Every time a mass shooting occurs, the country talks about mental health.
Many politicians are quick to point to the shooters’ disturbed minds. News reporters probe for “loner” tendencies or signs of instability.
“Mental illness and hatred pull the trigger. Not the gun,” said President Donald Trump on Monday, after two mass shootings in less than 24 hours.
So is mental illness to blame for America’s mass shootings? Not according to research.
Some mass shooters have a history of schizophrenia or psychosis, but many do not. Most studies of mass shooters have found only a fraction have mental health issues. Researchers have noted a host of other factors that are stronger predictors of someone becoming a mass shooter: a strong sense of resentment, desire for infamy, copycat study of other shooters, past domestic violence, narcissism and access to firearms.
“It’s tempting to try to find one simple solution and point the finger at that,” said Jeffrey Swanson, a professor in psychiatry and behavioral sciences at Duke University School of Medicine. “The fact that somebody would go out and massacre a bunch of strangers, that’s not the act of a healthy mind, but that doesn’t mean they have a mental illness.”
As mass shootings have become more common in recent years, their connection to mental health has been increasingly scrutinized by the Federal Bureau of Investigation, police departments, forensic psychiatrists, mental illness experts and epidemiologists.
In a 2018 report on 63 active shooter assailants, the FBI found that 25 percent had been diagnosed with a mental illness. Of those, only three had been diagnosed with a psychotic disorder. In a 2015 study that examined 235 people who committed or tried to commit mass killings, only 22 percent could be considered mentally ill.
Research has long debunked another common explanation touted by politicians: that violent video games are driving the mass shooting crisis, an idea floated again by Trump and House Minority Leader Kevin McCarthy, R-Calif., on Monday.
There is no statistical link between playing violent video games and shooting people, said Jonathan Metzl, director of the Center for Medicine, Health and Society at Vanderbilt University, who has studied the topic.
A 2004 report conducted by the Secret Service and the Education Department found that only 12 percent of perpetrators in more than three dozen school shootings showed an interest in violent video games. Despite a continuing lack of a link, lawmakers and public figures continue to blame the gaming industry.
“When politicians like President Trump perpetuate this narrative, to me, it is the height of irresponsibility because it’s perpetuating a falsehood,” Metzl said.
The eagerness to blame mental health and video games means society is searching for answers in the wrong places, experts say.
Almost 5 percent of the U.S. population suffers from a serious mental illness in a health care system that most clinicians say severely under-prioritizes mental health. That has often left psychiatric wards without enough beds for those in crisis.
