have been exposed to crime, violence and abuse either directly or indirectly.
60% of Adults
report experiencing abuse or other difficult family circumstances during childhood.
Nearly 50% of children
and adolescents were assaulted at least once in the past year.
26% of children age 4 and under
in the United States will witness or experience a traumatic event.
39% of children
between the ages of 12 and 17 reported witnessing violence, 17% reported being a
victim of physical assault and 8% reported being the victim of sexual assault.
30% among 536 elementary and middle school children
surveyed witnessed a stabbing in an inner city community, and
had witnessed a
25% of youth age 17 and younger
were victims of robbery or witnessed a violent act.
Nearly 14% of children
repeatedly experienced maltreatment by a caregiver, including nearly 4% who
experienced physical abuse.
11% of Girls aged 14 to 17 and 2% of all children
experienced sexual assault or sexual abuse during the past year,
More than 10%
of youth age 17 and younger reported five or more exposures to violence.
About 10% of children
suffered from child maltreatment, were injured in an assault, or witnessed a family
member assault another family member.
4 of every 10 children
in American say they experienced a physical assault during the past year, with one in
10 receiving an assault-related injury.
2% of all children
experienced sexual assault or sexual abuse during the past year, with the rate at nearly 11% for girls aged 14 to 17.
1 in 4 children
was the victim of robbery, vandalism or theft during the past year.
1 in 5 children
witnessed violence in their family or the neighborhood during the past year.
Young children exposed to 5 or more ACEs
in the first three years of childhood face a
likelihood of having one or more delays
in their language, emotional or brain development. As the number of traumatic events
experienced during childhood increases, the risk for the following health problems in
adulthood increases: depression; alcoholism; drug abuse; suicide attempts; heart and
liver diseases; pregnancy problems; high stress; uncontrollable anger; and family,
financial, and job problems.
Many of the kids who end up in the juvenile justice system, the vast majority of them have been exposed to high doses of [childhood trauma].
Dr. Nadine Burke Harris, Surgeon General of California
If we could change ourselves, the tendencies in the world would also change. As a man changes his own nature, so does the attitude of the world change towards him.
ACEs (without intervention) predict the following adverse health outcomes:
3 or more categories of ACEs:
60% increase risk of autoimmune diseases: Lupus, multiple sclerosis, rheumatoid arthritis, type 1 diabetes
4 or more categories of ACEs:
2.5 times more likely to be diagnosed with cancer or lung disease
4.5 times more likely to face depression and Alzheimer's
7 times more likely to go to prison
12 times more likely to attempt suicide.
1,350% increase in becoming a victim of opiate abuse.
5 or more categories of ACEs:
8 times more likely of becoming an alcoholic
With or without smoking, individuals with an ACE score of 5 or greater have 2.6 times the risk of developing Chronic Obstructive Pulmonary Disease (COPD) (Anda, 2008)
6 or more ACEs:
Shortens lifespan by 20 years
Result in a 4,600% increase in becoming a victim of opiate abuse.
7 or more ACEs:
Individuals with 7 or more ACEs have 5 times the risk of reporting hallucinations (Whitfield, 2005)
From: Donna Jackson Nawazaka
Vincent Felitti says that answering the ACEs (Adverse Childhood Experiences) Questionnaire “helps to normalize the conversation about Adverse Childhood Experiences and their impact on our lives. When we make it okay to talk about what happened, it removes the power that secrecy so often has. Just one conversation about the fact that ACEs matter in a patient's current health can have enormously beneficial output. Asking, including about subjects we have been taught as children that nice people don't discuss, Listening, and Accepting that patient for who they are, and all their human complexity, are a powerful form of Doing that confers great relief to patients.