You get one point for each type of trauma. Think of it as a cholesterol score for childhood toxic stress. The studyвЂ™s researchers came up with an ACE score to explain a personвЂ™s risk for chronic disease. Thirty-six states and the District of Columbia have done their own ACE surveys their results are similar to the CDCвЂ™s ACE Study. people usually experience more than one type of trauma вЂ“ rarely is it only sex abuse or only verbal abuse.ДЄ whopping two thirds of the 17,000 people in the ACE Study had an ACE score of at least one - 87 percent of thoseВ had more than one.more types of trauma increased the risk of health, social and emotional problems.there was a direct link between childhood trauma and adult onset of chronic disease, as well as depression, suicide, being violent and a victim of violence.childhood trauma was very common, even in employed white middle-class, college-educated people with great health insurance.The first research results were published in 1998, followed by more than 70 other publications through 2015. This includesВ heart disease, lung cancer, diabetes and many autoimmune diseases, as well as depression, violence, being a victim of violence, and suicide. The CDCвЂ™s Adverse Childhood Experiences Study ( ACE Study) uncoveredВ a stunning link between childhood trauma and the chronic diseases people develop as adults, as well as social and emotional problems. _ Now that you know your ACEs, what does it mean?ДЇirstвЂ¦.a tiny bit of background to help you figure this outвЂ¦.(if you want the back story about the fascinating origins of the ACE Study, read The Adverse Childhood Experiences Study - the largest, most important public health study you never heard of - began in an obesity clinic.) Now add up your вЂњYesвЂќ answers: _В This is your ACE Score Was a household member depressed or mentally ill, or did a household member attempt suicide? No_If Yes, enter 1 _ _.Did you live with anyone who was a problem drinker or alcoholic, or who used street drugs?.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? Were your parents ever separated or divorced?.

Did you often or very often feel that вЂ¦ You didnвЂ™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?.Did you often or very often feel that вЂ¦ No one in your family loved you or thought you were important or special? or Your family didnвЂ™t look out for each other, feel close to each other, or support each other?.Did an adult or person at least 5 years older than you everвЂ¦ Touch or fondle you or have you touch their body in a sexual way? or Attempt or actually have oral, anal, or vaginal intercourse with you?.Did a parent or other adult in the household often or very oftenвЂ¦ Push, grab, slap, or throw something at you? or Ever hit you so hard that you had marks or were injured?.Did a parent or other adult in the household often or very oftenвЂ¦ 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?.The most important thing to remember is that the ACE score is meant as a guideline: If you experienced other types of toxic stress over months or years, then those would likely increase your risk of health consequences, depending on the positive childhood experiences you had (see below). The ACE Study included only those 10 childhood traumas because those were mentioned as most common by a group of about 300 Kaiser members those traumas were also well studied individually in the research literature. There are, of course, many other types of childhood trauma - racism, bullying, watching a sibling being abused, losing a caregiver (grandmother, mother, grandfather, etc.), homelessness, surviving and recovering from a severe accident, witnessing a father being abused by a mother, witnessing a grandmother abusing a father, involvement with the foster care system, involvement with the juvenile justice system, etc. So a person whoвЂ™s been physically abused, with one alcoholic parent, and a mother who was beaten up has an ACE score of three. Five are related to other family members: a parent whoвЂ™s an alcoholic, a mother whoвЂ™s a victim of domestic violence, a family member in jail, a family member diagnosed with a mental illness, and experiencing divorce of parents. There are 10 types of childhood trauma measured in the CDC-Kaiser Permanente Adverse Childhood Experiences Study.В (There are many othersвЂ¦see below.) Five are personal - physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect.

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