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Tinnitus Handicap Inventory (THI)

25-item self-report tinnitus burden questionnaire (Newman 1996). Each item: No (0), Sometimes (2), Yes (4). Total 0–100. Pick severity band — for full item-level score use the THI form.

Score interpretation

Slight–Mild handicap 0–1

→ Reassurance, education on tinnitus mechanisms, sound enrichment (background noise, hearing aids if hearing loss).

Moderate handicap 2

→ Refer audiology for hearing aids if SNHL; consider tinnitus retraining therapy (TRT) or CBT (NICE NG155). Sleep hygiene.

Severe / Catastrophic handicap 3–4

→ Urgent ENT/audiology referral. Specialist tinnitus clinic. CBT-tinnitus formal programme. Screen for depression/suicidality. MRI if pulsatile or unilateral with asymmetric SNHL.

Interpretation bands for the THI. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.