Identifying trauma-related symptoms is important for treatment planning at child and adolescent mental health services (CAMHS), and routine trauma screening may be a first step to ensure appropriate treatment. Studies with community samples have found modest agreement between children’s and caregivers´ report of exposure to potentially traumatizing events (PTEs). However, studies from clinical populations are scarce and the evidence base for screening recommendations is insufficient. The current study explores child and caregiver agreement on the child’s exposure to PTEs and its relationship with the child’s post-traumatic stress symptoms (PTSS) and functional impairment. The sample consist of 6653 caregiver-child dyads referred to Norwegian CAMHS between 2012–2017. The children were 6 to 18 years of age (M = 12.03, SD = 3.14) and 47% were boys and 45% were girls (8% missing). Children reported significantly more exposure to accidents or illness, community violence, and sexual abuse than their caregiver, but there were no differences for reports of domestic violence. Kappa results were fair to moderate, with the highest agreement rate for reports of sexual abuse, followed by domestic violence, community violence, and lowest agreement for accidents or illnesses. There were higher agreement rates among caregivers and older children, and caregivers and girls. In general, the child had higher PTSS and functional impairment scores when child exposure to PTEs were reported by both the caregiver and the child. Both children and caregivers should be included in trauma screening procedures at CAMHS to collect a more complete picture of the child’s experiences and treatment needs.

识别创伤相关症状对于儿童和青少年心理健康服务 (CAMHS) 的治疗计划很重要，常规创伤筛查可能是确保适当治疗的第一步。对社区样本的研究发现，儿童和照料者关于暴露于潜在创伤事件 (PTE) 的报告之间存在适度的一致性。然而，来自临床人群的研究很少，筛查建议的证据基础不足。目前的研究探讨了儿童和看护人对儿童暴露于 PTE 及其与儿童创伤后压力症状 (PTSS) 和功能障碍的关系的共识。样本由 2012 年至 2017 年间提交给挪威 CAMHS 的 6653 名照顾者-儿童二人组成。儿童年龄为 6 至 18 岁（M = 12.03，SD = 3。14)，47% 是男孩，45% 是女孩（8% 失踪）。与照料者相比，儿童报告的事故或疾病、社区暴力和性虐待的风险要高得多，但家庭暴力的报告没有差异。Kappa 结果一般到中等，性虐待报告的同意率最高，其次是家庭暴力、社区暴力，以及事故或疾病的最低同意率。照料者和年龄较大的儿童以及照料者和女孩之间的一致率更高。一般来说，当照顾者和孩子都报告孩子接触 PTE 时，孩子有更高的 PTSS 和功能障碍评分。