The Mental Health Consequences of Mass Shootings

Trauma, Violence, and Abuse

Volumn 18, Issue 1, 2017, Pages 62-82

  Lowe, Sarah R ^a   Galea, Sandro ^b  

^a Mailman School of Public Health ^*  (United States)

^b BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

major depression; mass shootings; mass trauma; posttraumatic stress; psychosocial resources; risk and protective factors; school shootings

Indexed keywords

ADULT; DEPRESSION; EXPOSURE TO VIOLENCE; FEMALE; FIREARM; HUMAN; MALE; MASS DISASTER; PRESCHOOL CHILD; PSYCHOLOGICAL RESILIENCE; PSYCHOLOGY; RISK FACTOR; STATISTICS AND NUMERICAL DATA; STRESS DISORDERS, POST-TRAUMATIC; SURVIVOR;

ADULT; CHILD, PRESCHOOL; DEPRESSION; EXPOSURE TO VIOLENCE; FEMALE; FIREARMS; HUMANS; MALE; MASS CASUALTY INCIDENTS; RESILIENCE, PSYCHOLOGICAL; RISK FACTORS; STRESS DISORDERS, POST-TRAUMATIC; SURVIVORS;

EID: 85002339062     PISSN: 15248380     EISSN: 15528324     Source Type: Journal    
DOI: 10.1177/1524838015591572     Document Type: Article

References (68)

1. Addington L. A., (2003). Students’ fear after Columbine: Findings from a randomized experiment. Journal of Quantitative Criminology, 19, 367–387. doi:10.1023/B: JOQC.0000005440.11892.27
2. Bardeen J. R., Kumpula M. J., Orcutt H. K., (2013). Emotion regulation difficulties as a prospective predictor of posttraumatic stress symptoms following a mass shooting. Journal of Anxiety Disorders, 27, 188–196. doi:10.1016/j.janxdis.2013.01.003
3. Blair J. P., Martaindale M. H., (2013). United States active shooter events from 2000 to 2010: Training and equipment implications. Retrieved from alerrt.org/files/research/ActiveShooterEvents.pdf
4. Brener N. D., Simon T. R., Anderson M., Barrios L. C., Small M. L., (2002). Effect of the incident at Columbine on students’ violence- and suicide-related behaviors. American Journal of Preventive Medicine, 22, 146–150. doi:10.1016/S0749-3797(01)00433-0
5. Breslau N., Kessler R. C., Chilcoat H. D., Schultz L. R., Davis G. D., Andreski P., (1996). Trauma and posttraumatic stress disorder in the community: The 1996 Detroit Area Survey of Trauma. Archives of General Psychiatry, 55, 626–632. doi:10.1001/archpsyc.55.7.626
6. Chapman S., Alpers P., Agho K., Jones M., (2006). Australia’s 1996 gun law reforms: Faster falls in firearm deaths, firearm suicides, and a decade without mass shootings. Injury Prevention, 12, 365–372. doi:10.1136/ip.2006.013714
7. Classen C., Koopman C., Hales R., Spiegel D., (1998). Acute stress disorder as a predictor of posttraumatic stress symptoms. American Journal of Psychiatry, 155, 620–624.
8. Cornell D., Allen K., (2011). Development, evaluation, and future directions of the Virginia Student Threat Assessment Guidelines. Journal of School Violence, 10, 88–106. doi:10.1080/15388220.2010.519432
9. Crepeau-Hobson F., Sievering K. S., Armstrong C., Stonis J., (2012). A coordinated mental health crisis response: Lessons learned from three Colorado school shootings. Journal of School Violence, 11, 207–225. doi:10.1080/15388220.2012.682002
10. Fallahi C. R., Austad C. S., Fallon M., Leishman L., (2009). A survey of perceptions of the Virginia Tech tragedy. Journal of School Violence, 8, 120–135. doi:10.1080/15388220802074017
11. Fallahi C. R., Lesik S. A., (2009). The effects of vicarious exposure to the recent massacre at Virginia Tech. Psychological Trauma: Theory, Research, Practice, and Policy, 1, 220–230. doi:10.1037/a0015052
12. Fergus T. A., Rabenhorst M. M., Orcutt H. K., Valentiner D. P., (2011). Reactions to trauma research among women recently exposed to a campus shooting. Journal of Traumatic Stress, 24, 596–600. doi:10.1002/jts.20682
13. Follman M., Aronsen G., Pan D., (2014). A guide to mass shootings in America. Retrieved from http://www.motherjones.com/politics/2012/07/mass-shootings-map
14. Follman M., Aronsen G., Pan D., Caldwell M., (2013). US mass shootings, 1982-2012: Data from Mother Jones’ investigation. Retrieved from http://www.motherjones.com/politics/2012/12/mass-shootings-mother-jones-full-data
15. Griffin M. G., Resick P. A., Waldorp A. E., Mechanic M. B., (2003). Participation in trauma research: Is there evidence of harm? Journal of Traumatic Stress, 16, 221–227. doi:0.1023/A:1023735821900
16. Grills-Taquechel A. E., Littleton H. L., Axsom D., (2011). Social support, world assumptions, and exposure as predictors of anxiety and quality of life following mass trauma. Journal of Anxiety Disorders, 25, 498–506. doi:10.1016/j.janxdis.2010.12.003
17. Haravuori H., Suomalainen L., Berg N., Kiviruusu O., Marttunen M., (2011). Effect of media exposure on adolescents traumatized in a school shooting. Journal of Traumatic Stress, 24, 70–77. doi:10.1002/jts.20605
18. Hartnett J. L., Skowronski J. J., (2010). Affective forecasts and the Valentine’s Day shootings at NIU: People are resilient, but unaware of it. Journal of Positive Psychology, 5, 275–280. doi:10.1080/17439760.2010.498615
19. Hawdon J., Ryan J., (2011). Social relations that generate and sustain solidarity after a mass tragedy. Social Forces, 89, 1363–1384. doi:10.1093/sf/89.4.1363
20. Hawdon J., Ryan J., (2012). Well-being after the Virginia Tech mass murder: The relative effectiveness of face-to-face and virtual interactions in providing support to survivors. Traumatology, 18, 3–12. doi:10.1177/1534765612441096
21. Henricksen C. A., Bolton J. M., Sareen J., (2010). The psychological impact of terrorist attacks: Examining a dose-response relationship between exposure to 9/11 and Axis I mental disorders. Depression & Anxiety, 27, 993–1000. doi:10.1002/da.20742
22. Henriques J., (2013). Mass shootings in America: A historical review. Retrieved from http://www.globalresearch.ca/mass-shootings-in-america-a-historical-review/5355990
23. Hobfoll S. E., (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524. doi:10.1037//0003-066X.44.3.513
24. Hobfoll S. E., Watson P., Bell C. C., Bryan R. A., Brymer M. J., Friedman M. J.,, …Ursano R. J., (2007). Five essential elements of immediate and mid-term mass trauma intervention: Empirical evidence. Psychiatry, 70, 283–315. doi:10.1521/psyc.2007.70.4.283
25. Hough R. L., Vega W., Valle R., Kolody B., Griswald del Castillo R., Tarke H., (1990). Mental health consequences of the San Ysidro McDonald’s massacre: A community study. Journal of Traumatic Stress, 3, 71–92. doi:10.1007/BF00975136
26. Hughes M., Brymer M., Chiu W. T., Fairbank J. A., Jones R. T., Pynoos R. S.,, …Kessler R. C., (2011). Posttraumatic stress among students after the shootings at Virginia Tech. Psychological Trauma: Theory, Research, Practice, and Policy, 3, 403–411. doi:10.1037/a0024565
27. Johnson S. D., North C. S., Smith E. M., (2002). Psychiatric disorders among victims of a courthouse shooting spree: A three-year follow-up study. Community Mental Health, 38, 181–194.
28. Kaminski R. J., Koons-Witt B. A., Thompson N. S., Weiss D., (2010). The impacts of the Virginia Tech and Northern Illinois University shootings on fear of crime on campus. Journal of Criminal Justice, 38, 88–98. doi:10.1016/j.jcrimjus.2009.11.011
29. Kumpula M. J., Orcutt H. K., Bardeen J. R., Varkovitzky R. L., (2011). Peritraumatic dissociation and experiential avoidance as prospective predictors of posttraumatic stress symptoms. Journal of Abnormal Psychology, 120, 617–627. doi:10.1037/a0023927
30. Littleton H., Axsom D., Grills-Taquechel A. E., (2011). Longitudinal evaluation of the relationship between maladaptive trauma coping and distress: Examination following the mass shooting at Virginia Tech. Anxiety, Stress, and Coping, 3, 273–290. doi:10.1080/10615806.2010.500722
31. Littleton H., Grills-Taquechel A., Axsom D., (2009). Resource loss as a predictor of post trauma symptoms among college women following the mass shooting at Virginia Tech. Violence and Victims, 24, 669–686. doi:10.1891/0886-6708.24.5.669
32. Littleton H., Grills-Taquechel A. E., Axsom D., Bye K., Buck K. S., (2012). Prior sexual trauma and adjustment following the Virginia Tech campus shootings: Examination of the mediating role of schemas and social support. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 578–586. doi:10.1037/a0025270
33. Littleton H., Kumpula M., Orcutt H., (2011). Posttraumatic symptoms following a campus shooting: The role of psychosocial resource loss. Violence and Victims, 26, 461–476. doi:10.1891/0886-6708.26.4.461
34. Littleton H. L., Axsom D., Grills-Taquechel A. E., (2009). Adjustment following the mass shooting at Virginia Tech: The roles of resource loss and gain. Psychological Trauma: Theory, Research, Practice, and Policy, 1, 206–219. doi:10.1037/a0017468
35. Lowe S. R., Blachman-Forshay J., Koenen K. C., (2015). Epidemiology of trauma and trauma-related disorders: Trauma as a public health issue. In Schnyder U., Cloitre M., (Eds.), Evidence-based treatments for trauma-related psychological disorders: A practical guide for clinicians (pp. 11–40). New York, NY: Springer.
36. McIntyre J. J., Spence P. R., Lachlan K. A., (2011). Media use and gender differences in negative psychological responses to a shooting on a university campus. Journal of School Violence, 10, 299–313. doi:10.1080/15388220.2011.578555
37. Mercer K. B., Orcutt H. K., Quinn J. F., Fitzgerald C. A., Conneely K. N., Barfield R. T.,, …Ressler K. J., (2012). Acute and posttraumatic stress symptoms in a prospective gene x environment study of a university campus shooting. Archives of General Psychiatry, 69, 89–97. doi:10.1001/archgenpsychiatry.2011.109
38. Metz S. M., Frank J. L., Reibel D., Cantrell T., Sanders R., Broderick P. C., (2013). The effectiveness of the Learning to BREATHE program on adolescent emotion regulation. Research in Human Development, 10, 252–272. doi:10.1080/15427609.2013.818488
39. Mulvey E. P., Cauffman E., (2001). The inherent limits of predicting school violence. American Psychologist, 56, 797–802. doi:10.IO.17//0O03-066X.56.10.797
40. Murtonen K., Suomalainen L., Haravuori H., Marttunen M., (2012). Adolescents’ experiences of psychosocial support after traumatisation in a school shooting. Child and Adolescent Mental Health, 17, 23–30. doi:10.1111/j.1475-3588.2011.00612.x
41. Nader K., Pynoos R., Fairbanks L., Frederick C., (1990). Children’s PTSD reactions one year after a sniper attack at their school. American Journal of Psychiatry, 147, 1526–1530.
42. North C. S., McCutcheon V., Spitznagel E. L., Smith E., (2002). Three-year follow-up of survivors of a mass shooting episode. Journal of Urban Health, 79, 383–391. doi:10.1093/jurban/79.3.383
43. North C. S., Smith E. M., McCool R. E, McShea J. M., (1989). Short-term psychopathology in eyewitnesses to mass murder. Hospital & Community Psychiatry, 40, 1293–1295.
44. North C. S., Smith E. M., Spitznagel E. L., (1994). Posttraumatic stress disorder in survivors of a mass shooting. American Journal of Psychiatry, 151, 82–88.
45. North C. S., Smith E. M., Spitznagel E. L., (1997). One-year follow-up of survivors of a mass shooting. American Journal of Psychiatry, 154, 1696–1702.
46. North C. S., Spitznagel E. L., Smith E. M., (2001). A prospective study of coping after exposure to a mass murder episode. Annals of Clinical Psychiatry, 13, 81–86. doi:10.3109/10401230109148952
47. Orcutt H. K., Bonanno G. A., Hanna S. M., Miron L. R., (2014). Prospective trajectories of posttraumatic stress in college women following a campus mass shooting. Journal of Traumatic Stress, 27, 1–8. doi:10.1002/jts.21914
48. Palus S. R., Fang S. S., Prawitz A. D., (2012). Forward, together forward: Coping strategies of students following the 2008 mass shootings at Northern Illinois University. Traumatology, 18, 13–26. doi:10.1177/1534765612437381
49. Pynoos R. S., Frederick C., Nader K., Arroyo W., Steinberg A., Eth S.,, …Fairbanks L., (1987). Life threat and posttraumatic stress in school-age children. Archives of General Psychiatry, 44, 1057–1063. doi:10.1001/archpsyc.1987.01800240031005
50. Reddy M., Borum R., Berglund J., Vossekuil B., Fein R., Modzeleski W., (2011). Evaluating risk for targeted violence in schools: Comparing risk assessment, threat assessment, and other approaches. Psychology in the Schools, 38, 157–172.
51. Schwarz E. D., Kowalski J. M., McNally R. J., (1993). Malignant memories: Post-traumatic changes in memory in adults after a school shooting. Journal of Traumatic Stress, 6, 545–553. doi:10.1007/BF00974322
52. Schwarz E. D., Kowalski J. M., (1991a). Malignant memories: PTSD in children and adults after a school shooting. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 936–944. doi:10.1097/00004583-199111000-00011
53. Schwarz E. D., Kowalski J. M., (1991b). Posttraumatic stress disorder after a school shooting: Effects of symptom threshold selection and diagnosis by DSM-III, DSM-III-R, or proposed DSM-IV. American Journal of Psychiatry, 148, 592–597.
54. Schwarz E. D., Kowalski J. M., (1992a). Personality characteristics and posttraumatic stress symptoms after a school shooting. Journal of Nervous and Mental Disease, 180, 735–737. doi:10.1097/00005053-199211000-00013
55. Schwarz E. D., Kowalski J. M., (1992b). Malignant memories: Reluctance to utilize mental health services after a disaster. Journal of Nervous and Mental Disease, 180, 767–772. doi:10.1097/00005053-199212000-00005
56. Sewell K. W., (1996). Constructional risk factors for post-traumatic stress response after mass murder. Journal of Constructivist Psychology, 9, 97–107. doi:10.1080/10720539608404657
57. Séguin M., Chawky N., Lesage A., Boyer R., Guay S., Bleau P.,, …Roy D., (2013). Evaluation of the Dawson College Shooting Psychological Intervention: Moving toward a multimodal extensive plan. Psychological Trauma: Theory, Research, Practice, and Policy, 5, 268–276. doi:10.1037/a0027745
58. Shultz J. M., Cohen A. M., Muschert G. W., Flores de Apodaca R., (2013). Fatal school shootings and the epidemiological context of firearm mortality in the United States. Disaster Health, 1, 84–101. doi:10.4161/dish.26897
59. Sloan I. H., Rozensky R. H., Kaplan L., Sanders S. M., (1994). A shooting incident in an elementary school: Effects of worker stress on public safety, mental health, and medical personnel. Journal of Traumatic Stress, 7, 565–574. doi:10.1007/BF02103007
60. Smith A. J., Abeyta A. A., Hughes M., Jones R. T., (2014). Persistent grief in the aftermath of mass violence: The predictive roles of posttraumatic stress symptoms, self-efficacy, and disrupted worldview. Psychological Trauma: Theory, Research, Practice, and Policy, 7, 179–186. doi:10.1037/tra0000002
61. Stephenson K. L., Valentiner D. P., Kumpula M. J., Orcutt H. K., (2009). Anxiety sensitivity and posttrauma stress symptoms in female undergraduates following a campus shooting. Journal of Traumatic Stress, 22, 489–496. doi:10.1002/jts.20457
62. Stretesky P. B., Hogan M. J., (2001). Columbine and student perceptions of safety: A quasi-experimental study. Journal of Criminal Justice, 29, 429–443. doi:10.1016/S0047-2352(01)00100-3
63. Suomalainen L., Haravuori H., Berg N., Kiviruusu O., Marttunen M., (2011). A controlled follow-up study of adolescents exposed to a school shooting—Psychological consequences after four months. European Psychiatry, 26, 490–497. doi:10.1016/j.eurpsy.2010.07.007
64. Swanson J. W., (2011). Explaining rare acts of violence: The limits of evidence from population research. Psychiatric Services, 62, 1369–1371. doi:10.1176/appi.ps.62.11.1369
65. Trappler B., Friednman S., (1996). Posttraumatic stress disorder in survivors of the Brooklyn Bridge shooting. American Journal of Psychiatry, 153, 705–707.
66. Turunen T., Haravuori H., Punamäki R., Suomalainen L., Marttunen N., (2014). The role of attachment in recovery after a school-shooting trauma. European Journal of Psychotraumatology, 5. doi:10.3402/ejpt.v5.22728
67. Vicary A. M., Fraley R. C., (2010). Student reactions to the shootings at Virginia Tech and Northern Illinois University: Does sharing grief and support over the Internet affect recovery? Personality and Social Psychology Bulletin, 36, 1555–1563. doi:10.1177/0146167210384880
68. Vuori M., Hawdon J., Atte O., Räsänen P. (2013). Collective crime as a source of social solidarity: A tentative test of a functional model for response to mass violence. Western Criminology Review, 14, 1–15.