Abstract
Purpose of Review
This paper aims to synthesize research relating to youth responses to school shootings between 2014 and 2017. The main questions it addresses are how such events impact young people psychologically, and what risk or protective factors may contribute to different trajectories of recovery?
Recent Findings
Recent research suggests that most young people exposed to school shootings demonstrate resilience, exhibiting no long-term dysfunction. However, a minority will experience severe and chronic symptoms. The likelihood of experiencing clinically significant reactions is influenced by pre-trauma functioning as well as peri-traumatic and post-traumatic factors. These include proximity to the trauma, peri-traumatic dissociation, post-traumatic emotional regulation difficulties, social support, and flexibility of coping styles.
Summary
Research that separates the distinguishing features of young people with differing recovery styles is vital to tailor intervention. But methodological and design issues associated with such research necessitates caution in drawing conclusions. Variation in definitions and measures and the self-report nature of many of the studies are potential sources of bias. Greater uniformity across designs would enhance confidence and allow for improved evidence-based intervention.
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References
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• Newman KS, Fox C, Harding D, Mehta J, Roth W. Rampage: the social roots of school shootings. Hachette UK; 2008. Influential book about the phenomenon of school shootings, which contains discussion of how to typify incidents.
Malkki L. Political elements in post-Columbine school shootings in Europe and North America. Terror Pol Violence. 2014;26(1):185–210.
Miron LR, Orcutt HK, Kumpula MJ. Differential predictors of transient stress versus posttraumatic stress disorder: evaluating risk following targeted mass violence. Behav Ther. 2014 Nov 1;45(6):791–805.
Turunen T, Haravuori H, Punamäki RL, Suomalainen L, Marttunen M. The role of attachment in recovery after a school-shooting trauma. Eur J Psychotraumatol. 2014;5(1):22728.
Vieselmeyer J, Holguin J, Mezulis A. The role of resilience and gratitude in posttraumatic stress and growth following a campus shooting. Psychol Trauma: Theory Res Pract Policy. 2017 Jan;9(1):62–9.
• Boykin DM, London MJ, Orcutt HK. Examining minority attrition among women in longitudinal trauma research. J Trauma Stress. 2016;29(1):26–32. Analysis of longitudinal data from the Northern Illinois University demonstrating that minority students were more likely to drop out of research studies than their non-minority peers.
• Orcutt HK, Bonanno GA, Hannan SM, Miron LR. Prospective trajectories of posttraumatic stress in college women following a campus mass shooting. J Trauma Stress. 2014;27(3):249–56. Longitudinally assessed predictors of different recovery trajectories in shooting-exposed students
Kubany ES, Leisen MB, Kaplan AS, Kelly MP. Validation of a brief measure of posttraumatic stress disorder: the Distressing Event Questionnaire (DEQ). Psychol Assess. 2000 Jun;12(2):197–209.
Horowitz M, Wilner N, Alvarez W. Impact of Event Scale: a measure of subjective stress. Psychosom Med. 1979 May 1;41(3):209–18.
Turunen T, Haravuori H, Pihlajamäki JJ, Marttunen M, Punamäki RL. Framework of the outreach after a school shooting and the students’ perceptions of the provided support. Eur J Psychotraumatol. 2014;5(1):23079.
Smith AJ, Donlon K, Anderson SR, Hughes M, Jones RT. When seeking influences believing and promotes posttraumatic adaptation. Anxiety Stress Coping. 2015;28(3):340–56.
Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003 Feb 1;60(2):184–9.
Wusik MF, Smith AJ, Jones RT, Hughes M. Dynamics among posttraumatic stress symptoms, forgiveness for the perpetrator, and posttraumatic growth following collective trauma. J Commun Psychol. 2015 Apr 1;43(4):389–94.
• Elsass HJ, Schildkraut J, Stafford MC. Studying school shootings: challenges and considerations for research. Am J Crim Just. 2016;41(3):444–64. Comprehensive overview of research issues involved with measuring fear responses to school shooting incidents.
Achenbach TM. Manual for the Child Behaviour Checklist/4-18 and 1991 profile. Burlington: University of Vermont Department of Psychiatry; 1991.
Haravuori H, Kiviruusu O, Suomalainen L, Marttunen M. An evaluation of ICD-11 posttraumatic stress disorder criteria in two samples of adolescents and young adults exposed to mass shootings: factor analysis and comparisons to ICD-10 and DSM-IV. BMC Psychiatry. 2016;16(1):140.
Kaufman J, Birmaher B, Brent D, Rao UM, Flynn C, Moreci P, et al. Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychilatry. 1997;36(7):980–8.
Beland LP, Kim D. The effect of high school shootings on schools and student performance. Educ Eval Policy Anal. 2016;38(1):113–26.
Tedeschi RG, Calhoun LG. Posttraumatic growth: conceptual foundations and empirical evidence. Psychol Inq. 2004;15(1):1–8.
Calhoun LG, Tedeschi RG, editors. Facilitating posttraumatic growth: a clinician’s guide. Routledge; 1999.
Triplett NP, Allen A, Lewis CW. Zero tolerance, school shootings, and the post-brown quest for equity in discipline policy: an examination of how urban minorities are punished for white suburban violence. J Negro Educ. 2014;83(3):352–70.
Liao Y, Shonkoff ET, Barnett E, Wen CF, Miller KA, Eddy JM. Brief report: examining children’s disruptive behavior in the wake of trauma—a two-piece growth curve model before and after a school shooting. J Adolesc. 2015 Oct 1;44:219–23.
Weathers FW, Litz BT, Keane TM, Palmieri PA, Marx BP, Schnurr PP (2013) The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov. 2014.
Brewin CR, Rose S, Andrews B, Green J, Tata P, McEvedy CH, et al. Brief screening instrument for post-traumatic stress disorder. Br J Psychiatry. 2002;181(2):158–62.
Strøm IF, Schultz JH, Wentzel-Larsen T, Dyb G. School performance after experiencing trauma: a longitudinal study of school functioning in survivors of the Utøya shootings in 2011. Eur J Psychotraumatol. 2016;7(1):31359.
Calhoun LG, Tedeschi RG, editors. Handbook of posttraumatic growth: research and practice. Routledge; 2014.
• Shultz JM, Thoresen S, Flynn BW, Muschert GW, Shaw JA, Espinel Z, et al. Multiple vantage points on the mental health effects of mass shootings. Curr Psychiatry Rep. 2014;16(9):469. Excellent review of psychological responses to mass shootings in general.
Bonanno GA, Galea S, Bucciarelli A, Vlahov D. What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. J Consult Clin Psychol. 2007 Oct;75(5):671–82.
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Travers, Á., McDonagh, T. & Elklit, A. Youth Responses to School Shootings: a Review. Curr Psychiatry Rep 20, 47 (2018). https://doi.org/10.1007/s11920-018-0903-1
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DOI: https://doi.org/10.1007/s11920-018-0903-1