Complex trauma generally refers to a child's exposure to multiple traumatic events often within the context of an interpersonal relationship. Childhood traumatic events are commonplace and can have significant implications for physical and mental health. However, traumatic events are often not assessed by clinicians involved in their care. This paper outlines an approach to assessing complex trauma in young children in clinical settings. This approach involves an initial interview, an assessment of traumatic events and trauma symptoms in the child, an assessment of the parent–child interaction, an understanding of the child's functioning in multiple settings, and an assessment of parental trauma where relevant. Complex trauma takes time to assess and is dependent on the parent's ability to recognise and acknowledge the effect trauma has had. The paper concludes with some of the challenges when assessing complex trauma in young children in clinical settings.

中文翻译：

---

勿视邪恶、勿听邪恶、勿言邪恶：评估幼儿的复杂创伤

复杂创伤通常是指儿童经常在人际关系中经历多种创伤事件。童年创伤事件很常见，可能对身心健康产生重大影响。然而，参与护理的临床医生通常不会评估创伤事件。本文概述了一种在临床环境中评估幼儿复杂创伤的方法。这种方法包括初次访谈、对儿童创伤事件和创伤症状的评估、对亲子互动的评估、对儿童在多种环境中的功能的了解以及对相关父母创伤的评估。复杂的创伤需要时间来评估，并且取决于父母识别和承认创伤所造成的影响的能力。本文最后总结了在临床环境中评估幼儿复杂创伤时面临的一些挑战。