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Self- and other-harm in mass shooters: A dual-harm analysis
Diego A Díaz-Faes1, Sonali Rajan2, Charles C Branas1
1Department of Epidemiology, Columbia University, Mailman School of Public Health, New York, NY, USA.
Mass shooters with histories of both self-harm and other-harm (dual-harm) exhibit significantly more risk factors than those with single-harm or no-harm histories. This dual-harm group shows higher rates of adverse childhood experiences and various behavioral issues.
Area of Science:
- Psychology
- Criminology
- Public Health
Background:
- Individuals with dual-harm histories (self- and other-harm) face elevated risks for negative outcomes.
- Understanding these risk factors is crucial for developing targeted interventions.
Purpose of the Study:
- To examine mass shooters through the lens of dual-harm.
- To compare risk factors across no-harm, single-harm, and dual-harm groups of mass shooters.
Main Methods:
- Analysis of 197 U.S. mass shooters in public incidents (≥4 fatalities) from August 1966 to January 2023.
- Categorization into no-harm, single-harm, or dual-harm based on histories of self-harm, aggression, and violent crime.
- Data sourced from The Violence Project Database.
Main Results:
- One-fifth (n=40) of mass shooters exhibited dual-harm.
- The dual-harm group showed the highest prevalence of most risk factors, including significantly more adverse childhood experiences.
- Dual-harm individuals had higher rates of sexual abuse, psychiatric hospitalization, mood disorders, and interest in past mass violence compared to no-harm and single-harm groups.
Conclusions:
- Mass violence is heterogeneous, with a high-risk dual-harm subset exhibiting complex needs.
- Identifying distinct harm-level groups aids in understanding the diverse experiences and behaviors within mass shooter populations.
- This trichotomy approach highlights a lower-risk no-harm group, underscoring the spectrum of risk.
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