Twenty-two statements show how heavily grief after the death of someone close has weighed on you over the last month: longing, intrusive thoughts, numbness, trouble accepting the loss. It is a screen, not a diagnosis. The score shows how strong the grief is and whether it may help to talk to someone who works with loss.
The TGI-SR+ (Traumatic Grief Inventory-Self Report Plus) was developed in the Netherlands by Paul Boelen, Lonneke Lenferink and colleagues. Its 22 statements follow the symptoms of prolonged grief disorder in the DSM-5-TR and ICD-11. Sessio counts each answer from 0 (never) to 4 (always), so the total runs from 0 to 88; the authors count 1 to 5 (22 to 110), so add 22 to compare with their tables. A higher score means heavier grief. The authors' cut-off of 71 on their scale (Lenferink and colleagues, 2022) is 49 here.
This is not a diagnosis
A questionnaire cannot tell strong grief from a disorder, and no score says that your grief is wrong or too long. Only a specialist can assess it after a conversation. If thoughts of dying come, tell someone you trust or reach a helpline today.
What happens to your answers
Your score is calculated right in your browser. Your answers reach our server only if you ask for your result by email: we write the email and do not keep them.
How long after a loss does this test make sense?
Strong grief in the first months is a normal part of loss. Specialists speak of prolonged grief only when it is still this heavy six months after the death (ICD-11) or twelve months after it (DSM-5-TR). If the loss is recent, the score only shows how you feel now.
Where does the cut-off come from?
From a Dutch study of two bereaved groups: 71 and above on the authors' scale (49 here) separated disturbed grief from the rest. Other studies found cut-offs between 60 and 75 depending on the criteria and the country, so treat it as a rough marker, not a firm line.
Source: TGI-SR+: Lenferink L. I. M., Eisma M. C., Smid G. E., de Keijser J., Boelen P. A., 2022, Valid measurement of DSM-5 persistent complex bereavement disorder and DSM-5-TR and ICD-11 prolonged grief disorder: The Traumatic Grief Inventory-Self Report Plus (TGI-SR+), Comprehensive Psychiatry 112, 152281, DOI 10.1016/j.comppsych.2021.152281. Text: the English form of the TGI-SR+ (osf.io/rqn5k, CC BY 4.0). Cut-off 71 (22-110 scale): the authors' manual. One obvious typo corrected by Sessio.
For therapists
Send scales to clients and watch the change in their card
The client takes the test from a link, no account needed. The result lands in their card and Sessio compares it with last time.
