
Now add up your “Yes” answers: _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 … 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?.


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 who’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 who’s an alcoholic, a mother who’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.(There are many others…see below.) Five are personal - physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect.
