Immunosuppression resulting from excessive post-trauma apoptosis of hyperactivated Tcells is controversial. TRAIL mediated Tcell apoptosis decreases highly activated Tcells’ responses. Caspase-10, a particular TRAIL target, was increased in trauma patients’ Tcells with concomitantly elevated plasma TRAIL levels. These patients’ Tcells developed anergy, implicating increased TRAIL-mediated Tcell apoptosis in post-trauma Tcell anergy. Control Tcells cultured with patients’ sera containing high TRAIL levels increased their Caspase-10 activity and apoptosis. Stimulated primary Tcells are TRAIL apoptosis resistant. Increased plasma Thrombospondin-1 and Tcell expression of CD47, a Thrombospondin-1 receptor, preceded patients’ Tcell anergy. CD47 triggering of Tcells increased their sensitivity to TRAIL-induced apoptosis. Augmentation of Tcell TRAIL-induced apoptosis was secondary to CD47 triggered activation of the Src homology-containing phosphatase-1(SHP-1) and was partially blocked by a SHP-1 inhibitor. We suggest that combined post-trauma CD47 triggering, SHP-1 mediated NFκB suppression, and elevated TRAIL levels increase patients’ CD47 expressing Tcell apoptosis, thus contributing to subsequent Tcell anergy.