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    Initial Trauma Review: Adolescent/Young Adult Version (ITR-A)

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    belmarinag

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    Initial Trauma Review: Adolescent/Young Adult Version (ITR-A)

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    belmarinag
    45 views6 pages

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    ITR-A

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    45 views6 pages

    Initial Trauma Review: Adolescent/Young Adult Version (ITR-A)

    Uploaded by

    belmarinag

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 6

    Source: From Appendix I of J. Briere and C.

    Lanktree (2011), Treating Complex Trauma in Adolescents and


    Young Adults. Thousand Oaks, CA: SAGE Publications.

    Initial Trauma Review


    Adolescent/Young Adult Version (ITR-A)

    T his semistructured interview allows the clinician to cover the primary forms of
    trauma potentially experienced by adolescents (i.e., those between the ages of 12 and
    21). The clinician may wish to paraphrase these questions in order to make them fit
    better into the session. However, (1) try to use the behavioral descriptors (don’t just ask
    about “abuse” or “rape”), and (2) only ask as many questions at a given time period as is
    tolerated by the adolescent. Remaining questions can be asked at later points within the
    first few sessions. The question How old were you the first time? usually indicates whether
    or not the trauma was a form of child abuse. The questions When this happened, did you
    ever feel very afraid, horrified, or helpless? and Did you ever think you might be injured or
    killed? indicate whether the trauma meets Criterion A2 for DSM-IV PTSD or ASD.

    1. [Childhood physical abuse] “Has a parent or another adult who was in charge of
    you ever hurt or punished you in a way that left a bruise, cut, scratches, or made
    you bleed?”
    "!Yes
    "!No

    If yes,

    “How old were you the first time?” ____________


    “How old were you the last time?” ____________
    “When this happened, did you ever feel very afraid, horrified, or helpless?”
    "!Yes
    "!No

    “Did you ever think you might be injured or killed?”


    "!Yes
    "!No

    © SAGE Publications

    1
    (ITR-A)

    2. [Sexual abuse] “Has anyone who was five or more years older than you ever done
    something sexual with you or to you?”
    "!Yes
    "!No

    If yes,

    “How old were you the first time?” ______________


    “How old were you the last time?” ______________

    “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

    “Did you ever think you might be injured or killed?” [NOTE: For sexual abuse
    only, this part is not necessary for PTSD Criterion A]
    "!Yes
    "!No

    3. [Peer sexual assault] “Has anyone who was less than five years older than you ever
    done something sexual to you that you didn’t want or that happened when you
    couldn’t defend yourself (for example, when you were intoxicated or asleep)?”
    "!Yes
    "!No

    If yes,

    “How old were you the first time?” ______________


    “How old were you the last time?” ______________
    “When this happened, did you ever feel very afraid, horrified, or helpless?”
    "!Yes
    "!No

    “Did you ever think you might be injured or killed?”


    "!Yes
    "!No

    4. [Disaster] “Have you ever been involved in a serious fire, earthquake, flood, or
    other disaster?”
    "!Yes
    "!No

    © SAGE Publications

    2
    (ITR-A)

    If yes,

    “How old were you the first time?” ______________


    “How old were you the last time?” ______________
    “When this happened, did you ever feel very afraid, horrified, or helpless?”
    "!Yes
    "!No

    “Did you ever think you might be injured or killed?”


    "!Yes
    "!No

    5. [Motor vehicle accident] “Have you ever been involved in a serious automobile
    accident?”
    "!Yes
    "!No

    If yes,
    “How old were you the first time?” ______________
    “How old were you the last time?” ______________
    “When this happened, did you ever feel very afraid, horrified, or helpless?”
    "!Yes
    "!No

    “Did you ever think you might be injured or killed?”


    "!Yes
    "!No

    6. [Partner abuse] “Have you ever been slapped, hit, beaten, or hurt in some other
    way by someone you were dating or who you were in a sexual or romantic rela-
    tionship with?”
    "!Yes
    "!No

    If yes,
    “How old were you the first time?” ______________
    “How old were you the last time?” ______________
    “When this happened, did you ever feel very afraid, horrified, or helpless?”
    "!Yes
    "!No

    © SAGE Publications

    3
    (ITR-A)

    “Did you ever think you might be injured or killed?”


    "!Yes
    "!No

    7. [Nonintimate peer assault] “Have you ever been physically attacked, assaulted,
    stabbed, or shot at by someone who wasn’t a parent, date, or sexual partner?”
    "!Yes
    "!No

    If yes,

    “How old were you the first time?” ______________


    “How old were you the last time?” ______________
    “When this happened, did you ever feel very afraid, horrified, or helpless?”
    "!Yes
    "!No

    “Did you ever think you might be injured or killed?”


    "!Yes
    "!No

    8. [Torture—if the adolescent 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?”
    "!Yes
    "!No

    If yes,

    “How old were you the first time?” ______________


    “How old were you the last time?” ______________
    “When this happened, did you ever feel very afraid, horrified, or helpless?”
    "!Yes
    "!No

    “Did you ever think you might be injured or killed?”


    "!Yes
    "!No

    © SAGE Publications

    4
    (ITR-A)

    9. [Police trauma] “Have you ever been hit, beaten, assaulted, or shot by the police
    or other law enforcement officials?”
    "!Yes
    "!No

    If yes,

    “How old were you the first time?” ______________


    “How old were you the last time?” ______________
    “When this happened, did you ever feel very afraid, horrified, or helpless?”
    "!Yes
    "!No

    “Did you ever think you might be injured or killed?”


    "!Yes
    "!No

    10. [Medical trauma] “Have you ever been in the hospital because you were very sick
    or very hurt?”
    "!Yes
    "!No

    If yes,

    “How old were you the first time?” ______________


    “How old were you the last time?” ______________
    “When this happened, did you ever feel very afraid, horrified, or helpless?”
    "!Yes
    "!No

    “Did you ever think you might die?”


    "!Yes
    "!No

    11. [Witnessing trauma] “Have you ever seen someone else get killed, badly hurt, or
    sexually assaulted?”
    "!Yes
    "!No

    © SAGE Publications

    5
    (ITR-A)

    If yes,

    “How old were you the first time?” ______________


    “How old were you the last time?” _______________
    “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: Not required for
    PTSD Criterion A]
    "!Yes
    "!No

    12. [Other trauma] “Has any other very bad or upsetting thing ever happened to
    you?”
    "!Yes
    "!No

    If yes, what was it? (If more than one, pick the worst other thing that happened)
    _________________________________________________________________________
    _________________________________________________________________________

    “How old were you the first time it happened?” ______________


    “How old were you the last time it happened?” ______________
    “When this happened, did you ever feel very afraid, horrified, or helpless?”
    "!Yes
    "!No

    “Did you ever think you might be injured or killed?”


    "!Yes
    "!No

    © SAGE Publications

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