Appendix 2.1

Adolescent Life Events Inventory — Revised (Van Houten & Golembieivski, 1978)

(Revision Cavaiola, 1985)

Instructions

On the following pages are a list of events which may have happened to you.

Circle the “Yes” after the event if it ever happened to you, then in the last column write in how old you were at the time that event occurred.

If the event did NOT happen to you, circle the “No" and move on to the next item.

Examples:

	Answer	Your aye at the time
I changed schools	Yes No	8
My brother or sister was hospitalized	Yes No	15
My father was hospitalized	Yes No
I was taken to court	Yes No	—
Start here	Answer	Your aye at the time
I got poor grades in school	Yes No
I got into trouble for cutting classes	Yes No
My father was laid off	Yes No
My father was fired from his job	Yes No
My mother was fired from her job	Yes No
My parents asked me to leave home	Yes No
My parents seemed worried about money	Yes No
I got into trouble with a teacher or principal	Yes No
I got into trouble for fighting in school	Yes No
My father said he didn’t want me	Yes No
My mother died	Yes No
My father died	Yes No
My brother or sister died	Yes No
One of my grandparents died	Yes No
Another relative died	Yes No
I moved to another house	Yes No
I was accused of something I didn’t do	Yes No
My mother was sick or hurt	Yes No
My father was sick or hurt	Yes No
My brother or sister was sick or hurt	Yes No
A good friend of mine was sick or hurt	Yes No	—
Adolescent Life Events Inventory (cont’d)
	Answer	Your aye at the time
I was hospitalized	Yes No
My mother was hospitalized	Yes No
My father was hospitalized	Yes No	—

	Answer	Your aye at the time
My brother or sister was hospitalized	Yes No
My friend found out my mother was an alcoholic	Yes No
My friend found out my father was an alcoholic	Yes No
My friend found out my brother or sister was an alcoholic	Yes No
I was picked up by the police	Yes No
I had to appear in court	Yes No
I realized my mother was an alcoholic or addict	Yes No
I realized my father was an alcoholic or addict	Yes No
I realized my brother or sister was an alcoholic or addict	Yes No
I was put on Probation	Yes No
A relative asked me to leave his/her home	Yes No
I was sick or hurt	Yes No
I got someone pregnant or I got pregnant	Yes No
I got a sexually transmitted infection	Yes No
My boyfriend or girlfriend broke up with me	Yes No
I lost a good friend	Yes No
I was robbed	Yes No
I was beaten up	Yes No
My mother said she did not want me	Yes No
My father was put in a mental hospital	Yes No
My mother was put in a mental hospital	Yes No
I was put in a mental hospital	Yes No
I was raped	Yes No
I was put in jail, a detention center	Yes No
My parents got divorced	Yes No
I had to choose which parent to live with	Yes No
My brother or sister ran away from home	Yes No
My brother or sister had trouble with my parents	Yes No
I got into trouble for doing drugs at school	Yes No
My parents were fighting more than usual	Yes No
My parents threatened to leave one another	Yes No
My parents separated	Yes No
A member of my family was treated for drug or alcohol abuse	Yes No
I was evaluated by the Child Study Team at school	Yes No
I was classified or diagnosed with a Learning Disorder	Yes No	—
Adolescent Life Events Inventory (cont'd)
	Answer	Your aye at the time
I was sent to see a psychiatrist, psychologist	Yes No
I was forced to participate in sexual activity with a relative or member of my family	Yes No
I was forced to participate in sexual activity for which I later felt guilty	Yes No

	Answer	Your ape at the time
A member of my family or relative committed suicide	Yes No
I was depressed	Yes No
I felt suicidal	Yes No
I attempted suicide	Yes No
I avoided groups of people because of feeling different from others	Yes No
I was made fun of by my peers	Yes No
I was bullied	Yes No	—