TSI-SP Sample Report - Psychological Assessments Australia

TRAUMA SYMPTOM INVENTORY
by
John Briere, PhD
and PAR Staff
Client Information
______________________________________________
Client Name : Sample Client Age : 32
ID Number : 12345-67890 Sex : Female
Race : Caucasian Test Date : 07/10/96
Prepared for : PAR, Inc.
Total Missing Responses: 2
______________________________________________
This report is confidential and is intended for use by qualified professionals only.
This report shouldn't be released to the individual being assessed.
Portions of this report examine domains of trauma that may suggest the need for
direct and expeditious intervention. The professional using this report should
examine the results at her or his earliest convenience and, in conjunction with other
sources of information about the client, provide timely follow-up, treatment, or
referral.
Trauma Symptom Inventory Scoring Program Windows Version 1.10
Copyright © 1996, 2006
by Psychological Assessment Resources, Inc.
All rights are reserved.

TSI Critical Items
page 2
Item Score Item Description
0 [Item content removed from this report]
0
0
1*
1*
0
0
0
0
1*
0
0
* = A critical item was endorsed which may require immediate intervention

TSI Validity and Clinical Scales
page 3
Scale Raw Score T Score
ATR Atypical Response 0 45
RL Response Level 1 46
INC Inconsistent Response 3 47
AA Anxious Arousal 17 68*
D Depression 13 60
AI Anger/Irritability 15 61
IE Intrusive Experiences 19 73*
DA Defensive Avoidance 9 53
DIS Dissociation 4 47
SC Sexual Concerns 19 78*
DSB Dysfunctional Sexual Behavior 3 52
ISR Impaired Self-Reference 11 58
TRB Tension Reduction Behavior 7 63
TSI Summary Scales
Scale Raw Score T Score
TR Trauma 43 59
SLF Self 55 65*
DYS Dysphoria 45 64
* = T Score is clinically significant

page 4
TSI Item Responses
1. [Item content removed from this report] 0 1 2 3
2. 0 1 2 3
3. 0 1 2 3
4. 0 1 2 3
5. 0 1 2 3
6. 0 1 2 3
7. 0 1 2 3
8. 0 1 2 3
9. 0 1 2 3
10. skipped
11. 0 1 2 3
12. 0 1 2 3
13. 0 1 2 3
14. 0 1 2 3
15. 0 1 2 3
16. 0 1 2 3
17. 0 1 2 3
18. 0 1 2 3
19. 0 1 2 3
20. 0 1 2 3
21. 0 1 2 3
22. 0 1 2 3
23. 0 1 2 3
24. 0 1 2 3
25. 0 1 2 3
26. 0 1 2 3
27. 0 1 2 3
28. 0 1 2 3
29. 0 1 2 3
30. 0 1 2 3
31. 0 1 2 3
32. 0 1 2 3
33. 0 1 2 3

page 5
TSI Item Responses
34. 0 1 2 3
35. 0 1 2 3
36. 0 1 2 3
37. 0 1 2 3
38. 0 1 2 3
39. 0 1 2 3
40. 0 1 2 3
41. 0 1 2 3
42. 0 1 2 3
43. 0 1 2 3
44. 0 1 2 3
45. 0 1 2 3
46. 0 1 2 3
47. 0 1 2 3
48. 0 1 2 3
49. 0 1 2 3
50. 0 1 2 3
51. 0 1 2 3
52. 0 1 2 3
53. 0 1 2 3
54. 0 1 2 3
55. 0 1 2 3
56. 0 1 2 3
57. 0 1 2 3
58. 0 1 2 3
59. skipped
60. 0 1 2 3
61. 0 1 2 3
62. 0 1 2 3
63. 0 1 2 3
64. 0 1 2 3
65. 0 1 2 3
66. 0 1 2 3

page 6
TSI Item Responses
67. 0 1 2 3
68. 0 1 2 3
69. 0 1 2 3
70. 0 1 2 3
71. 0 1 2 3
72. 0 1 2 3
73. 0 1 2 3
74. 0 1 2 3
75. 0 1 2 3
76. 0 1 2 3
77. 0 1 2 3
78. 0 1 2 3
79. 0 1 2 3
80. 0 1 2 3
81. 0 1 2 3
82. 0 1 2 3
83. 0 1 2 3
84. 0 1 2 3
85. 0 1 2 3
86. 0 1 2 3
87. 0 1 2 3
88. 0 1 2 3
89. 0 1 2 3
90. 0 1 2 3
91. 0 1 2 3
92. 0 1 2 3
93. 0 1 2 3
94. 0 1 2 3
95. 0 1 2 3
96. 0 1 2 3
97. 0 1 2 3
98. 0 1 2 3
99. 0 1 2 3
100. 0 1 2 3