The association between childhood trauma and aggressive and violent behavior in chronic psychotic conditions (e.g., schizophrenia) is well-established. However, the impact of childhood trauma on aggression and violent behavior in first episode psychosis is unclear and comparatively understudied. To date, studies examining these relations in first episode psychosis have found that individuals experiencing early psychosis have high rates of both childhood trauma and aggressive and violent behavior compared to healthy controls prior to initial contact with mental health services. Childhood trauma is related to an increase in the prevalence and severity of aggression. These findings stress the importance and necessity of early detection and intervention in first episode psychosis, as both have been effective in reducing aggression in non-FEP samples with trauma histories. Incorporating trauma-focused interventions into treatment plans for individuals in the beginning phases of psychosis might reduce rates of aggression for individuals with a history of trauma and improve outcomes. Here, we review the literature on childhood trauma and aggression in first episode psychosis and discuss implications for future research.

儿童期创伤与慢性精神病（例如精神分裂症）中的攻击性和暴力行为之间的关联是公认的。然而，童年创伤对首发精神病的攻击性和暴力行为的影响尚不清楚，而且研究相对较少。迄今为止，对首发精神病中这些关系的研究发现，与初次接触心理健康服务之前的健康对照组相比，患有早期精神病的个体在童年时期的创伤以及攻击性和暴力行为的发生率都很高。童年创伤与侵略的流行和严重程度的增加有关。这些发现强调了早期发现和干预首发精神病的重要性和必要性，因为两者都可以有效减少具有创伤史的非 FEP 样本的攻击性。在精神病的开始阶段将针对创伤的干预措施纳入个体的治疗计划，可能会降低有创伤史的个体的攻击率并改善结果。在这里，我们回顾了关于首发精神病中童年创伤和攻击的文献，并讨论对未来研究的影响。