Mass shootingWhat mass shootings do to those not shot: Social consequences of mass gun violence

By Arash Javanbakht

Published 9 November 2018

Mass shootings seem to have become a sad new normal in the American life. They happen too often, and in very unexpected places. Concerts, movie theaters, places of worship, schools, bars and restaurants are no longer secure from gun violence. Often, and especially when a person who is not a minority or Muslim perpetrates a mass shooting, mental health is raised as a real concern or, critics say, a diversion from the real issue easy access to firearms. Less is discussed, however, about the stress of such events on the rest of the society. That includes those who survived the shooting, those who were in the vicinity, including the first responders, those who lost someone in the shooting, and those who hear about it via the media. I am a trauma and anxiety researcher and clinician psychiatrist, and I know that the effects of such violence are far-reaching. While the immediate survivors are most affected, the rest of society suffers, too.

Mass shootings seem to have become a sad new normal in the American life. They happen too often, and in very unexpected places. Concerts, movie theaters, places of worship, schools, bars and restaurants are no longer secure from gun violence.

Often, and especially when a person who is not a minority or Muslim perpetrates a mass shooting, mental health is raised as a real concern or, critics say, a diversion from the real issue easy access to firearms.

Less is discussed, however, about the stress of such events on the rest of the society. That includes those who survived the shooting, those who were in the vicinity, including the first responders, those who lost someone in the shooting, and those who hear about it via the media.

I am a trauma and anxiety researcher and clinician psychiatrist, and I know that the effects of such violence are far-reaching. While the immediate survivors are most affected, the rest of society suffers, too.

First, the immediate survivors
Like other animals, we humans get stressed or terrified via direct exposure to a dangerous event. The extent of that stress or fear could vary. For example, survivors may want to avoid the neighborhood where a shooting occurred or the context related to shooting, such as outdoor concerts if the shooting happened there. In the worst case, a person may develop post-traumatic stress disorder, or PTSD.

PTSD is a debilitating condition which develops after exposure to serious traumatic experiences such as war, natural disasters, rape, assault, robbery, car accidents, and of course gun violence. Nearly 8 percent of the U.S. population deals with PTSD. Symptoms include high anxiety, avoiding reminders of the trauma, emotional numbness, hyper-vigilance, frequent intrusive memories of trauma, nightmares and flashbacks [https://www.ptsd.va.gov/professional/treat/essentials/dsm5_ptsd.asp]. The brain switches to fight and flight mode, or survival mode, and the person is always waiting for something terrible to happen.