The study

Childhood trauma: WHO raises the alarm – it affects two in three young people and takes its toll on health and the economy

In Europe, more than two in three young people have experienced at least one adverse event during their childhood. The alarm has been raised by the report ‘Adverse childhood experiences in the European Union, Iceland and Norway: characteristics, consequences and costs’

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3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

The World Health Organisation’s (WHO) Regional Office for Europe has carried out a study – in collaboration with Liverpool John Moores University – on the phenomenon of Adverse Childhood Experiences (ACEs). And the worrying figure concerns the proportion of those who have experienced at least one such event: 68.9 per cent – more than two-thirds of the young people surveyed.

But what is an adverse childhood experience? The term encompasses cases of abuse, neglect and family or community dysfunction experienced between the ages of 0 and 17. These experiences are a key determinant of an individual’s physical and mental health, and also have socio-economic repercussions.

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The methodology

The survey, carried out between November 2025 and January 2026, involved a sample of nearly 27,000 young adults aged between 18 and 30, residing in the Member States of the European Union, Iceland and Norway. Nine types of ACE were analysed: physical abuse, emotional abuse, sexual abuse, physical neglect, mental health problems in the family, substance use, parental imprisonment, parental separation or death, and witnessing domestic violence.

The results

Of the 68.9 per cent – representing respondents who had experienced at least one adverse childhood experience – almost 30 per cent reported four or more ACEs. Of these, nearly 8 in 10 said they had needed professional mental health support in the previous year. Not only that: this same group was six times more likely to experience violence and ten times more likely to perpetrate it as young adults. Exposure to four or more ACEs also results in the loss of around 84 healthy life days per year – totalling nearly two years lost between the ages of 18 and 30 – with an estimated economic impact of just under 76,000 euros per person over the same period.

Greater exposure to ACE was also found to be associated with lower levels of education, a higher risk of exclusion from education, employment or training (NEET), a lower household income, less trust in others and a weaker sense of belonging to the community.

Generally speaking, it is the most vulnerable groups who experience such incidents: people from migrant backgrounds or belonging to ethnic minorities, those who have grown up in contexts of greater socio-economic deprivation, and women. Among the most commonly experienced ACE are parental separation or death, witnessing domestic violence, and sexual abuse.

ESPERIENZE INFANTILI AVVERSE

Proporzione di giovani che hanno sperimentato Ace nei 29 Paesi in esame. In %

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The call to action

The WHO warns that the cost of adverse childhood experiences ‘weighs on national health, welfare and judicial systems, as well as on national economies, for decades’.

Given the impact that ACE can have on the lives of young adults, and the fact that it is precisely the younger generations who will shape the society of tomorrow, it is inevitable that the repercussions will affect the entire social and economic fabric.

“This is not an isolated issue relating to mental health, but a problem that requires the involvement of all sectors, not just health services,” emphasises Natasha Azzopardi-Muscat, Director of the Health Systems Division at WHO Europe.

According to the World Health Organisation’s Regional Office for Europe, the response to the emergency must be structured along three lines: preventing adversity at its root, ‘by supporting families and addressing the conditions that give rise to it’; building resilience through ‘supportive relationships, life skills and the mobilisation of community resources’; and raising awareness amongst public services of the impact of trauma, so that they have the tools to help people affected by such experiences.

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