Child trauma occurs more than you think. More than two thirds of children reported at least 1 traumatic event by age 16. Potentially traumatic events include:
- Psychological, physical, or sexual abuse
- Community or school violence
- Witnessing or experiencing domestic violence
- National disasters or terrorism
- Commercial sexual exploitation
- Sudden or violent loss of a loved one
- Refugee or war experiences
- Military family-related stressors (e.g., deployment, parental loss or injury)
- Physical or sexual assault
- Serious accidents or life-threatening illness
Understanding Child Trauma
This infographic for the general public provides information on the prevalence and impact of traumatic events on children, and what actions can be taken to support children who experience traumatic events. The infographic is also available in Spanish.
At least 1 in 7 children have experienced child abuse and/or neglect in the past year, and this is likely an underestimate. In 2019, 1,840 children died of abuse and neglect in the United States.
Each day, more than 1,000 youth are treated in emergency departments for physical assault-related injuries.
In 2019, about 1 in 5 high school students reported being bullied on school property in the last year.
8% of high school students had been in a physical fight on school property one or more times during the 12 months before the survey.
Each day, about 14 youth die from homicide, and more than 1,300 are treated in emergency departments for violence-related injuries.
It’s important to recognize the signs of traumatic stress and its short- and long-term impact.
The signs of traumatic stress may be different in each child. Young children may react differently than older children.
- Fear being separated from their parent/caregiver
- Cry or scream a lot
- Eat poorly or lose weight
- Have nightmares
Elementary School Children
- Become anxious or fearful
- Feel guilt or shame
- Have a hard time concentrating
- Have difficulty sleeping
Middle and High School Children
- Feel depressed or alone
- Develop eating disorders or self-harming behaviors
- Begin abusing alcohol or drugs
- Become involved in risky sexual behavior
The Body's Alarm System
Everyone has an alarm system in their body that is designed to keep them safe from harm. When activated, this tool prepares the body to fight or run away. The alarm can be activated at any perceived sign of trouble and leave kids feeling scared, angry, irritable, or even withdrawn.
Healthy Steps Kids Can Take to Respond to the Alarm
- Recognize what activates the alarm and how their body reacts
- Decide whether there is real trouble and seek help from a trusted adult
- Practice deep breathing and other relaxation methods
Impact of Trauma
The impact of child traumatic stress can last well beyond childhood. In fact, research has shown that child trauma survivors may experience:
- Learning problems, including lower grades and more suspensions and expulsions
- Increased use of health and mental health services
- Increase involvement with the child welfare and juvenile justice systems
- Long-term health problems (e.g., diabetes and heart disease)
Trauma is a risk factor for nearly all behavioral health and substance use disorders.
There is hope. Children can and do recover from traumatic events, and you can play an important role in their recovery.
A critical part of children's recovery is having a supportive caregiving system, access to effective treatments, and service systems that are trauma informed.
Get Help Now
SAMHSA Behavioral Health Treatment Services Locator
The National Child Traumatic Stress Network: Get Help Now
Healthcare Toolbox: Basics of Trauma-Informed Care
Not all children experience child traumatic stress after experiencing a traumatic event. With support, many children are able to recover and thrive.
As a caring adult and/or family member, you play an important role.
- Assure the child that he or she is safe.
- Explain that he or she is not responsible. Children often blame themselves for events that are completely out of their control.
- Be patient. Some children will recover quickly while others recover more slowly. Reassure them that they do not need to feel guilty or bad about any feelings or thoughts.
- Seek the help of a trained professional. When needed, a mental health professional trained in evidence-based trauma treatment can help children and families cope and move toward recovery. Ask your pediatrician, family physician, school counselor, or clergy member for a referral.
Visit the following websites for more information: