Parent, step-parent, or adult living in the home:
- Pushed, grabbed, slapped child
- Threw something at child
- Hit child so hard there were marks or injuries

Examples of Physical Abuse as an Adverse Childhood Experience (ACE)

Adult, relative, family friend, or stranger at least 5 years older than child:
- Touched/fondled child's body in sexual way
- Made child touch their body in sexual way
- Attempted some kind of sexual intercourse with child

Examples of Sexual Abuse as an Adverse Childhood Experience (ACE)

Parent, step-parent, or adult living in the home:
- Swore at child
- Insulted/put-down child
- Acted in a way that made child afraid they would be physically hurt

Examples of Emotional Abuse as an Adverse Childhood Experience (ACE)

Washington State University at Tri-Cities

- Experiencing violence, abuse, or neglect
- Witnessing violence in the home or community
- Having a family member attempt or die by suicide
- Growing up in a household with a family member experiencing mental health problems or incarceration

Defining ACE Traumatic Events

CDC-Kaiser ACE study Overview
https://www.cdc.gov/violenceprevention/aces/index.html

CDC-Kaiser ACE Study

ACE definitions - Abuse

- Mother treated violently
- Substance abuse
- Parental divorce/separation
- Incarcerated household member

ACE Definitions - Household Challenges

Note: Neglect questions on survey were reverse-scored on the basis of positively-framed questions as opposed to negative
- Emotional
- Physical

ACE Definitions - Neglect

A person’s response to a traumatic event can be subjective in nature and may be psychological and/or physiological. In addition, their response can be experienced across a person’s lifespan in a variety of different ways. This can be immediately following a traumatic event or be repressed only to surface later in life. Research has shown that childhood trauma may have mental or physical effect such as revictimization, psychiatric disorders, cognitive impairment, maladaptive stress responses, and physical disabilities. Traumatic experiences in early life has also shown that it impacts health rick behaviors such as substance use.

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