Iodinated trihalomethanes (I-THMs) have drawn increasing concerns due to their higher toxicity than those of their chlorinated and brominated analogues. In this study, I-THM formation was firstly evaluated for three treatment scenarios - (i) chlorine alone, (ii) chloramine alone, and (iii) mixed chlorine/chloramine - in the presence and absence of UV irradiation for the iodide-containing humic acid solution or natural water. The results indicated that I-THM formation decreased in the order of mixed chlorination/chloramination > chloramination > > chlorination, which fitted the trend of toxicity evaluation results using Chinese hamster ovary cells. Conversely, total organic halide concentration decreased in the order of chlorination > > chloramination ≈ mixed chlorination/chloramination. Besides, I-THM formation can be efficiently controlled in a UV-activated mixed chlorine/chloramine system. Influencing factors including pH values and Br-/I- molar ratios were also systematically investigated in a mixed chlorine/chloramine system. Enhanced I-THM formation was observed with increasing pH values (6.0–8.0) and Br-/I- molar ratios (1: 1–10: 1). The results obtained in this study can provide new insights into the increasing risk of I-THM formation in a mixed chlorine/chloramine system and the effective control of I-THMs in the iodide-containing water using UV irradiation.