I feel like people generally know if they have a family history of these things, or maybe that’s just me?
It's certainly not a given that someone would know.
Maybe, maybe not. There can be a lot of surprises in one's family history. And it's all surprises if you're adopted.
Okay, but most people are not adopted.
Schizophrenia is a genetic disorder, so if you parents or grandparents have a history of it, then that would indicate a genetic propensity for it. I am sure there are also relevant SNPs you could look for if you have your genome decoded.
How would you know until something triggers it? Getting permanently mindfucked from LSD is an awful way to discover this.