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Initial Trauma Review - Revised
Initial Trauma Review - Revised
An expanded version (the ITR-3) can be found in Briere, J. & Scott, C. (2006).
Principles of trauma therapy. Newbury Park, CA: Sage.
CHILDHOOD QUESTIONS:
1) [Physical abuse questions] "Before you were age 18, did a parent or another adult ever hurt or punish
you in a way that left a bruise, cut, scratches, or made you bleed?"
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
Yes__ No__
2. [Sexual abuse questions] "Before you were age 18, did anyone who was 5 or more years older than you
If yes:
● “Did the person ever put their penis, a finger, or an object into your vagina, or anus, or a
● “Was this ever done against your will or when you couldn't defend yourself (for example
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
[NOTE: For sexual abuse only, this part is not necessary for PTSD Criterion A]
Yes__ No__
[NOTE: For sexual abuse only, this part is not necessary for PTSD Criterion A]
Yes__ No__
3. [Peer sexual assault questions] "Before you were age 18, did anyone who was less than 5 years older
than you ever do something sexual to you that was against your will or that happened when you
couldn't defend yourself (for example when you were asleep or intoxicated)?"
If yes:
● “Did the person ever put their penis, a finger, or an object into your vagina, anus, or
mouth?"
Yes__ No__ [Yes = peer child rape if any insertion in vagina or anus, or penile insertion in mouth]
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
4. [Disaster questions] "Before you were age 18, were you ever involved in a serious fire, earthquake,
If yes:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
Yes__ No__
5. [Motor vehicle accident question] "Before you were age 18, were you ever involved in a serious
automobile accident?"
If yes:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
6. [Witnessing trauma questions] “Before you were age 18, did you ever see someone else get killed or
badly hurt?”
If yes:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
● “Did you ever think you might be injured or killed?" [Not required for PTSD Criterion A
Yes__ No__
ADULTHOOD QUESTIONS
1) [Adult sexual assault questions] "Since you were 18 or older, has something sexual ever been done to
you against your will or when you couldn't defend yourself (for example when you were asleep or
intoxicated)?"
If yes:
● “Did the person ever put their penis, a finger, or an object into your vagina or anus, or a
penis in your mouth?"
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
Yes__ No__
● ever been shot, shot at, stabbed, or nearly strangled in a sexual or marital relationship?"
If yes to either:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
Yes__ No__
3) [Non-intimate assault questions] "Since you were 18 or older, have you ever been physically attacked,
Yes__ No__ [Yes = non-intimate assault and possible attempted murder]
If yes:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
4) [War questions] "Since you were 18 or older, have you ever experienced combat or fought in a war?"
If yes:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
Yes__ No__
5) [Motor vehicle accident questions] "Since you were 18 or older, were you ever involved in an serious
automobile accident?"
If yes:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
Yes__ No__
6) [Disaster questions] "Since you were 18 or older, were you ever involved in a serious fire, earthquake,
If yes:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
Yes__ No__
7) [Torture questions -- If client is an immigrant from another country] “In the country where you
used to live, were you ever tortured by the government or by people against the government?”
If yes:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
Yes__ No__
8) [Police trauma questions] “In this country, have you ever been hit, beaten, assaulted, or shot by the
police or other law enforcement officials, during or after an arrest, or at some other time?”
If yes:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
Yes__ No__
9) [Witnessing questions] “Since you were 18 or older, did you ever see someone else killed or badly hurt?
If yes:
● “When this happened, did you ever feel very afraid, horrified, or helpless?"
Yes__ No__
● “Did you ever think you might be injured or killed?" [NOTE: For witnessing trauma, this