Patient and Caregiver Perspectives on Implementation of ACE Screening in Pediatric Care Settings: A Qualitative Evaluation

“Epidemic” of violence in Brazilian schools and its impact on the health of survivors: a perspective based on adverse childhood experiences

“…Understanding the etiological diversity and ecological development of violence becomes a sine qua non condition to avoid, in the long run, new cases of the “violence pandemic” in schools. Moreover, primary health care in or out of schools should include screening for adverse childhood experiences 25 to protect children and adolescents and support the development and strengthening of adverse childhood experiences monitoring, contingency, and prevention programs for schoolchildren, addressing adverse childhood experiences that occur in the school environment or not, since social, interpersonal, and environmental relationships can also occur in this space and, consequently, encourage the development of violent attitudes and its outcomes.…”

“…In response to the attacks, the Executive Branch in Brazil announced some measures to reduce the cases of violence in schools, including the creation of a monitoring system with a hotline so people can report cases of school violence and incentive toward investigations and epidemiological studies based on these events 21 . Also, an amendment to Law n. 8,072, of July 25,1990, which addresses heinous crimes, has been proposed to include cases of very serious violence with physical injury followed by death occurring in schools 22 .…”

“Epidemia” de violência nas escolas brasileiras e os efeitos na saúde dos sobreviventes: uma perspectiva a partir das experiências adversas na infância

“…Compreender a diversidade etiológica e o desenvolvimento ecológico da violência torna-se condição sine qua non para evitar, a longo prazo, o acontecimento de novos casos da dita epidemia de violência nas escolas. Assim, os cuidados em atenção primária à saúde na escola ou fora dela deveriam incluir triagem para as experiências adversas na infância 25 , como forma de proteção à criança e ao adolescente e subsídio para o desenvolvimento e fortalecimento de programas de monitoramento, contingenciamento e prevenção de experiências adversas na infância entre os escolares, sejam elas ocorridas no ambiente escolar ou não, uma vez que as relações sociais, interpessoais e ambientais também podem reverberar nesse espaço e, consequentemente, propiciar o desenvolvimento de atitudes violentas e suas consequências.…”

How do Differences in Adolescent and Caregiver Reports of Adolescent Adverse Childhood Experiences Relate to Adolescent Depression?

“…For example, some studies have found that caregivers tend to under-report adolescent ACEs compared with adolescents. 25 , 26 One of the reasons is fear of consequences, denial, or lack of awareness of their adolescents’ experiences. 26 Alternatively, adolescents may be more willing to report their experiences for validation or support.…”