Groundbreaking research reveals that Adverse Childhood Experiences (ACEs) are alarmingly common among high school students in the United States. This study sheds light on the far-reaching implications of childhood trauma, highlighting the urgent need for comprehensive support and prevention strategies. Adverse Childhood Experiences can have profound and long-lasting effects on individuals, often leading to increased risks of mental health issues, substance abuse, and other health problems.

Uncovering the Prevalence of ACEs in High School Students
The study, published in the Morbidity and Mortality Weekly Report, provides the first national assessment of self-reported ACEs among U.S. high school students under the age of 18. The findings are alarming, with 76.1% of students reporting at least one ACE and a staggering 18.5% reporting four or more ACEs.
The most common ACEs were emotional abuse (61.5%), physical abuse (31.8%), and poor mental health within the household (28.4%). Certain student demographics, such as females, American Indian or Alaska Natives, multiracial individuals, and those identifying as gay, lesbian, bisexual, or questioning, showed the highest prevalence of ACEs.
The Lasting Impact of ACEs on Adolescent Health and Behavior
The study also examined the associations between ACEs and a range of health conditions and risk behaviors among high school students. The researchers found that the population-attributable fractions (PAFs) associated with ACEs were particularly high for suicide attempts (89.4%), seriously considering suicide (85.4%), and prescription opioid misuse (84.3%). These staggering statistics underscore the profound and far-reaching consequences of childhood trauma, highlighting the critical need for targeted interventions and support systems to address these pressing issues.
The link between ACEs and increased risks of violence, substance abuse, sexual health concerns, mental health challenges, and suicidal behaviors is a sobering reminder of the long-term impact of early-life adversity. This research serves as a powerful call to action for policymakers, educators, and healthcare providers to prioritize the prevention and mitigation of ACEs, ultimately improving the well-being of our nation’s youth.
Moving Forward: Strategies for Addressing ACEs and Supporting Adolescent Resilience
The authors of the study emphasize the tremendous public health impact that can be achieved by preventing ACEs, with more than 50% of the population-attributable fractions for various health conditions and risk behaviors linked to these experiences.
To address this pressing issue, a multifaceted approach is necessary. This may include increased funding and resources for school-based mental health services, comprehensive trauma-informed care training for educators and healthcare professionals, and the implementation of evidence-based interventions that promote resilience and healing among young people who have experienced adversity.
By prioritizing the prevention and mitigation of ACEs, we can empower high school students to navigate the challenges of adolescence with greater support and resources, ultimately fostering healthier and more resilient communities for generations to come.