Background: In the current, charged political climate, many practitioners, advocates, and other stakeholders argue that addressing childhood trauma should include the impact of structural oppressions, like racism, on the physical and mental health outcomes associated with other types of adverse childhood experiences. Social media offers a window into the current discourse about these complex issues, since policymakers, the public, and journalists are learning about racism and its impact on communities through social media hashtags like #BlackLivesMatter. We examined how the intersections between trauma and racism appear in evolving social media conversations – and assessed the implications of this discourse for advocacy and action to prevent childhood trauma. Methods: Using the Synthesio social listening platform we collected Tweets tagged with the #BlackLivesMatter hashtag posted in 2015 and 2016. We also collected Tweets containing hashtags about trauma and resilience from the same time period. We then conducted an in-depth content analysis of a representative sample of Tweets. Results: Our analysis focuses on how themes related to trauma and resilience appear in the #BlackLivesMatter discussion. Conversely, we also investigate how race and structural racism appear in Tweets about childhood trauma and adversity. We identify and discuss the network of key Twitter users involved in these discussions, and track how the conversation has evolved over the years of the analysis. Conclusions: We discuss the opportunities that our work uncovers for researchers, public health practitioners and others who seek to expand the discussion of childhood adversity to include the impact of race and racism and to increase the visibility of childhood trauma in social media spaces.