School Shootings: No Longer Unexpected

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Pediatric Firearm Injuries and Fatalities
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Abstract

School shootings are broadly defined as acts of violence carried out with firearms in which schools are deliberately chosen as the site of violence. Not only do school shootings claim the lives of students and school staff at the time, but they also lead to residual psychological trauma among survivors and global fear in the broader school community. School shootings are a new phenomenon in the past 50–60 years, with increasing frequency in the past two decades. Between 2013 and 2015, there was on average one school shooting per week in the United States. Though school shootings, especially mass school shootings, capture the world’s attention, the majority of firearm deaths in children in the United States are not due to mass school shootings. Despite a paucity of high-quality evidence due to underreporting of school shootings and general underfunding of firearm research, there are documented factors associated with school shootings. These include weaker state-level firearm legislation, increased state-level firearm ownership, recent school shootings contributing to a contagion effect in school shootings, and declines in federal and state funding for education. In contrast, stronger state-level firearm laws, safe firearm storage, and restriction of firearm access for unsupervised minors may reduce firearm-related deaths in schools. Only through comprehensive, multifaceted approaches employing rigorous research and meaningful legislation identifying risk factors and preventive strategies can the rise of school shootings in the US be curbed. Further research on survivors of school shootings is also warranted to identify those at risk for long-term adverse outcomes.

Nation Reels After Gunman Massacres 20 Children at School in Connecticut

By James Baron

December 14, 2012. The New York Times

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References

  1. Anderson M, Kaufman J, Simon TR, et al. School-associated violent deaths in the United States, 1994–1999. JAMA. 2001;286:2695–702.

    Article  CAS  Google Scholar 

  2. Newman KS, Fox C, Harding D, Mehta J, Roth W. Rampage: the social roots of school shootings. New York: Perseus; 2004.

    Google Scholar 

  3. Shultz JM, Cohen AM, Muschert GW, et al. Fatal school shootings and the epidemiological context of firearm mortality in the United States. Disaster Health. 2013;1:84–101.

    Article  Google Scholar 

  4. Towers S, Gomez-Lievano A, Khan M, Mubayi A, Castillo-Chavez C. Contagion in mass killings and school shootings. PLoS One. 2015;10:e0117259.

    Article  Google Scholar 

  5. Rocque M, Duwe G. Rampage shootings: an historical, empirical, and theoretical overview. Curr Opin Psychol. 2018;19:28–33.

    Article  Google Scholar 

  6. Livingston MD, Rossheim ME, Hall KS. A descriptive analysis of school and school shooter characteristics and the severity of school shootings in the United States, 1999–2018. J Adolesc Health. 2019;64:797–9.

    Article  Google Scholar 

  7. Brown JD, Goodin AJ. Mass casualty shooting venues, types of firearms, and age of perpetrators in the United States, 1982–2018. Am J Public Health. 2018;108:1385–7.

    Article  Google Scholar 

  8. Gun Violence Archive. Mass shootings [Internet]. 2018. Available from: http://www.gunviolencearchive.org/mass-shooting. Accessed 11 Mar 2019.

  9. Fowler KA, Dahlberg LL, Haileyesus T, Gutierrez C, Bacon S. Childhood firearm injuries in the United States. Pediatrics. 2017;140:e20163486.

    Article  Google Scholar 

  10. Center for Disease Control and Prevention. School associated violent death study [Internet]. Available from: https://www.cdc.gov/violenceprevention/youthviolence/schoolviolence/SAVD.html. Accessed 11 Mar 2019.

  11. Preti A. School shooting as a culturally enforced way of expressing suicidal hostile intentions. J Am Acad Psychiatry Law. 2008;36:544–50.

    PubMed  Google Scholar 

  12. Grinshteyn E, Hemenway D. Violent death rates: the US compared with other high-income OECD countries, 2010. Am J Med. 2016;129:266–73.

    Article  Google Scholar 

  13. Richardson EG, Hemenway D. Homicide, suicide, and unintentional firearm fatality: comparing the United States with other high-income countries, 2003. J Trauma. 2011;70:238–43.

    Article  Google Scholar 

  14. Kalesan B, Lagast K, Villarreal M, Pino E, Fagan J, Galea S. School shootings during 2013–2015 in the USA. Inj Prev. 2017;23:321–7.

    Article  Google Scholar 

  15. Shultz JM, Muschert GW, Dingwall A, Cohen AM. The Sandy Hook Elementary School shooting as tip** point “this time is different”. Disaster Health. 2013:165–73.

    Google Scholar 

  16. Lee LK, Fleegler EW, Farrell C, Avakame E, Srinivasan S, Hemenway D, Monuteaux MC. Firearm laws and firearm homicides: a systematic review. JAMA Intern Med. 2017;177:106–19.

    Article  Google Scholar 

  17. Fleegler EW, Lee LK, Monuteaux MC, Hemenway D, Mannix R. Firearm legislation and firearm-related fatalities in the United States. JAMA Intern Med. 2013;173:732–40.

    Article  Google Scholar 

  18. Ree** PM, Cerdá M, Kalesan B, Wiebe DJ, Galea S, Branas CC. State gun laws, gun ownership, and mass shootings in the US: cross sectional time series. BMJ. 2019;364:I542.

    Article  Google Scholar 

  19. Rees CA, Lee LK, Fleegler EW, Mannix R. Mass school shootings in the United States: a novel root cause analysis using lay press reports. Clin Pediatr (Phila). 2019;58(13):1423–28.

    Google Scholar 

  20. Hiroeh U, Appleby L, Mortensen PB, Dunn G. Death by homicide, suicide, and other unnatural causes in people with mental illness: a population-based study. Lancet. 2001;358:2110–2.

    Google Scholar 

  21. Kostinsky S, Bixler EO, Ketti PA. Threats of school violence in Pennsylvania after media coverage of the Columbine High School massacre: examining the role of imitation. Arch Pediatr Adolesc Med. 2001;155:994–1001.

    Article  CAS  Google Scholar 

  22. Safavi A, Rhee P, Pandit V, et al. Children are safer in states with strict firearm laws: a National Inpatient Sample study. J Trauma Acute Care Surg. 2014;76:146–50.

    Article  Google Scholar 

  23. Santaella-Tenorio J, Cerda M, Vellaveces A, Galea S. What do we know about the association between firearm legislation and firearm-related injuries? Epidemiol Rev. 2016;38:140–57.

    Article  Google Scholar 

  24. Giffords Law Center to Prevent Gun Violence. Minimum age to purchase and possess [Internet]. Available from: https://lawcenter.giffords.org/gun-laws/policy-areas/who-can-have-a-gun/minimum-age/. Accessed 12 Feb 2020.

  25. Ghiani M, Hawkins SS, Baum CF. Gun laws and school safety. J Epidemiol Community Health. 2019;73:509–15.

    Article  Google Scholar 

  26. Centers for Disease Control and Prevention. Source of firearms used by students in school-associated violent deaths—United States, 1992–1999. MMWR Morb Mortal Wkly Rep. 2003;52:169–72.

    Google Scholar 

  27. Prickett KC, Martin-Storey A, Crosnoe R. State firearm laws, firearm ownership, and safety practices among families of preschool-aged children. Am J Public Health. 2014;104:1080–6.

    Article  Google Scholar 

  28. Hahn RA, Bilukha O, Crosby A, et al. Firearms laws and the reduction of violence: a systematic review. Am J Prev Med. 2005;28(2 Suppl):40–71.

    Article  Google Scholar 

  29. Hepburn L, Azrael D, Miller M, Hemenway D. The effect of child access prevention laws on unintentional child firearm fatalities, 1979–2000. J Trauma. 2006;61:423–8.

    Article  Google Scholar 

  30. Webster DW, Starnes M. Reexamining the association between child access prevention gun laws and unintentional shooting deaths of children. Pediatrics. 2000;106:1466–9.

    Article  CAS  Google Scholar 

  31. Azad HA, Monuteaux MC, Rees CA, Siegel M, Mannix R, Lee LK, Sheehan KM, Fleegler EW. Child access prevention firearm laws and firearm fatalities among children ages 0–14 years, 1991–2016. JAMA Pediatr. 2020:174(5):463–9.

    Google Scholar 

  32. Rajan S, Branas CC. Arming schoolteachers: what do we know? Where do we go from here? Am J Public Health. 2018;108:860–2.

    Article  Google Scholar 

  33. Branas CC, Richmond TS, Culhane DP, Ten Have TR, Wiebe D. Investigating the link between gun possession and gun assault. Am J Public Health. 2009;99:2034–40.

    Article  Google Scholar 

  34. Everytown for Gun Safety. Kee** our schools safe: a plan for preventing mass school shootings and ending all gun violence in American schools [Internet]. 2020. Available from: https://everytownresearch.org/reports/kee**-our-schools-safe-a-plan-to-stop-mass-shootings-and-end-all-gun-violence-in-american-schools/. Accessed 20 Feb2020.

  35. Travers Á, Mcdonagh T, Elklit A. Youth responses to school shootings: a review. Curr Psychiatry Rep. 2018;20:47.

    Article  Google Scholar 

  36. Lowe SR, Galea S. The mental health consequences of mass shootings. Trauma Violence Abuse. 2017;18:62–82.

    Google Scholar 

  37. Stop the Bleed [Internet]. 2019. Available from: https://www.stopthebleed.org/. Accessed 20 Feb 2020.

  38. Cunningham RM, Carter PM, Ranney ML, et al. Prevention of firearm injuries among children and adolescents consensus-driven research agenda from the firearm safety among children and teens (FACTS) consortium. JAMA Pediatr. 2019; [Epub ahead of print]

    Google Scholar 

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Rees, C.A., Mannix, R. (2021). School Shootings: No Longer Unexpected. In: Lee, L.K., Fleegler, E.W. (eds) Pediatric Firearm Injuries and Fatalities . Springer, Cham. https://doi.org/10.1007/978-3-030-62245-9_5

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  • DOI: https://doi.org/10.1007/978-3-030-62245-9_5

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