Childhood Trauma in Adolescents / Teens

Key things to know What the evidence shows
How common is it? Child-population meta: 72.5% ≥1 ACE; 24.7% ≥4 ACEs in ≥12 subgroup
Is it more common among adolescents / teens? Cumulative exposure substantially higher by adolescence because adversity accumulates with age
Are adolescents / teens at higher risk? #N/A
How much higher is the risk? ≥4 ACEs 24.7% ≥12
How often can it be missed? #N/A
Does it show up differently among adolescents / teens? Very Strong Yes
How might it look different? Self-harm, risk-taking, substance use, withdrawal, anger, relationships/sexual behaviour, school deterioration; autonomy conflicts complicate disclosure
What commonly occurs alongside it? #N/A
What can it be confused with? PTSD/CPTSD; depression; ADHD; BPD traits; normative adolescent conflict
Common screening tool CTQ-SF — Childhood Trauma Questionnaire–Short Form
Separate screening tool for adolescents / teens CTQ-SF validated in adolescent samples
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