TABLE 2.

Effects of 4 or more adverse childhood experience (ACE) events in adulthood

Increased risk for smoking, alcoholism, and drug abuse

Increased risk for depression and suicide attempts

Poor self-rated health

50 or more sexual partners

Greatest likelihood of sexually transmitted disease

Increased challenges with physical inactivity and severe obesity

Increased likelihood of attempted suicide across the lifespan

Increased risk for broken bones

Increased heart, lung, and liver disease

Multiple types of cancer