Why, when and how to ask about childhood abuse
Open accessAbstract
Subscribers to the medical model of the causation of madness and distress emphasise the role of genes and can severely underestimate the impact of traumatic events on the development of the human mind. This bias persists despite the worldwide popular wisdom that mental illness arises when bad things happen to people. Childhood physical and sexual abuse and neglect are extremely common experiences among those who develop serious mental health problems. Unfortunately, victims are typically reluctant to disclose their histories of abuse and practitioners are often reluctant to seek it. We explore the nature and extent of the problem and the apparent reasons for the pervasive neglect of this important area of care. Then, on the basis of our experience in New Zealand, we provide guidelines on asking patients about childhood abuse and describe an ongoing initiative in the UK to further advance our understanding of the impact of abuse and our skills to detect it and treat survivors.
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Trauma exposure and re-traumatization are often not recognized in acute mental health inpatient settings.
“Re- traumatization amongst people accessing mental healthcare has been receiving growing attention in research but despite this, trauma exposure and re- traumatization are often not recognized in acute mental health inpatient settings (Chambers et al., 2014 ; Duckworth & Follette, 2012 ; Read et al., 2007 ).”
From A qualitative synthesis of patients' experiences of re-traumatization in acute mental health inpatient settings (2023) · cites this paper as Read et al., 2007
The ‘Asking’ section (page unavailable) reports that clinicians identified fewer than half of the abuse histories reported to researchers in US and UK inpatient studies, supporting the point that prior trauma exposure often goes unrecognized. It does not establish that re-traumatization in acute inpatient settings is often unrecognized. (LLM, conf=0.88)
Experimental — accuracy not yet measuredPeople in contact with mental health services who have experienced childhood trauma have longer and more frequent hospital admissions.
“People in contact with mental health services who have experienced childhood trauma have longer and more frequent hospital admissions, are prescribed more medication, and are more likely to self- harm and attempt suicide (Kessler et al., 2010 ;”
From A qualitative synthesis of patients' experiences of re-traumatization in acute mental health inpatient settings (2023) · cites this paper as Read et al., 2007
People in contact with mental health services who have experienced childhood trauma are more likely to self-harm and attempt suicide.
“People in contact with mental health services who have experienced childhood trauma have longer and more frequent hospital admissions, are prescribed more medication, and are more likely to self- harm and attempt suicide (Kessler et al., 2010 ;”
From A qualitative synthesis of patients' experiences of re-traumatization in acute mental health inpatient settings (2023) · cites this paper as Read et al., 2007
People in contact with mental health services who have experienced childhood trauma are prescribed more medication.
“People in contact with mental health services who have experienced childhood trauma have longer and more frequent hospital admissions, are prescribed more medication, and are more likely to self- harm and attempt suicide (Kessler et al., 2010 ;”
From A qualitative synthesis of patients' experiences of re-traumatization in acute mental health inpatient settings (2023) · cites this paper as Read et al., 2007
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Self-citationChildhood trauma and psychosis: Evidence, pathways, and implications
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Do adult mental health services identify child abuse and neglect? A systematic review.
Read, J., Harper, D., Tucker, I., & Kennedy, A. (2018) · International Journal of Mental Health Nursing · doi:10.1111/inm.12369 · Cited by 129 · see citing works
Self-citationKorver‐Nieberg, N., Berry, K., Meijer, C. J., & de Haan, L. (2013) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12010 · Cited by 121 · see citing works
de Bont, P. A. J. M., van Minnen, A., & de Jongh, A. (2013) · Behavior Therapy · doi:10.1016/j.beth.2013.07.002 · Cited by 118 · see citing works
The prevalence and correlates of childhood trauma in patients with early psychosis
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The association between childhood trauma and memory functioning in schizophrenia.
Shannon, C., Douse, K., McCusker, C., Feeney, L., Barrett, S., & Mulholland, C. (2011) · Schizophrenia bulletin · doi:10.1093/schbul/sbp096 · Cited by 115 · see citing works
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Kim, D., Park, S., Yang, H., & Oh, D. H. (2011) · Psychiatry Investigation · doi:10.4306/pi.2011.8.4.305 · Cited by 102 · see citing works
Schäfer, I., Fisher, H. L., Aderhold, V., Huber, B., Hoffmann-Langer, L., Golks, D., Karow, A., Ross, C. A., Read, J., & Harfst, T. (2011) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2011.05.010 · Cited by 100 · see citing works
Self-citationChildhood adversity and psychosis: generalised or specific effects?
Longden, E., Sampson, M., & Read, J. (2015) · Epidemiology and Psychiatric Sciences · doi:10.1017/s204579601500044x · Cited by 97 · see citing works
Self-citationSex differences in the effect of childhood trauma on the clinical expression of early psychosis
Garcia, M., Montalvo, I., Creus, M., Cabezas, Á., Solé, M., Algora, M. J., Moreno, I., Gutiérrez‐Zotes, A., & Labad, J. (2016) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2016.04.004 · Cited by 97 · see citing works
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FKBP5 as a possible moderator of the psychosis-inducing effects of childhood trauma
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Psychotic experiences and PTSD: exploring associations in a population survey
Alsawy, S., Wood, L., Taylor, P. J., & Morrison, A. P. (2015) · Psychological Medicine · doi:10.1017/s003329171500080x · Cited by 78 · see citing works
The impact of child sexual abuse on the course of bipolar disorder: a systematic review
Maniglio, R. (2013) · Bipolar Disorders · doi:10.1111/bdi.12050 · Cited by 74 · see citing works
Shevlin, M., Murphy, J., Read, J., Mallett, J., Adamson, G., & Houston, J. E. (2011) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-010-0296-x · Cited by 74 · see citing works
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Can attachment theory help explain the relationship between childhood adversity and psychosis?
Read, J., & Gumley, A. I. (2019) · Routledge eBooks · doi:10.4324/9780429480911-5 · Cited by 70 · see citing works
Self-citationPrevalence of child sexual abuse among adults and youths with bipolar disorder: A systematic review
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Interpersonal trauma and associated psychopathology in girls and boys living in residential care
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Self-citationCumulative Effects of Stressful Childhood Experiences on Delusions and Hallucinations
Muenzenmaier, K. H., Seixas, A. A., Schneeberger, A. R., Castille, D. M., Battaglia, J., & Link, B. G. (2015) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2015.1018475 · Cited by 60 · see citing works
Cognitive Attachment Model of Voices: Evidence Base and Future Implications
Berry, K., Varese, F., & Bucci, S. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2017.00111 · Cited by 60 · see citing works
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Kongerslev, M., Bach, B., Rossi, G. M. P., Trauelsen, A. M., Ladegaard, N., Løkkegaard, S. S., & Bo, S. (2019) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.104026 · Cited by 58 · see citing works
Pearce, J. L., Murray, C. D., & Larkin, W. (2019) · Heliyon · doi:10.1016/j.heliyon.2019.e01900 · Cited by 58 · see citing works
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Childhood abuse and the content of adult psychotic symptoms.
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de Bont, P. A. J. M., van den Berg, D. P. G., van der Vleugel, B. M., de Roos, C., Mulder, C. L., Becker, E. S., de Jongh, A., van der Gaag, M., & van Minnen, A. (2013) · Trials · doi:10.1186/1745-6215-14-151 · Cited by 52 · see citing works
Impact of trauma on attenuated psychotic symptoms
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Schizophrenia, drug companies and the internet
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Self-citationTrauma history in a high secure male forensic inpatient population
McKenna, G., Jackson, N., & Browne, C. (2019) · International Journal of Law and Psychiatry · doi:10.1016/j.ijlp.2019.101475 · Cited by 48 · see citing works
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Dissociation mediates the relationship between childhood maltreatment and subclinical psychosis
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Childhood maltreatment and adult mental health
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Self-citationHugill, M., Berry, K., & Fletcher, I. J. (2017) · Archives of Women s Mental Health · doi:10.1007/s00737-016-0708-3 · Cited by 42 · see citing works
Recent life events and psychosis: The role of childhood adversities
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Shevlin, M., O’Neill, T., Houston, J. E., Read, J., Bentall, R. P., & Murphy, J. (2013) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-012-0573-y · Cited by 40 · see citing works
Self-citationLotzin, A., CANSAS Study Group, Buth, S., Sehner, S., Hiller, P., Martens, M., Pawils, S., Metzner, F., Read, J., Härter, M. C., et al. (2017) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000269 · Cited by 40 · see citing works
Self-citationTrauma training: Competencies, initiatives, and resources.
Cook, J. M., Newman, E., & Simiola, V. (2019) · Psychotherapy · doi:10.1037/pst0000233 · Cited by 40 · see citing works
Linking abuse and recovery through advocacy: an observational study
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Are mental health services getting better at responding to abuse, assault and neglect?
Read, J., Sampson, M., & Critchley, C. R. (2016) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12552 · Cited by 39 · see citing works
Self-citationThe association between trauma and delusional-like experiences
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How do mental health services respond when child abuse or neglect become known? A literature review
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Are hallucinations related to betrayal trauma exposure? A three-study exploration.
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Emotional Abuse and Psychosis: A Recent Review of the Literature
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Are mental health staff getting better at asking about abuse and neglect?
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Self-citationViolent victimisation of psychiatric patients: a Swedish case–control study
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Childhood trauma and psychosis: Beyond the association
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- Authors
- Read, J., Hammersley, P., & Rudegeair, T.
- Affiliations
- University of Auckland (NZ)
- Corresponding author
- Read, John
- ORCID
- Read, John
- Venue
- Advances in Psychiatric Treatment
- Publisher
- Cambridge University Press (CUP)
- Published
- 2007-03
- Volume
- 13
- Issue
- 2
- Pages
- 101-110
- ISSN
- 1355-5146 (ISSN-L)
- 1472-1481
- OpenAlex
- W2124764442
- Cited by
- 273
- References
- 72
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 21 · 2023: 7 · 2022: 20 · 2021: 9 · 2020: 8 · 2019: 19 · 2018: 12 · 2017: 18 · 2016: 22 · 2015: 22 · 2014: 15 · 2013: 28 · 2012: 12
- FWCI
- 12.32
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Advances in Psychiatric Treatment (publishedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- ResearchSpace (University of Auckland) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
- Social Sciences › Health › Intimate Partner and Family Violence
- Keywords
- childhood abuse, child neglect, child sexual abuse, child physical abuse, trauma, mental illness, medical model of mental illness, genetic determinism, trauma-informed care, abuse detection, clinical guidelines
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