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There are many others…see below. Five are personal — physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect. Each type of trauma counts as one. There are, of course, many other types of childhood trauma — racism, bullying, watching a sibling being abused, losing a caregiver grandmother, mother, grandfather, etc. The ACE Study included only those 10 childhood traumas because those were mentioned as most common by a group of about Kaiser members; those traumas were also well studied individually in the research literature.
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.
This includes heart disease, lung cancer, diabetes and many autoimmune diseases, as well as depression, violence, being a victim of violence, and suicide. The first research results were published in , followed by more than 70 other publications through They showed that:. Think of it as a cholesterol score for childhood toxic stress. You get one point for each type of trauma.
The higher your ACE score, the higher your risk of health and social problems. Of course, other types of trauma exist that could contribute to an ACE score, so it is conceivable that people could have ACE scores higher than 10; however, the ACE Study measured only 10 types. As your ACE score increases, so does the risk of disease, social and emotional problems. With an ACE score of 4 or more, things start getting serious. The likelihood of chronic pulmonary lung disease increases percent; hepatitis, percent; depression percent; attempted suicide, 1, percent.
