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Twelve Critical Items help you identify potential problems that may require immediate follow-up.

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The TSI, a 100-item test, is designed to evaluate posttraumatic stress and other psychological sequelae of traumatic events, including the effects of rape, spouse abuse, physical assault, combat, major accidents, natural disasters, and the lasting sequelae of childhood abuse.

It includes 10 clinical scales that measure the extent to which the respondent endorses trauma-related symptoms. These, in turn, can be subsumed under three broad categories of distress (trauma, self, and dysphoria). These scales include:

Additionally, in contrast to other trauma measures, the TSI contains three validity scales (Response Level, Atypical Response, and Inconsistent Response), which assess the respondent’s tendency to deny symptoms that others commonly endorse, to overendorse unusual or bizarre symptoms, and to respond to items in an inconsistent or random manner.

The 12 critical items also help you identify potential problems, such as suicidal ideation or behavior, substance abuse, psychosis, and self-mutilatory behavior, that may require immediate follow-up.

TSI-A
The alternate item version (TSI-A) is identical to the TSI except it makes no references to sexual issues. It has no Sexual Concerns scale and includes only the critical items.

Reliability/Validity
The TSI is highly reliable. The 10 clinical scales are internally consistent (mean alpha coefficients of .86, .87, .84, and .85 in standardization, clinical, university, and U.S. Navy samples, respectively), and exhibit reasonable convergent, predictive, and incremental validity. In the standardization sample, TSI scales predicted independently assessed posttraumatic stress disorder status in more than 90% of cases. Similarly, in the psychiatric inpatient sample, TSI scales correctly identified 89% of those independently diagnosed with Borderline Personality Disorder.

Administration/Scoring
The TSI Professional Manual is comprehensive and contains information on materials, administration, scoring, interpretation, psychometric characteristics, and normative data. Norms were derived from a nationally representative sample of over 800 adults from the general population and over 3,500 Navy recruits. Separate norms for males and females, ages 18-54 and 55+ years, make the TSI appropriate for all adult sex-by-age combinations.

Responses to the 100 items are entered on the carbonless, hand-scorable answer sheet. Profile forms for males and females allow conversion of raw scores to T scores. A graph of the profile may be drawn to portray the respondent’s scores relative to general population scores.