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Adverse Childhood Experiences - The ACE Questionnaire: What is Your ACE Score?

Adverse Childhood Experiences (ACEs) are “highly stressful, and potentially traumatic, events or situations that occur during childhood and/or adolescence. They can be a single event, or prolonged threats to, and breaches of, the young person’s safety, security, trust or bodily integrity" (Young Minds, 2018). Some Examples of ACEs are: Physical abuse Sexual Abuse Emotional Abuse Living with someone who abused drugs or alcohol Exposure to domestic violence Living with someone who has gone to prison Living with someone with serious mental illness Losing a parent through divorce, death or abandonment How ACEs Affect the Body and Brain It is thought that the build-up of stressful events experienced by a child can lead to toxic stress which leads to wear and tear on the developing brain and the stress response system of the child. Children and adolescents who have undergone traumatic experiences have shown dysregulation in how their brain and body interpret and respond to stress. Depression, heavy drinking, smoking, lower educational attainment and unemployment were significantly associated with adverse childhood experiences. Research has also documented the connection between ACEs and substance use and suicide. The longer an individual experiences an ACE and the more ACEs someone experiences, the bigger the impact it will have on their development and their health. ACEs can affect the ability of individuals to recognise and manage different emotions and their capacity to make and keep healthy friendships and other relationships. There are 10 types of childhood trauma measured in the ACE Study, and each type of trauma counts as one. The ACE score is meant as a guideline and other types of toxic stress which last over months or years would increase your risk of health consequences. The ACE Questionnaire Prior to your 18th birthday: Did a parent or other adult in the household often or very often – swear at you, insult you, put you down, or humiliate you OR act in a way that made you afraid that you might be physically hurt? If Yes score 1 Did a parent or other adult in the household often or very often – push, grab, slap, or throw something at you OR ever hit you so hard that you had marks or were injured? If Yes score 1 Did an adult or person at least five years older than you ever – touch you or have you touch their body in a sexual way OR attempt or actually have oral, anal, or vaginal intercourse with you? If Yes score 1 Did you often or very often feel that no one in your family loved you or thought you were important or special OR your family didn’t look out for each other, feel close to each other, or support each other? If Yes score 1 Did you often or very often feel that you didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you OR your parents were too drunk or high to take care of you or take you to the doctor if you needed it? If Yes score 1 Were your parents ever separated or divorced? If Yes score 1 Was your mother or stepmother often or very often pushed, grabbed, slapped, or had something thrown at her OR sometimes, often, or very often, kicked, bitten, hit with a fist, or hit with something hard OR ever repeatedly hit over at least a few minutes or threatened with a gun or knife? If Yes score 1 Did you live with anyone who was a problem drinker or alcoholic or who used street drugs? If Yes score 1 Was a household member depressed or mentally ill or did a household member attempt suicide? If Yes score 1 Did a household member go to prison? If Yes score 1 Sources: https://childrenofnarcissists.org.uk/... National Institute of Health https://www.ncbi.nlm.nih.gov/pmc/arti... CDC https://www.cdc.gov/mmwr/volumes/68/w... Manchester University NHS Foundation Trust https://mft.nhs.uk/rmch/services/camh... ACEs too High https://acestoohigh.com/got-your-ace-...