A signed total Italian dominating function (STIDF) of a graph with vertex set is defined as a function having the property that (i) for each , where is the neighborhood of , and (ii) every vertex for which is adjacent to a vertex for which or adjacent to two vertices and with . The weight of an STIDF is the sum of its function values over all vertices. The \textit{signed total Italian domination number} of , denoted by , is the minimum weight of an STIDF in . We initiate the study of the signed total Italian domination number, and we present different sharp bounds on . In addition, we determine the signed total Italian domination number of some classes of graphs.
Keywords: Signed total Italian domination, signed total Roman domination, total domination.