The tickle stick has two attack methods, the first is a strike where the victim is simply hit by the stick. The second one initiates a "tickle" grapple where the attacker is relentlessly tickles the victim. The victim starts laughing due to the effects of the stick and ends up "bowing" to her attacker in a rump in the air posiition. The tickle can only be initiated on standing opponents.
The tickle stick is capable of increasing humiliation at a rather high rate. It also does high amounts of body damage to the victim. The stick leaves the opponent in a "downed" state so successfully tickling an opponent can let the aggressor to take advantage those benefits (such as Dr. Anesthesia's lethal attack). All roses could proceed to beat down the downed opponent with the stick.
Reversing the hit of the stick while standing means the would be victim simply grabs the tickle stick and takes it away from her opponent. A defending rose simply rolls out the way when reversing a downed stick hit.
If a Rose loses a Queens Match one of the penalties is tickling. Since this is a Queens Match penalty only the human females are eligible for this consequence (and being the winner by extension). The winning rose starts off with the tickle stick and simply tickles the loser, in this case unlike a wrestling match the aggressor continues to tickle the loser even after they fall and they are in the ground. After this sequence the loser's reaction to the situation plays.