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This study explores patterns of service use amongst 6483 adolescents aged between 13 and 18, and examines if such patterns are associated with trauma profiles, demographic variables, and mental health disorders. Data from the National Comorbidity Survey \u2013 Adolescent Supplement (NCS\u2010A) were used. A latent class analysis identified four adolescent trauma sub\u2010groups: \u2018high risk\u2019, \u2018sexual risk\u2019 \u2018non\u2010sexual risk\u2019, and \u2018low risk\u2019. Regression analysis was used to explore the relationship between service use, trauma classes, and mental health outcomes. Significant relationships were found between service use, trauma sub\u2010groups, demographics and mental health outcomes. Despite the effectiveness of mental health services, only a minority of adolescents exposed to different traumas use such resources. 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