Original ArticlesPrevalence and Clinical Impact of Childhood Trauma in Patients With Severe Mental DisordersÁlvarez, María-José MB*; Roura, Pere MB, MPH†; Osés, Anna MB*; Foguet, Quintí MD*; Solà, Judit BSc†; Arrufat, Francesc-Xavier MD*Author Information Departments of *Mental Health and †Clinical Epidemiology, Vic Hospital Consortium, Vic, Catalonia, Spain. Send reprint requests to María-José Álvarez, MB, Mental health department, Vic Hospital Consortium, 1, Francesc Pla, St, E-08500, Vic, Catalonia, Spain. E-mail: [email protected]. The Journal of Nervous and Mental Disease: March 2011 - Volume 199 - Issue 3 - p 156-161 doi: 10.1097/NMD.0b013e31820c751c Buy Metrics Abstract A high prevalence of childhood abuse has been reported in patients with severe mental illness. We conducted a cross-sectional study of 102 patients with schizophrenia, bipolar disorder, or schizoaffective disorder. Social, demographic, and clinical data were obtained. Patients were evaluated using Brief Psychotic Relative Scale, and Traumatic Life Events and Distressing Event questionnaires. Almost half (47.5%) of these patients had suffered some kind of child abuse, and our results confirmed a relationship between a history of childhood abuse and more severe psychosis. Diagnosis of schizophrenia was determined 4.1 years earlier in victims of childhood abuse. Hospital admissions were twice as high in victims of psychological abuse. Patients with a history of sexual abuse were more than twice as likely to attempt suicide (68% vs. 28.9%). © 2011 Lippincott Williams & Wilkins, Inc.