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#211 q <br /> If yes,please describe the situation: <br /> Do you have any history of suicide attempts? Yes Now_ <br /> If yes,please • situation: <br /> Have any family members had problems with the following? jf so, what is their relationship to you? <br /> ? <br /> Depression <br /> Anxiety <br /> Eating Disorder <br /> Bipolar Disorder/Manic-depression <br /> Obsessive-compulsive disorder <br /> Alcoholdrug problems <br /> Suicide attempts < '4 <br /> Psychiatric hospitalizations <br /> Other mental health/psychiatric problems—please specify <br /> CHEMICAL , t:OR-oL His run: <br /> How often and how much do you drink alcoholic beverages? <br /> Never <br /> Ina week <br /> In a month <br /> Per day <br /> 3 <br />