Can childhood trauma predict future psychosis in adolescents receiving psychiatric inpatient care?
- August 6, 2026
In this article, Dr Valentina Kieseppä,Youth-GEMs’ postdoctoral researcher at the University of Oulu, explains the findings of a recent study exploring whether childhood traumatic experiences can help identify adolescents at the highest risk of developing psychotic disorders later in life.
Adolescents who receive psychiatric care, especially those admitted to a psychiatric hospital, have a higher risk of developing psychotic disorders in adulthood. Childhood traumatic experiences, such as physical or sexual abuse, have also been linked to an increased risk of psychosis later in life. In this study, we investigated whether a history of trauma could help identify which adolescents receiving psychiatric inpatient care are at the highest risk of developing psychosis.
The study followed 404 adolescents who had been admitted to a psychiatric inpatient unit during their teenage years and who had no previous or current diagnosis of psychosis at the time of admission.
During their hospital stay, participants were asked about traumatic experiences using the Kiddie Schedule for Affective Disorders and Schizophrenia. The main analyses focused on childhood physical and/or sexual abuse, while secondary analyses examined other potentially traumatic experiences, including car accidents, other accidents, fires, witnessing disasters or violent crimes, being the victim of a violent crime, receiving traumatic news, witnessing domestic violence, and other traumatic events.
Among the 404 participants, 14% reported a history of childhood sexual abuse and 27% reported childhood physical abuse. However, neither childhood sexual nor physical abuse was associated with a higher risk of developing schizophrenia spectrum disorders (SSDs) in adulthood. Likewise, none of the other types of traumatic experiences examined were linked to an increased risk of SSDs.
We found that childhood trauma was not associated with future psychosis risk among psychiatric adolescent inpatients. These findings suggest that risk factors identified in the general population do not necessarily predict the same outcomes in clinical populations.
Given the high risk for future psychosis in adolescent inpatients, however, more research is needed to figure out what might predict schizophrenia risk in this group. And research on how to reduce this risk.
Read the full paper: https://onlinelibrary.wiley.com/doi/epdf/10.1111/acps.70122