TITRA - Trauma Informed Timeline Risk Assessment - Created by Sayno-das.co.uk

• Assessment Date

  Date

• Name of the person completing this assessment

• Are you completing this assessment for yourself ?

  Yes

  No

• Please enter your D.O.B, Email, Address & Contact number

• Enter Your Full Details As The Supporting Professional

• Please enter the full details of the person you are completing this assessment for, including their name, D.O.B, email, address and contact number

• When did the relationship start (this doesn't need to be exact just approx month and year)

  Date

• What was your age when you met the suspect ?

• Do you know the age of the suspect when you first met ?

  Yes

  No

• Please provide the suspects age

• How did the relationship begin ?

• Please share your outlook on the future during the early stages of the relationship

• Did you have any vulnerabilities that they were aware of early on in the relationship?

  Yes

  No

• Please provide further details and Did you feel supported when they became aware of these vulnerabilities ?

• When did you notice a change in their behaviour towards you ? Describe the changes you observed / experienced.

• How did this impact you emotionally / psycologically ?

• Can you scale this emotional impact on a scale of 0 to 10 ( 10 being severe and 0 being not at all)

• Have you lived in the same home as the suspect ?

  Yes

  No

• Describe how things changed and how this impacted your emotional and psychological wellbeing

• Can you scale this emotional impact on a scale of 0 to 10 ( 0 being not at all and 10 being very sever)

• How far into the relationship did this take place?

• who's idea was it to progress the relationship?

• Were you engaged at any point to the suspect?

  Yes

  No

• At what stage in the relationship did this take place?

• Describe the dynamics of your relationship after the engagement and how you felt about your future as a couple

• Did you marry the suspect ?

  Yes

  No

• How long into the relationship did this take place?

• Describe the dynamics of the relationship once your were married

• What was your outlook on your future together ? How did this make you feel ?

• Scale your emotional state from 0 to 10 ( 0 being poor and 10 being very optimistic )

• Did you have children with the suspect ?

  Yes

  No

• Describe the dynamics of your relationship during pregnancy

• Was the suspect supportive during this time?

• Scale your emotional wellbeing from 0 to 10 (0 being poor and 10 being very optimistic )

• Describe the dynamics of your relationship after the baby was born

• Was the suspect supportive during this time ?

• Scale your emotional wellbeing after the baby was born (0 being poor and 10 being very good)

• Describe your experience throughout the relationship, making reference to any other specific escalation points in the suspects behaviour

• Have you separated from the suspect?

  Yes

  No

• When did this separation take place?

• Describe the suspects behaviour towards you post separation

• How did this impacting your emotional and psychological wellbeing?

• Scale your emotional wellbeing currently on a scale of 0 to 10 ( 0 being poor 10 being optimistic )

• Are there child contact issues ?

  Yes

  No

• Please provide further details

• Is there ongoing financial abuse?

  Yes

  No

• Provide more detail around this

• Do you have ongoing financial proceedings in family court?

  Yes

  No

• describe the suspects conduct throughout these

• Do you have a non molestation order

  Yes

  No

• Please provide details of this. The option to upload this document is also available

• Has this order been breeched?

  Yes

  No

• Please provide details of the breech

• Was this reported to the police?

  Yes

  No

• What action was taken by the police ? and provide any case ref or crime numbers if you have them

• Do you have an occupational order?

  Yes

  No

• Is there anything else you would like to add ?

Coercive Control Tactics

• How did the suspect conduct themselves around special occasions?

• Examples of devaluing

• Examples of name calling

• Detail any unfaithful behaviour from the suspect

• Examples of gaslighting

• Examples of where you felt isolated from friends, family or socialising in general

• Examples of financial abuse during the relationship

• Examples of where the suspect would monitor your movements

• Examples of Sexual related coercive control, shame or rape

• Examples of catching you when you guard was down

• Examples of the silent treatment

• Examples where the suspect emotionally manipulated you

• Examples where the suspect applied fear inducing tactics to gain compliance or maintain your silence

• Have they ever threatened you with a weapon or something that could have been used as a tool to cause you harm ?

  Yes

  No

• Provide further details of this

• Have they accused you of things they know never took place or accused you of things they themselves are guilty of?

  Yes

  No

• Provide further details of this

• Has the suspect encouraged third parties to facilitate the abuse on their behalf or influenced how others treat you?

  Yes

  No

• provide further daily of this

• Has the suspect directly or indirectly made any threats to kill or harm you or any other person?

  Yes

  No

• Provide further details of this

• Has the suspect acted upon any threats made towards you or others?

  Yes

  No

• Provide further details of this

• Describe how this made you feel / how this impacted your life

• How did you respond to the REOCCURRING abuse both before & after the relationship?

• Do you believe the suspect anticipated this type of response from you?

  Yes

  No

• Do you believe their intention was to cause you harm or distress?

  Yes

  No

• How has your relationship with friends and family been impacted?

• Was there any excessive jealousy or possessiveness in the relationship?

  Yes

  No

• Provide further details of this

• Was there incidents involving strangulation ? <br>

  Yes

  No

• Provide further details of this and describe how this made you feel

• Did you ever seek medical assistance

  Yes

  No

• Provide further details

• Has the suspect ever threatened either directly or indirectly suicide or self harm ?<br>

  Yes

  No

• provide further details of this

• How did this make you feel?

• Have they ever denied or downplayed the abuse they have subjected you or someone else to or engaged in DARVO?

  Yes

  No

• Provide further details of this

• Have the children been subjected to or exposed to any of the incidents mentioned above?

  Yes

  No

• Provide details and describe the impact this had on them

• Have they made any defamatory accusations since the separation?

  Yes

  No

• Provide further details of this

• Have there been ongoing stalking incidents since the separation? (This could include....unwanted forms of communication weather directly or indirectly, Turning up out side your home or anywhere else they know you will be, Sending unwanted gifts, Luring you to somewhere under false pretences)

  Yes

  No

• Please provide further details

• Were these reported to the police?

  Yes

  No

• What was the outcome of this?

• Has the suspect attempted to lure you back into the relationship since separating ?

  Yes

  No

• Provide further details of this

• Has the suspect tried to position you as crazy or unstable ?

  Yes

  No

• Provide further details of this

• Have you ever made any previous reports to the police regarding the suspect?

  Yes

  No

• Provide further details of this

• Do you have a reliable support system ?

  Yes

  No

• Please provide information about any witnesses

• Describe how you feel now

About the suspect

• Does the suspect have a history of being violent or abusive?

  Yes

  No

• Provide details of what you are aware of

• Is the suspect known to have a dependency on drugs or alcohol?

  Yes

  No

• Provide further details of this

• Does the suspect have a history of engaging in gang related activity or dealing drugs?

  Yes

  No

• Please provide further details of this

• Has the suspect been trained to use a weapon or served time in the Military or Police

  Yes

  No

• Please provide further details of this

• Do you know if they have previous partners who have experienced abuse or violence while in a relationship with them or post separation?

  Yes

  No

• Please provide further details

• Does the suspect have children from past relationships they do not have contact with or has reduced contact which has been court ordered?

  Yes

  No

• What explanation has the suspect given you for this? And what do you believe to be the true reasons for this? (if not known state unknown)

• Have you done a Claires law on the suspect?

  Yes

  No

• Has the suspect been in trouble with the law previously ?

  Yes

  No

• Please provide further details that are known to you