Evidence map›Paper›PMID 39497538›Full record

ReviewPediatrics2024

Screening for Adverse Childhood Experiences: A Critical Appraisal.

Anna E Austin, Kayla N Anderson, Marissa Goodson, Phyllis Holditch Niolon, Elizabeth A Swedo, Andrew Terranella, Sarah Bacon

Abstract readReview
In one paragraph

Review in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anna E AustinNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Kayla N AndersonNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Marissa GoodsonNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Phyllis Holditch NiolonNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Elizabeth A SwedoNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Andrew TerranellaNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sarah BaconNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Adverse childhood experiences (ACEs) are common and can impact health across the life course. Thus, it is essential for professionals in child- and family-serving roles, including pediatric and adult primary care clinicians, to understand the health implications of childhood adversity and trauma and respond appropriately. Screening for ACEs in health care settings has received attention as a potential approach to ACEs identification and response. Careful examination of the existing evidence on ACEs screening and consideration, from a clinical and ethical perspective, of the potential benefits, challenges, and harms is critical to ensuring evidence-informed practice. In this critical appraisal, we synthesize existing systematic and scoping reviews on ACEs screening, summarize recent studies on the ability of ACEs to predict health outcomes at the individual level, and provide a comprehensive overview of potential benefits, challenges, and harms of ACEs screening. We identify gaps in the existing evidence base and specify directions for future research. We also describe trauma-informed, relational care as an orientation and perspective that can help pediatric and primary care clinicians to sensitively assess for and respond to ACEs and other potentially traumatic experiences. Overall, we do not yet have sufficient evidence regarding the potential benefits, challenges, and harms of ACEs screening in health care and other settings. In the absence of this evidence, we cannot assume that screening will not cause harm and that potential benefits outweigh potential harms.

Indexed as

Adverse Childhood ExperiencesMass ScreeningChildHumansPrimary Health Care

Identifiers

PMID39497538
PMCPMC11891546

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.