🧒 ACE Score (Adverse Childhood Experiences)
UseWhen to use: trauma-informed intake when exploring childhood adversity and later health risk context.
Strata≥4 often cited as higher cumulative-risk band; any score warrants trauma-informed care.
LimitsWhen not to use: as a psychiatric diagnosis or mandatory-report trigg… · Pitfall: asking without privacy/support plan. · Follow local safeguarding laws for ongoing harm.
SourceFelitti / CDC ACE questionnaire
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
0–10 sum.
When to use
When to use: trauma-informed intake when exploring childhood adversity and later health risk context.
How it works
Sum of 10 yes/no ACE domains (abuse, neglect, household challenges).
Key points
- 0–10 sum.
- ≥4 higher population risk cue.
- Next: trauma-informed supports.
References
- [Guideline / primary source]Felitti / CDC ACE questionnaire
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Emotional abuse | No (0) |
|---|---|
| Physical abuse | No (0) |
| Sexual abuse | No (0) |
| Emotional neglect | No (0) |
| Physical neglect | No (0) |
| Parental separation / divorce | No (0) |
| Mother treated violently | No (0) |
| Household substance abuse | No (0) |
| Household mental illness | No (0) |
| Incarcerated household member | No (0) |
→ACE0/10
- Cue:0 — no reported ACE items
| Emotional abuse | Yes (+1) |
|---|---|
| Physical abuse | Yes (+1) |
| Sexual abuse | Yes (+1) |
| Emotional neglect | Yes (+1) |
| Physical neglect | Yes (+1) |
| Parental separation / divorce | Yes (+1) |
| Mother treated violently | Yes (+1) |
| Household substance abuse | Yes (+1) |
| Household mental illness | Yes (+1) |
| Incarcerated household member | Yes (+1) |
→ACE10/10
- Cue:≥4 — higher population risk band for later health/mental-health burden
Verification & sources · governance
FAQ
Frequently asked questions
- Does ACE Score (Adverse Childhood Experiences) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is ACE Score (Adverse Childhood Experiences) calculated in practice? Can you show a worked example?
- Inputs: Emotional abuse No (0), Physical abuse No (0), Sexual abuse No (0), Emotional neglect No (0), Physical neglect No (0), Parental separation / divorce No (0), Mother treated violently No (0), Household substance abuse No (0)… → Result: ACE 0 /10(Cue: 0 — no reported ACE items) Inputs: Emotional abuse Yes (+1), Physical abuse Yes (+1), Sexual abuse Yes (+1), Emotional neglect Yes (+1), Physical neglect Yes (+1), Parental separation / divorce Yes (+1), Mother treated violently Yes (+1), Household substance abuse Yes (+1)… → Result: ACE 10 /10(Cue: ≥4 — higher population risk band for later health/mental-health burden)