Trauma exposure has significant impacts on children and adolescents' mental health and well-being, and the impact can vary depending on genetic, socio-economic, and environmental factors. The frequent exposure to traumatic events, such as community violence, among youth that live in socially and economically disadvantaged communities, is an important issue since these children could be more vulnerable in situations and generate more negative outcomes. This study examined youth exposure to trauma and the impacts of trauma by reviewing medical charts of 79 pediatric patients from 3 to 18 years old who were consulted on the University of Chicago Pediatric Consultation-Liaison (C/L) service from January 2017 to January 2022. This study aims to better understand how traumatic exposures, such as community violence, contribute to internalizing problems, such as depression and anxiety, in young children and adolescents that live in urban areas.