School shooting: are psychiatrists capable of preventing tragedies?

A. Portnova, Y. Sivolap
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Abstract

Armed attacks with numerous victims committed in educational institutions of various levels, mainly (but not always) with the use of firearms, have received the generic name “school shooting”, and attackers are most often called “school shooters”. The United States is the leader in the prevalence of mass murders in educational institutions, although these tragic incidents also occur in other countries, and their number shows a tendency to constantly increase. Since any murder is an abnormal phenomenon, the question of the mental health of school shooters naturally arises. Research shows that not all assailants show symptoms of mental disorders; the most common cause of armed attacks is bullying and the desire to take revenge on offenders for cruel humiliation. In cases where a mental disorder is still diagnosed, not all students, as well as their family members, agree to receive psychiatric care. The prevention of armed attacks must be carried out by the efforts of school counsellors and school psychologists with the possible involvement of psychiatrists, although the potential of psychiatric care in the prevention of school murders, according to the authors of the article, is quite limited.
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校园枪击案:精神科医生有能力防止悲剧发生吗?
在各级教育机构中发生的造成众多受害者的武装袭击事件,主要(但不总是)使用枪支,被统称为 "校园枪击",袭击者通常被称为 "校园枪手"。在教育机构中发生的大规模凶杀案中,美国居首位,尽管这些悲惨事件在其他国家也时有发生,而且其数量有不断增加的趋势。既然任何谋杀都是一种不正常的现象,那么自然就会产生校园枪手的心理健康问题。研究表明,并不是所有的袭击者都有精神障碍的症状;武装袭击最常见的原因是欺凌和想要报复残忍侮辱自己的罪犯。在仍然诊断出精神障碍的情况下,并非所有学生及其家人都同意接受精神治疗。预防持械袭击必须依靠学校辅导员和学校心理学家的努力,也可能需要精神科医生的参与,尽管根据文章作者的说法,精神科治疗在预防校园谋杀方面的潜力相当有限。
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