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Useful Notes / Holmes & Rahe Stress Scale

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The Holmes and Rahe Stress Scale is a list of common traumatic life events compiled by psychiatrists Thomas Holmes and Richard Rahe, typically listed in order from most to least debilitating.

  1. Death of a spouse
  2. Divorce
  3. Marital separation
  4. Imprisonment
  5. Death of a close family member
  6. Personal injury or illness
  7. Marriage
  8. Dismissal from work
  9. Marital reconciliation
  10. Retirement
  11. Change in health of family member
  12. Pregnancy
  13. Sexual difficulties
  14. Gain a new family member
  15. Business readjustment
  16. Change in financial state
  17. Death of a close friend
  18. Change to different line of work
  19. Change in frequency of arguments
  20. Major mortgage
  21. Foreclosure of mortgage or loan
  22. Change in responsibilities at work
  23. Child leaving home
  24. Trouble with in-laws
  25. Outstanding personal achievement
  26. Spouse starts or stops work
  27. Begin or end school
  28. Change in living conditions
  29. Revision of personal habits
  30. Trouble with boss
  31. Change in working hours or conditions
  32. Change in residence
  33. Change in schools
  34. Change in recreation
  35. Change in church activities
  36. Change in social activities
  37. Minor mortgage or loan
  38. Change in sleeping habits
  39. Change in number of family reunions
  40. Change in eating habits
  41. Vacation
  42. Christmas
  43. Minor violation of law

Non-Adult (Children/Teenagers)
  1. Death of parent
  2. Unplanned pregnancy/abortion
  3. Getting married
  4. Divorce of parents
  5. Acquiring a visible deformity
  6. Fathering a child
  7. Prison sentence of parent for over one year
  8. Marital separation of parents
  9. Death of a brother or sister
  10. Change in acceptance by peers
  11. Unplanned pregnancy of sister
  12. Discovery of being an adopted child
  13. Marriage of parent to stepparent
  14. Death of a close friend
  15. Having a visible congenital deformity
  16. Serious illness requiring hospitalization
  17. Failure of a grade in school
  18. Not making an extracurricular activity
  19. Hospitalization of a parent
  20. Jail sentence of parent for over 30 days
  21. Breaking up with boyfriend or girlfriend
  22. Beginning to date
  23. Suspension from school
  24. Becoming involved with drugs or alcohol
  25. Birth of a brother or sister
  26. Increase in arguments between parents
  27. Loss of job by parent
  28. Outstanding personal achievement
  29. Change in parent's financial status
  30. Acceptance at college of choice
  31. Being a senior in high school
  32. Hospitalization of a sibling
  33. Increased absence of parent from home
  34. Brother or sister leaving home
  35. Addition of third adult to family
  36. Becoming a full-fledged member of a church
  37. Decrease in arguments between parents
  38. Decrease in arguments with parents
  39. Mother or father beginning work


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