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Adverse childhood experiences (ACEs), overdose and suicide are urgent, related and preventable public health challenges that have consequences for all of us.

These issues are preventable.

Scroll down to learn how we can address today’s crises while preventing tomorrow’s.

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ACEs, overdose, and suicide are urgent public health challenges.

While these challenges impact all of us, some communities are more affected than others.

Spotlights on ACEs, Overdose, and Suicide

Listen to an expert’s perspective:

Mighty Fine, MPH, CHES
Director of Public Health Practice, American Public Health Association
Transcript

Understanding
ACEs

Child sitting on the floor with head down and arms crossed

Adverse childhood experiences (ACEs) are potentially traumatic events that occur in childhood. ACEs can include experiencing neglect, experiencing or witnessing violence, and having a family member attempt or die by suicide. Children of different races and ethnicities do not experience ACEs equally.

Understanding
Overdose

Person standing in a pill bottle

Drug overdose is the poisoning that happens when a drug is taken in excessive amounts. An overdose can be fatal or nonfatal, and all overdoses come with their own emotional and economic toll. Overdose deaths impact some communities more than others.

Understanding
Suicide

Funeral

Dying by suicide continues to be a leading cause of death in the United States. Suicidal thoughts and attempts are also on the rise. Suicide rates vary by population.

ACEs, overdose, and suicide are related public health challenges.

Venn Diagram with intersection of ACES, Overdose, and Suicide

ACEs, suicide, and overdose are related issues. Exposure to ACEs is associated with increased risk of overdose and suicide later in life.

Click the intersections in the graphic to explore the dangerous overlaps in these three related issues.

ACEs are associated with increased risk of overdose later in life and are associated with younger opioid initiation, injection drug use, and lifetime overdose.1

Experiencing any ACE is associated with an increased risk for suicide; the odds of ever attempting suicide are 30 times higher for adults with four or more ACEs compared to adults with no ACEs.2

Opioid Use Disorder (OUD) involving prescription drugs is associated with an increase of 40 to 60% in the risk of suicidal ideation.3

ACEs are associated with increased risk of overdose and suicide later in life. For children, losing a loved one to suicide or overdose is an ACE. Experiencing these is associated with increased risk of future overdose or suicide.

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1 2 3 4 Overdose Suicide ACEs Understanding Understanding Understanding

Fortunately,

ACEs, overdose, and suicide are preventable public health challenges.

Listen to an expert’s perspective:

Deputy Director, National Center for Injury Prevention and Control, CDC
Transcript

Focus on prevention through system-level changes that improve health across entire populations, public education and implementation of policies and programs based on the best available evidence.

Using collaborative strategies

Successful approaches often require collaboration with other sectors to address these complex and related challenges appropriately.

Greater impact happens when there is alignment between policy, funding and programs that address these three issues together, rather than some current efforts which that focus on each issue individually.

Together, we can shrink the impact of these three interrelated issues.

Addressing today’s crises and preventing tomorrow’s

We need a coordinated approach to address the interrelated crises of exposure to ACEs, overdose, and suicide to:

Silouette of head with light bulb
Increase understanding of the causes and impact, and better coordinate across treatment and prevention fields.
Group of people standing together
Engage a broad movement of champions and change agents in communities.
Magnifying glass
Invest in research and evaluation to better understand what works, why and for whom.
Research paper
Implement successful treatment and prevention strategies that are adapted for specific cultural contexts.