New research published in the British Medical Journal suggests that individuals who experience physical and sexual abuse in their childhood and adolescence may be at a higher risk of premature death as adults. The study, conducted by researchers in Boston, examined data from over 67,000 female nurses who had completed a violence victimization questionnaire in 2001. The researchers found that severe physical abuse or forced sexual activity during childhood and adolescence was associated with a significantly higher premature death rate, even after adjusting for age, personal characteristics, and socioeconomic status. The study indicated that early-life abuse may trigger biological changes and increase vulnerability to later mental health problems and unhealthy lifestyle patterns. The researchers conclude that providing trauma-informed care for those who have experienced child abuse is crucial. While the study is observational and reliant on personal recall, it was a large-scale, 18-year monitoring project with high response rates and detailed information, indicating that the results are robust. An accompanying editorial highlights the importance of a long-term commitment to reducing the disturbing health consequences of child abuse and preventing it from being transmitted to another generation.