ACE domain | Frequency count of Read codes per patient (% sample) | Bi/trigram retrieved then sense check edited | Bi/trigrams retained after concordance check | Conclusion |
Mapped onto ACE questionnaire | ||||
Sexual abuse | 1306 (0.19) | 9/105 bigrams15/119 trigrams retained | 1 trigram retained‘sexual abuse by’ | Insufficient to proceed with generating dummy Read code |
Physical abuse | 279 (0.04) | 1/17 bigrams4/24 trigrams retained | 0 retained | Insufficient to proceed with generating dummy Read code |
Verbal abuse | 76 (0.01) | Insufficient data | – | NLP not possible |
Domestic violence | 1017 (0.15) | Insufficient data | – | NLP not possible |
Parental separation | 16 (0.002) | Insufficient data | – | NLP not possible |
Mental illness | No Read Code linked to this domain | – | – | NLP not possible |
Alcohol abuse | 74 (0.01) | 0/5 bigrams0/5 trigrams retained | – | NLP not possible |
Drug abuse | 83 (0.01) | 1/5 bigrams1/4 trigrams retained | 1 trigram retained‘on methadone programme’ | Insufficient to proceed with generating dummy Read code |
Incarceration | 25 (0.003) | Insufficient data | – | NLP not possible |
Childhood consequences of ACEs | 11 819 (1.72) | 224/998 bigrams412/998 trigrams retained | Data accuracy poor as mixture of ACE exposures and consequences identified | Codes insufficiently specific to the category of consequences of ACE to proceed |
Wider childhood adversity | ||||
‘Inadequate childhood experience’ | 231 (0.03) | 0/4 bigrams0/7 trigrams retained | – | NLP not possible |
Problems at school | 621 (0.09) | 1/137 bigrams10/83 trigrams retained | 1 trigram retained‘by school psychologist’ | Insufficient to proceed with dummy Read code |
Neglect | 17 (0.002) | Insufficient data | – | NLP not possible |
Adult consequences of ACEs | 10 163 (1.48) | 86/1466 bigrams219/1468 trigrams retained | Data accuracy poor despite event age method; accuracy of exposure in childhood versus adulthood, and perpetrator versus victim status | Codes insufficiently specific to the category of adult consequences of ACE to proceed |
ACE = adverse childhood experience. NLP = natural language processing.