Home › Clinical Tools › ACE

🧒 ACE Score (Adverse Childhood Experiences)

UseWhen to use: trauma-informed intake when exploring childhood adversity and later health risk context.

Loading calculator…

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

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.

Methodology · worked example, guidelines & full notes
Clinical takeaway

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 abuseNo (0)
Physical abuseNo (0)
Sexual abuseNo (0)
Emotional neglectNo (0)
Physical neglectNo (0)
Parental separation / divorceNo (0)
Mother treated violentlyNo (0)
Household substance abuseNo (0)
Household mental illnessNo (0)
Incarcerated household memberNo (0)

→ACE0/10

  • Cue:0 — no reported ACE items
Emotional abuseYes (+1)
Physical abuseYes (+1)
Sexual abuseYes (+1)
Emotional neglectYes (+1)
Physical neglectYes (+1)
Parental separation / divorceYes (+1)
Mother treated violentlyYes (+1)
Household substance abuseYes (+1)
Household mental illnessYes (+1)
Incarcerated household memberYes (+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)
Related tools