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What happens when teens bring deep trauma into the hospital with them? A new study looked at how screening for Adverse Childhood Experiences, known as ACEs, can shape mental health care for teens in crisis. Researchers at a psychiatric hospital screened 103 adolescents admitted for emergencies. Using questions called PEARLS, they asked about past abuse, neglect, family loss, and stressors. The goal? To find out how trauma affects diagnoses, hospital stays, and the kind of care these teens receive. 

Results? 94% of teens had at least one ACE, and more than half had 4 or more. These youth were more likely to be diagnosed with PTSD during their stay. In fact, higher ACE scores raised the odds of receiving a new PTSD diagnosis. Higher risk is linked to sexual abuse and a caregiver’s death. 

Possible Lessons? Trauma is everywhere, and teens are carrying it with them.  Caregivers, hospital staff, and teachers: Asking about the past can change how we treat young people in crisis. If we know their stories, we can offer better support and healing. Ask: “What happened to you?” What other trauma is going on or happened in your life?