Of mass shootings and mental illness

elody Stout, left, Hannah Payan, Aaliyah Alba, Sherie Gramlich and Laura Barrios comfort one another during a vigil for victims of the El Paso shooting. AP PHOTO

Nevertheless, post hoc analyses indicate that perpetrators are full of rage and may harbor “fantasies of violent revenge” for real or imagined offenses against them; these may lie entirely beneath the surface until they put the fantasies into action. Such individuals, wrote Drs. Knoll and Annas, function in society and do not typically seek out mental health treatment.fairly be said that a perpetrator “fell through the cracks” of the mental health system.

Adverse Childhood Experiences encompass the chronic, unpredictable, and stress-inducing events that some children face, which in the study specifically include parental suicide, physical or sexual abuse, neglect, domestic violence, and/or severe bullying. Trauma often leads to mental health issues such as depression, anxiety, thought disorders or suicidality.

Mass shooters often are angry and despondent because of a specific grievance–a change in job status and relationship rejection or loss often played a role. Such crises were, in many cases, according to Drs. Peterson and Densley, often subtly or sometimes explicitly conveyed to others through a distinct change in behavior, expression of suicidal thoughts or plans, or specific threats of violence.

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