Screening for adverse childhood experiences (ACEs): Cautions and suggestions |
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| Institution: | 1. Nathan Kline Institute of Psychiatric Research, Orangeburg, NY;2. Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York, NY;3. Statistical Research Consultants, LLC., Schaumburg, Ill;4. University of California at Los Angeles, Los Angeles, Calif;5. Albert Einstein College of Medicine, Bronx, NY;6. Case Western Reserve University, School of Medicine, Cleveland, Ohio;7. American Academy of Pediatrics, Elk Grove Village, Ill;8. New York State Office of Mental Health, Albany, NY;1. Policy and International Health Directorate, World Health Organization Collaborating Centre on Investment for Health and Wellbeing, Public Health Wales, Wrexham, UK;2. College of Human Sciences, Bangor University, Wrexham, UK;3. Violence and Injury Prevention, World Health Organization Regional Office for Europe, Copenhagen, Denmark;1. Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States;2. Departments of Community Health Sciences and Psychiatry, University of Manitoba, Canada;3. Department of Human Development and Family Sciences, University of Texas at Austin, United States;4. School of Social Work, University of Michigan, United States;1. Crimes Against Children Research Center, University of New Hampshire, Durham, NH, USA;2. Sewanee – The University of the South, Sewanee, TN, USA |
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| Abstract: | This article argues that it is still premature to start widespread screening for adverse childhood experiences (ACE) in health care settings until we have answers to several important questions: 1) what are the effective interventions and responses we need to have in place to offer to those with positive ACE screening, 2) what are the potential negative outcomes and costs to screening that need to be buffered in any effective screening regime, and 3) what exactly should we be screening for? The article makes suggestions for needed research activities. |
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| Keywords: | Sexual abuse Domestic violence Neglect Pediatrician |
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