Trauma Symptom Inventory 2

The Trauma Symptom Inventory 2 is designed to evaluate posttraumatic stress and other psychological sequelae of traumatic events.

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The Trauma Symptom Inventory 2 has replaced the The Trauma Symptom Inventory-1.

Use the Trauma Symptom Inventory 2 to help evaluate posttraumatic stress and other psychological sequelae of traumatic events.   This assessment helps investigate:

  • sexual and physical assault
  • intimate partner violence
  • combat
  • torture
  • motor vehicle accidents
  • mass casualty events
  • medical trauma
  • traumatic losses
  • childhood abuse or neglect

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Trauma Symptom Inventory 2 NEW

The Trauma Symptom Inventory 2 is designed to evaluate posttraumatic stress and other psychological sequelae of traumatic events. This broadband measure evaluates acute and chronic symptomatology, including the effects of sexual and physical assault, intimate partner violence, combat, torture, motor vehicle accidents, mass casualty events, medical trauma, traumatic losses, and childhood abuse or neglect.

The TSI-2 consists of 136 items and assesses a wide range of potentially complex symptomatology, ranging from posttraumatic stress disorder (PTSD), dissociation, and somatization to insecure attachment styles, impaired self-capacities, and dysfunctional behaviors.

New in this Edition

Introduced in this edition are three new scales (Insecure Attachment, Somatic Preoccupations, and Suicidality) and two new subscales (Hyperarousal and Other-Directedness). The four TSI-2 summary factors are either new to this version or have been reconfigured based on newly added or modified scales.

New items were introduced to the TSI-2 validity scales in order to assess a client’s tendencies to deny symptoms that are commonly endorsed, to overendorse unusual or bizarre symptoms, or to respond in an inconsistent or random manner. The Atypical Response validity scale was redesigned to assess not only overreporting in general, but also potential misrepresentation of PTSD.


The alternate 126-item version of the form does not contain any sexual symptom items ”the Sexual Disturbance” scale (i.e., the Sexual Concerns and Dysfunctional Sexual Behavior subscales) and the sexual symptom items associated with the Externalization factor have been removed.

  • Eight critical items help you identify issues or behaviors that potentially represent severe psychological disturbance, danger to the respondent, or danger to others.
  • Reliable change scores are new to this edition of the measure and allow you to track progress and monitor change over time.
  • The validation sample consisted of five nonoverlapping clinical groups: combat veterans, individuals with borderline personality disorder, sexual abuse victims, victims of domestic violence, and incarcerated women. A sample of subjects simulating PTSD was used to test malingering.

Scoring Program

This unlimited-use software scores and profiles the TSI-2 and TSI-2-A after the client’s responses are entered by the clinician. It will generate a score report and graphic profile of the client’s results, indicating the relative extent to which the respondent is experiencing posttraumatic stress or other sequelae of traumatic events. A change score report for both the TSI-2 and TSI-2-A assists clinicians in determining whether significant change over time has occurred.

The TSI-2 replaced the Trauma Symptom Inventory 1, described below.

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

  • 10 Clinical scales can be subsumed under three broad categories of distress (trauma, self, and dysphoria).
  • 12 Critical Items help you identify potential problems, such as suicidal ideation or behavior, substance abuse, psychosis, and self-mutilatory behavior that may require immediate follow-up.
  • In contrast to other trauma measures, three validity scales (Response Level, Atypical Response, and Inconsistent Response) assess the respondent’s tendency to deny symptoms that others commonly endorse, to over-endorse unusual or bizarre symptoms, and to respond to items in an inconsistent or random manner,
  • Normative data are derived from a nationally representative sample of more than 800 adults from the general population and more than 3,500 Navy recruits.
  • Profile forms for males and females provide a graph that portrays response scores relative to general population scores.
  • High predictive validity: TSI scales predicted Posttraumatic Stress Disorder (PTSD) in over 90% of cases (independently assessed) and 89% of cases diagnosed with Borderline Personality Disorder (BPD) were correctly identified (in the psychiatric inpatient sample).
  • Hand-scorable carbonless Answer Sheet; simple to administer.
  • Raw score to T-score conversion for all gender-by-age combinations.

TSI-A Version

The alternate 86-item version (TSI-A) is identical to the TSI, except that it does not contain the Sexual Concerns scale and Dysfunctional Sexual Behavior scale, and 2 Critical Items with sexual content. All other TSI-A scales, including the three validity scales, and the remaining Critical Items are identical to the TSI.


Additional information


Administration Time


Scoring Options



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