-economic status - Characteristics of place of residence, including area, number of rooms, location of cooking place, bathroom and toilet in the house, heating and cooling devices, other home facilities - Home ownership status, ownership of agricultural land or cattle and agricultural machinery - Average of household income