The publication of this first comprehensive study of Adverse Childhood Experiences (ACEs) in Northern Ireland represents a significant milestone in our understanding of trauma’s impact on our society. This research, commissioned by the Executive Programme on Paramilitarism and Organised Crime, and led by Queen’s University Belfast, provides robust evidence of how both historical conflict and ongoing violence and harm continue to shape the lives of our citizens.

The findings are both striking and sobering. That 60% of our adult population reports at least one ACE, with nearly one in five experiencing four or more ACEs, represents a major public health challenge. More specifically, the finding that 30% of respondents reported conflict-specific adversities illuminates the unique context of trauma in Northern Ireland. Perhaps most concerning is the evidence that, despite being almost 27 years past the Good Friday Agreement, our younger generation continues to experience trauma related to paramilitary activity.

This research reveals a clear pattern of how trauma and disadvantage interact and compound one another. Both ACEs and conflict-related trauma are disproportionately concentrated in our most socio-economically disadvantaged communities. The correlation between higher ACE exposure and poorer life outcomes – from educational achievement to chronic health conditions – points to a pressing need for enhanced investment in targeted intervention and support. These findings make a compelling case for us all to reconsider how we design and deliver public services.