The Adverse Childhood Experiences questionnaire (ACE) assesses for seven types of early-life adversity. Given the wide range of experiences that can be considered traumatic, it can be worthwhile to ask a more general question, such as “Have you ever experienced any other difficult event that overwhelmed your ability to cope?” With patients at high risk for occupational exposures to trauma, such as first responders, explore the impact of vicarious exposures.
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