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Adverse Childhood Experiences (ACE) Score

Mental healthPublic healthScreeningBeta toolThis tool is in beta. It has undergone internal validation but still requires additional testing. Always confirm the data entered and the results obtained before clinical use. It should not be used as the sole basis for clinical decisions.
Before age 18, were you often or very often sworn at, insulted, put down, humiliated, or made to fear physical harm by a parent or other adult in the household?An explicit Yes/No answer is required for the adult retrospective emotional-abuse item.
Before age 18, were you pushed, grabbed, slapped, hit, or otherwise physically hurt by a parent or other adult in the household?An explicit Yes/No answer is required for the adult retrospective physical-abuse item.
Before age 18, did an adult or person at least 5 years older ever touch you sexually or attempt or complete sexual intercourse or other sexual contact with you?An explicit Yes/No answer is required for the adult retrospective sexual-abuse item.
Before age 18, did you often or very often feel that no one in your family loved you, thought you were important, or supported one another?An explicit Yes/No answer is required for the adult retrospective emotional-neglect item.
Before age 18, did you often or very often lack enough food, clean clothes, protection, or sober caregiving when needed?An explicit Yes/No answer is required for the adult retrospective physical-neglect item.
Before age 18, were your parents ever separated or divorced?An explicit Yes/No answer is required for the parental-separation/divorce domain.
Before age 18, was your mother or stepmother often physically threatened, pushed, grabbed, slapped, hit, kicked, or otherwise treated violently?An explicit Yes/No answer is required for the household-violence domain.
Before age 18, did you live with anyone who was a problem drinker or alcoholic or who used street drugs?An explicit Yes/No answer is required for the household-substance-use domain.
Before age 18, was a household member depressed, mentally ill, or suicidal?An explicit Yes/No answer is required for the household-mental-illness domain.
Before age 18, did a household member go to prison or jail?An explicit Yes/No answer is required for the incarcerated-household-member domain.

Clinical noticeEducational exposure-counting support only. Use ACE results within a supportive trauma-informed clinical or public-health context rather than as a stand-alone diagnostic or prognostic tool.

Context and use

ACE score = sum of the 10 positive abuse, neglect, and household-dysfunction domains.

Each positive domain contributes 1 point; all 10 Yes/No responses are required and the score is calculated remotely.

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