mass shootings in the United States
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Mass shooting A mass shooting is a violent crime in which one or more attackers use a firearm to Gun violence, kill or injure multiple individuals in rapid succession. There is no widely accepted specific definition, and different organizations tracking su ...
s are incidents involving multiple victims of firearm related violence. Definitions vary, with no single, broadly accepted definition. One definition is an act of public firearm violence—excluding gang killings,
domestic violence Domestic violence is violence that occurs in a domestic setting, such as in a marriage Marriage, also called matrimony or wedlock, is a culturally and often legally recognised union between people called spouses. It establishes r ...
, or terrorist acts sponsored by an organization—in which a shooter kills at least four victims. Using this definition, a 2016 study found that nearly one-third of the world's public mass shootings between 1966 and 2012 (90 of 292 incidents) occurred in the United States. In 2017, ''
The New York Times ''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of ...
'' recorded the same total of mass shootings for that span of years. Perpetrator demographics vary by type of mass shooting, though in almost all cases they are male. Contributing factors may include easy access to guns, perpetrator suicidality and life history factors, and sociocultural factors including online media reporting of mass shootings and declining
social capital Social capital is a concept used in sociology and economics to define networks of relationships which are productive towards advancing the goals of individuals and groups. It involves the effective functioning of social groups through interper ...
. However, reliable statistical
generalization A generalization is a form of abstraction whereby common properties of specific instances are formulated as general concepts or claims. Generalizations posit the existence of a domain or set of elements, as well as one or more common characteri ...
s about mass shootings are difficult to establish due to the absence of a universal definition for mass shootings, sources for data on mass shootings being incomplete and likely including biased samples of incidents, and mass shootings having low
base rate In probability and statistics, the base rate (also known as prior probabilities) is the class of probabilities unconditional on "featural evidence" ( likelihoods). It is the proportion of individuals in a population who have a certain characte ...
s. The
Federal Bureau of Investigation The Federal Bureau of Investigation (FBI) is the domestic Intelligence agency, intelligence and Security agency, security service of the United States and Federal law enforcement in the United States, its principal federal law enforcement ag ...
designated 61 of all events in 2021 as active shooter incidents. The United States has had more mass shootings than any other country. After a shooting, perpetrators generally either commit suicide or are restrained or killed by
law enforcement officer A law enforcement officer (LEO), or police officer or peace officer in North American English, is a public-sector or private-sector employee whose duties primarily involve the enforcement of laws, protecting life & property, keeping the peace, ...
s. Mass shootings accounted for under 0.2% of gun deaths in the United States between 2000 and 2016, and less than 0.5% of all homicides in the United States from 1976 to 2018.


Definitions

There is no fixed definition of a mass shooting in the United States, and different researchers define "mass shootings" in different ways.Jon Greenberg
Joe Biden said mass shootings tripled when the assault weapon ban ended. They did
''PolitiFact'' (May 25, 2022).
Of the 7 following definitions, most use a minimum of 4 victims as a threshold. Among the various definitions are those that are: * Based on injuries: :*
Gun Violence Archive Gun Violence Archive (GVA) is an American nonprofit group with an accompanying website and social media delivery platforms which seeks to catalog every incident of what it deems to be gun violence in the United States. It was founded by Michael Kl ...
: More broadly defines "mass shooting" to mean four or more (excluding the perpetrator) shot at roughly the same time and location, regardless of number of fatalities or the motive. Brady: United Against Gun Violence uses a similar definition. :* Mass Shooting Tracker: Defines "mass shooting" as "an incident where four or more people are shot in a single shooting spree," including the perpetrator or police shootings of civilians around the perpetrator, and irrespective of the motive of the perpetrator or the location of the murders. * Based on number of deaths: :* Investigative Assistance for Violent Crimes Act of 2012, signed into law in January 2013: Defines a "mass killing" as the killing of at least three victims, excluding the perpetrator, and regardless of the weapon used. :*
Everytown for Gun Safety Everytown for Gun Safety is an American non-profit organization which advocates for gun control and against gun violence. Everytown was formed in 2013 due to a merger between ''Mayors Against Illegal Guns'' and ''Moms Demand Action for Gun Sens ...
, which tracks mass shootings based on press accounts, police records, and court papers, defines mass shooting as "any incident in which four or more people are shot and killed, excluding the shooter." * Based on number of deaths and nature of attack: :*
Congressional Research Service The Congressional Research Service (CRS) is a public policy research institute of the United States Congress. Operating within the Library of Congress, it works primarily and directly for members of Congress and their committees and staff on a ...
(CRS) 2015 report titled ''Mass Murder with Firearms'': Did not define "mass shooting" but defined "public mass shooting" for the purposes of its report as "a multiple homicide incident in which four or more victims are murdered with firearms, within one event, and in one or more locations in close proximity." The CRS further states that its report "attempts to refine the relatively broad concept of mass shooting...into a narrower formulation: public mass shootings." :* '' Mother Jones's'' open-source database of mass shootings: The magazine's database, established after the 2012 Aurora movie theater massacre and updated continuously since that time, defines "mass shootings" as "indiscriminate rampages in public places resulting in four or more victims killed by the attacker," excluding "shootings stemming from more conventionally motivated crimes such as armed robbery or gang violence" and shootings in which the perpetrator has not been identified. This definition generally is consistent with the FBI's figures and the data used by criminologists. :* 2022
National Institute of Justice The National Institute of Justice (NIJ) is the research, development, and evaluation agency of the United States Department of Justice (DOJ). NIJ, along with the Bureau of Justice Statistics (BJS), Bureau of Justice Assistance (BJA), Offic ...
/The Violence Project dataset: Defines "mass public shooting" as an incident in which at least four victims were killed with firearms in a single event "and the murders are not attributable to any other underlying criminal activity or commonplace circumstance (
armed robbery Robbery is the crime of taking or attempting to take anything of value by force, threat of force, or use of fear. According to common law, robbery is defined as taking the property of another, with the intent to permanently deprive the person o ...
, criminal competition,
insurance fraud Insurance fraud is any intentional act committed to deceive or mislead an insurance company during the application or claims process, or the wrongful denial of a legitimate claim by an insurance company. It occurs when a claimant knowingly attem ...
, argument, or romantic triangle)."Public Mass Shootings: Database Amasses Details of a Half Century of U.S. Mass Shootings with Firearms, Generating Psychosocial Histories
National Institute of Justice The National Institute of Justice (NIJ) is the research, development, and evaluation agency of the United States Department of Justice (DOJ). NIJ, along with the Bureau of Justice Statistics (BJS), Bureau of Justice Assistance (BJA), Offic ...
/The Violence Project (February 3, 2022).
The FBI defines an "active shooter" incident as "one or more individuals actively engaged in killing or attempting to kill people in a populated area", excluding gun-related incidents that were the result of self-defense, gang or drug violence, residential or domestic disputes, crossfire as a byproduct of another ongoing criminal act, controlled barricade or hostage situations, or actions that appeared not to have put other people in peril. The appropriateness of a broad versus narrow definition of "mass shooting" has been the subject of debate. Some commentators argue in favor of a narrow definition of mass shootings that excludes the victims of street crime. Mark Follman of ''Mother Jones'', which compiles an open-source database of mass shootings, contends that "While all the victims are important, conflating those many other crimes with indiscriminate slaughter in public venues obscures our understanding of this complicated and growing problem." Northeastern University criminologist James Alan Fox argues against the use of the broad definition of "mass shooting" in the popular press, stating that it misleads readers. Others, by contrast, argue that defining "mass shooting" solely as a shooting in a public place in which the perpetrator fires at random is too narrow. For example, Mark Hay argues that although gang, party, and domestic violence "probably warrant different solutions" than random mass public shootings, a narrow definition fails "to capture and convey the full scope of large-scale gun violence in the United States" and its effect on marginalized communities.


Frequency

As of 2017, studies indicated that the rate at which public mass shootings occur has tripled since 2011. Between 1982 and 2011, a mass shooting occurred roughly once every 200 days. However, between 2011 and 2014, that rate has accelerated greatly with at least one mass shooting occurring every 64 days in the United States. FBI data shows that active shooter incidents increased from 2000 to 2019. Under the definition used by the Gun Violence Archive, by the end of 2019, there were 417 mass shootings; by the end of 2020, there had been 611; and by the end of 2021, 693. By mid-May 2021, there were 10 mass shootings per week on average; by mid-May 2022, there was a total of 198 mass shootings in the first 19 weeks of the year, which represents 11 mass shootings a week. The FBI designated 61 active shooter incidents. There were ten mass shootings in 2019, two in 2020, and six in 2021. Under the substantially narrower 2022
National Institute of Justice The National Institute of Justice (NIJ) is the research, development, and evaluation agency of the United States Department of Justice (DOJ). NIJ, along with the Bureau of Justice Statistics (BJS), Bureau of Justice Assistance (BJA), Offic ...
/The Violence Project dataset definition, there were 167 mass shootings (4 or more killed with firearms in public, not connected to "underlying criminal activity or commonplace circumstance") in the U.S. from 1966 to 2019, and 30.8% of the shootings occurred at the workplace. A comprehensive report by ''
USA Today ''USA Today'' (often stylized in all caps) is an American daily middle-market newspaper and news broadcasting company. Founded by Al Neuharth in 1980 and launched on September 14, 1982, the newspaper operates from Gannett's corporate headq ...
'' tracked all mass killings from 2006 through 2017 in which the perpetrator willfully killed four or more people. For mass killings by firearm for instance, it found 271 incidents with a total of 1,358 victims. In October 2018, '' PLOS One'' published a study analyzing 100 mass shootings from the ''Mother Jones'' database from January 1982 to May 2018 to evaluate whether mass shootings became more common in the United States over the preceding three decades. It found that mass shootings had steadily increased. However, some researchers dispute whether the frequency of mass shootings is increasing due to differences in research methods and differences in the criteria used to define events as mass shootings. In 2018 ''
The Washington Post ''The Washington Post'', locally known as ''The'' ''Post'' and, informally, ''WaPo'' or ''WP'', is an American daily newspaper published in Washington, D.C., the national capital. It is the most widely circulated newspaper in the Washington m ...
'' recorded 163 mass shootings in the United States between 1967 and June 2019. ''Mother Jones'' recorded 140 mass shootings between 1982 and February 2023. Under the
Everytown for Gun Safety Everytown for Gun Safety is an American non-profit organization which advocates for gun control and against gun violence. Everytown was formed in 2013 due to a merger between ''Mayors Against Illegal Guns'' and ''Moms Demand Action for Gun Sens ...
definition ("any incident in which four or more people are shot and killed, excluding the shooter") there were an average of 19 mass shootings in the U.S. each year from 2009 to 2020, with 947 wounded by gunfire and 1,363 fatally shot. The report found that: "In nearly all mass shootings over this period, the shooter was an adult man who acted alone. Thirty-two percent of mass shooters, or 92 shooters, ended with the perpetrator committing suicide, and another 24 shooters were killed by responding law enforcement. The remaining 145 mass shooters were taken into custody by law enforcement, while the outcomes and identities of 23 remain unknown." In 2022, the Violence Project of the
National Institute of Justice The National Institute of Justice (NIJ) is the research, development, and evaluation agency of the United States Department of Justice (DOJ). NIJ, along with the Bureau of Justice Statistics (BJS), Bureau of Justice Assistance (BJA), Offic ...
recorded 185 mass shootings from 1966 to December 2022. A 2023 report published in ''
The Journal of the American Medical Association ''JAMA'' (''The Journal of the American Medical Association'') is a peer-reviewed medical journal published 48 times a year by the American Medical Association. It publishes original research, reviews, and editorials covering all aspects of bi ...
'' (JAMA) covering 2014 to 2022, found there had been 4,011 mass shootings in the US.


Perpetrator demographics

According to ''The New York Times'', there is no common profile of people who carry out mass shootings in the United States, except that they are mostly men. By race, according to a study, the proportion of mass shooters in the United States who are white is about equal to the overall proportion of white people in the general population of the US. The proportion of male mass shooters is considerably larger than the proportion of males in the general population. According to the
Associated Press The Associated Press (AP) is an American not-for-profit organization, not-for-profit news agency headquartered in New York City. Founded in 1846, it operates as a cooperative, unincorporated association, and produces news reports that are dist ...
, white men comprise nearly 50% of all mass shooters in the US. According to the National Institute of Justice/The Violence project study, the demographics of shooters were 97.7% male, with an average age of 34.1 years, 52.3% white, 20.9% black, 8.1% Latino, 6.4% Asian, 4.2% Middle Eastern, and 1.8% Native American. According to the
Center for Inquiry The Center for Inquiry (CFI) is a U.S. nonprofit organization that works to mitigate belief in pseudoscience and the paranormal and to fight the influence of religion in government. History The Center for Inquiry was established in 1991 by ...
, mass shootings of family members (the most common) are usually carried out by white, middle-aged males. Felony-related mass shootings (connected with a previous crime) tend to be committed by young Black or Hispanic males with extensive criminal records, typically against people of the same ethnic group. Public mass shootings of persons unrelated to the shooter, and for a reason not connected with a previous crime (the rarest but most publicized) are committed by men whose racial distribution closely matches that of the nation as a whole. Other than gender, the demographic profiles of public mass shooters are too varied to draw firm conclusions. In a 2014 review of 160 active shooter incidents in the U.S. from 2000 to 2013 across 40 states and the District of Columbia, the FBI found that the perpetrator was female in only 6 of the 160 incidents (4%) and that in only 2 incidents (1%) was there more than one perpetrator. Analogously, in December 2013, the ''
Journal of Forensic Sciences The ''Journal of Forensic Sciences'' (''JFS'') is a bimonthly peer-reviewed scientific journal is the official publication of the American Academy of Forensic Sciences, published by Wiley-Blackwell. It covers all aspects of forensic science. The m ...
'' published a sociodemographic network characteristics and antecedent behaviors survey of 119 lone-actor terrorists in the United States and Europe that found that 96.6% were male.


Contributing factors


High gun accessibility

Higher accessibility and ownership of guns has been cited as a reason for the U.S.'s high rate of mass shootings. The U.S. has the highest per-capita gun ownership in the world with 120.5 firearms per 100 people; the second highest is Yemen with 52.8 firearms per 100 people. Researchers have found a reduction in the number of mass shooting related homicides while the
Federal Assault Weapons Ban The Public Safety and Recreational Firearms Use Protection Act, popularly known as the Federal Assault Weapons Ban (AWB or FAWB), was subtitle A of title XI of the Violent Crime Control and Law Enforcement Act, Violent Crime Control and Law ...
(FAWB) was in place from 1994 to 2004, which had banned certain types of semi-automatic rifles, including AR-15s. However, researchers also acknowledged that it was difficult to prove that the ban was the cause of this. Conversely, the
RAND Corporation The RAND Corporation, doing business as RAND, is an American nonprofit global policy think tank, research institute, and public sector consulting firm. RAND engages in research and development (R&D) in several fields and industries. Since the ...
published a review in 2023 of five studies researching the effects of the FAWB and state assault weapons bans on the frequency and
lethality Lethality (also called deadliness or perniciousness) is how capable something is of causing death. Most often it is used when referring to diseases, chemical weapons, biological weapons, or their toxic chemical components. The use of this term ...
of mass shootings and found the evidence to be inconclusive, and the review also evaluated two studies researching the effect of
high-capacity magazine ban A high-capacity magazine ban is a law which bans or otherwise restricts detachable firearm magazines that can hold more than a certain number of rounds of ammunition. For example, in the United States, the now-expired Federal Assault Weapons Ba ...
s on reducing the frequency and lethality of mass shootings and found the evidence for an effect to be limited. Several types of guns have been used in mass shootings in the United States, including semi-automatic handguns,
semi-automatic rifle A semi-automatic rifle is a type of rifle that fires a single round each time the Trigger (firearms), trigger is pulled while automatically loading the next Cartridge (firearms), cartridge. These rifles were developed Pre-World War II, and w ...
s,
revolver A revolver is a repeating handgun with at least one barrel and a revolving cylinder containing multiple chambers (each holding a single cartridge) for firing. Because most revolver models hold six cartridges before needing to be reloaded, ...
s, and
shotgun A shotgun (also known as a scattergun, peppergun, or historically as a fowling piece) is a long gun, long-barreled firearm designed to shoot a straight-walled cartridge (firearms), cartridge known as a shotshell, which discharges numerous small ...
s. Of the 172 events from 1966 to 2019 classified as mass public shootings (four or more victims killed) in the U.S. by the 2022
National Institute of Justice The National Institute of Justice (NIJ) is the research, development, and evaluation agency of the United States Department of Justice (DOJ). NIJ, along with the Bureau of Justice Statistics (BJS), Bureau of Justice Assistance (BJA), Offic ...
/The Violence Project dataset, perpetrators used handguns in 77.2% of cases and semi-automatic rifles in 25.1% of cases. An earlier 2016 study by James Alan Fox and Emma E. Fridel similarly concluded that "rather than assault weapons, semiautomatic handguns are the weapons of choice for most mass shooters."
High-capacity magazine A high-capacity magazine (or large-capacity magazine) is a magazine capable of holding a higher than normal number of ammunition rounds for a particular firearm (i.e. more than in a standard magazine for that firearm). A magazine may also be def ...
s were used in more than half of mass shootings over the four decades up to 2018. From 1966 to 2019, approximately 77% of mass shooters in the U.S. legally obtained the firearm used in the attacks. Although semi-automatic rifles are used in only 1% of overall shootings in the U.S., they are used in 25% of mass shootings, and (as of 2018) in six of the ten deadliest mass shooting events. A study published in '' PLOS One'' in 2015 examined mass shootings in the U.S. from 2005 to 2013 (and school shootings in the U.S. from 1998 to 2013). The study authors found that the "state prevalence of firearm ownership is significantly associated with the state incidence of mass killings with firearms, school shootings, and mass shootings." Conversely, the October 2018 ''PLOS One'' study assessed the impact of state-level gun ownership rates in predicting state-level mass shooting rates and found that state-level gun ownership rates were not statistically significantly associated with the number of mass shootings in each state. The researchers tested the possibility that the relationship between gun ownership and the mass shooting rate was being confounded by gun law permissiveness and found that gun law permissiveness was only nominally correlated with gun ownership and that gun ownership was not statistically associated with the mass shooting rate with or without gun law permissiveness being adjusted. A 2019 study published in ''
The BMJ ''The BMJ'' is a fortnightly peer-reviewed medical journal, published by BMJ Publishing Group Ltd, which in turn is wholly-owned by the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world ...
'' conducted a
cross-sectional In statistics and econometrics, cross-sectional data is a type of data collected by observing many subjects (such as individuals, firms, countries, or regions) at a single point or period of time. Analysis of cross-sectional data usually consists ...
time series In mathematics, a time series is a series of data points indexed (or listed or graphed) in time order. Most commonly, a time series is a sequence taken at successive equally spaced points in time. Thus it is a sequence of discrete-time data. ...
study of U.S. states from 1998 to 2015; the study found that "States with more permissive gun laws and greater gun ownership had higher rates of mass shootings, and a growing divide appears to be emerging between restrictive and permissive states." The study specifically found that "A 10% increase in state gun ownership was associated with a significant 35.1% (12.7% to 62.7%, P=0.001) higher rate of mass shootings. Partially adjusted regression analyses produced similar results, as did analyses restricted to domestic and non-domestic mass shootings." A 2020 study published in '' Law and Human Behavior'' examined the relationship of state guns laws and the incidence and lethality of mass shootings in the U.S. from 1976 to 2018. The study found that "laws requiring permits to purchase a gun are associated with a lower incidence of mass public shootings, and bans on large capacity magazines are associated with fewer fatalities and nonfatal injuries when such events do occur." The study specifically found that large-capacity magazine bans were associated with approximately 38% fewer fatalities and 77% fewer nonfatal injuries when a mass shooting occurred. In a general research review on mass shootings released in 2021, RAND Corporation researchers noted that the low frequency of mass shootings leads the
statistical assumption Statistics, like all mathematical disciplines, does not infer valid conclusions from nothing. Inferring interesting conclusions about real statistical populations almost always requires some background assumptions. Those assumptions must be made c ...
s of the
causal inference Causal inference is the process of determining the independent, actual effect of a particular phenomenon that is a component of a larger system. The main difference between causal inference and inference of association is that causal inference an ...
methods used in gun policy research to rarely hold and potentially result in exaggerated
effect size In statistics, an effect size is a value measuring the strength of the relationship between two variables in a population, or a sample-based estimate of that quantity. It can refer to the value of a statistic calculated from a sample of data, the ...
s and spurious effects, while high variability of characteristics of mass shootings make analysis of policies to address mass shootings subject to extremely low
statistical power In frequentist statistics, power is the probability of detecting a given effect (if that effect actually exists) using a given test in a given context. In typical use, it is a function of the specific test that is used (including the choice of tes ...
and unlikely to find
statistically significant In statistical hypothesis testing, a result has statistical significance when a result at least as "extreme" would be very infrequent if the null hypothesis were true. More precisely, a study's defined significance level, denoted by \alpha, is the ...
effects even where researchers use appropriate
statistical model A statistical model is a mathematical model that embodies a set of statistical assumptions concerning the generation of Sample (statistics), sample data (and similar data from a larger Statistical population, population). A statistical model repre ...
s and where policies are effective at reducing mass shootings.


Perpetrator suicidality

A panel of mental health and law enforcement experts has estimated that roughly one-third of acts of mass violence—defined as crimes in which four or more people were killed—since the 1990s were committed by people with a "
serious mental illness Serious mental illness (SMI) is characterized as any mental disorder that impairs seriously or severely from one to several significant life activities, including day-to-day functioning. Five common examples of SMI include bipolar disorders, borde ...
" (SMI). However, the study emphasized that people with an SMI are responsible for less than 4% of all the violent acts committed in the United States. The
American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 39,200 members who are in ...
(APA) states that gun violence is a public health crisis and has repeatedly noted that the overwhelming majority of people with mental illness are not violent and "are far more likely to be victims of violent crime than perpetrators of violence." In February 2021, ''
Psychological Medicine ''Psychological Medicine'' is a peer-reviewed medical journal in the field of psychiatry and related aspects of psychology and basic sciences. According to the ''Journal Citation Reports'', the journal has a 2020 impact factor of 7.723. History ...
'' published a survey reviewing 14,785 publicly reported murders in
English language English is a West Germanic language that developed in early medieval England and has since become a English as a lingua franca, global lingua franca. The namesake of the language is the Angles (tribe), Angles, one of the Germanic peoples th ...
news worldwide between 1900 and 2019 compiled in a database by psychiatrists at the
New York State Psychiatric Institute The New York State Psychiatric Institute, located at the Columbia University Irving Medical Center in the Washington Heights neighborhood of Manhattan, New York City, was established in 1895 as one of the first institutions in the United States ...
and the Columbia University Irving Medical Center which found that of the 1,315 personal-cause
mass murder Mass murder is the violent crime of murder, killing a number of people, typically simultaneously or over a relatively short period of time and in close geographic proximity. A mass murder typically occurs in a single location where one or more ...
s (i.e. driven by personal motivations and not occurring within the context of
war War is an armed conflict between the armed forces of states, or between governmental forces and armed groups that are organized under a certain command structure and have the capacity to sustain military operations, or between such organi ...
, state-sponsored or group-sponsored terrorism, gang activity, or
organized crime Organized crime is a category of transnational organized crime, transnational, national, or local group of centralized enterprises run to engage in illegal activity, most commonly for profit. While organized crime is generally thought of as a f ...
) 11% of mass murderers and 8% of mass shooters had an SMI (e.g.
schizophrenia Schizophrenia () is a mental disorder characterized variously by hallucinations (typically, Auditory hallucination#Schizophrenia, hearing voices), delusions, thought disorder, disorganized thinking and behavior, and Reduced affect display, f ...
,
bipolar disorder Bipolar disorder (BD), previously known as manic depression, is a mental disorder characterized by periods of Depression (mood), depression and periods of abnormally elevated Mood (psychology), mood that each last from days to weeks, and in ...
,
major depressive disorder Major depressive disorder (MDD), also known as clinical depression, is a mental disorder characterized by at least two weeks of pervasive depression (mood), low mood, low self-esteem, and anhedonia, loss of interest or pleasure in normally ...
), that mass shootings have become more common than other forms of mass murder since 1970 (with 73% occurring in the United States alone), and that mass shooters in the U.S. were more likely to have legal histories, to engage in
recreational drug use Recreational drug use is the use of one or more psychoactive drugs to induce an altered state of consciousness, either for pleasure or for some other casual purpose or pastime. When a psychoactive drug enters the user's body, it induces an Sub ...
or
alcohol abuse Alcohol abuse encompasses a spectrum of alcohol-related substance abuse. This spectrum can range from being mild, moderate, or severe. This can look like consumption of more than 2 drinks per day on average for men, or more than 1 drink per ...
, and to display non-
psychotic In psychopathology, psychosis is a condition in which a person is unable to distinguish, in their experience of life, between what is and is not real. Examples of psychotic symptoms are delusions, hallucinations, and disorganized or incoher ...
psychiatric or
neurologic Neurology (from , "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the nervous system, which comprises the brain, the s ...
symptoms. Psychiatrist Paul S. Appelbaum argued that the data from the New York State Psychiatric Institute and Columbia University Irving Medical Center database of mass shootings show that "legal problems, substance and alcohol use, and difficulty coping with life events seem more useful foci for prevention f mass shootingsand policy than an emphasis on serious mental illness." In 2015, psychiatrists James L. Knoll and George D. Annas cited research by social psychologists
Jean Twenge Jean Marie Twenge (born August 24, 1971) is an American psychologist researching generational differences, including work values, life goals, and social attitudes. She is a professor of psychology at San Diego State University, author, consultan ...
and W. Keith Campbell on
narcissism Narcissism is a self-centered personality style characterized as having an excessive preoccupation with oneself and one's own needs, often at the expense of others. Narcissism, named after the Greek mythological figure ''Narcissus'', has evolv ...
and
social rejection Social rejection occurs when an individual is deliberately excluded from a social relationship or social interaction. The topic includes ''interpersonal rejection'' (or peer rejection), ''romantic rejection'', and ''familial estrangement''. A pe ...
in the personal histories of mass shooters, as well as cognitive scientist
Steven Pinker Steven Arthur Pinker (born September 18, 1954) is a Canadian-American cognitive psychology, cognitive psychologist, psycholinguistics, psycholinguist, popular science author, and public intellectual. He is an advocate of evolutionary psycholo ...
's suggestion in '' The Better Angels of Our Nature'' (2011) that further reductions in human violence may be dependent upon reducing human narcissism. The Violence Project's comprehensive mass shooting database has shown that mass shooters share a sense of
entitlement Entitled or Entitlement may refer to: Social sciences and philosophy * Entitlement (fair division) * Entitlement program * Entitlement commodities * Entitlement (psychology) In psychology, entitlement mentality is defined as a sense of deserv ...
and seek scapegoats when they fail to achieve goals in life. However, psychologist Peter F. Langman has argued that while mass shooters follow similar patterns, mass shooters do not fit a single psychological profile and the characterization of mass shooters as "friendless loners" is a stereotype. In 2018, the FBI Behavioral Analysis Unit released a survey of 63 active shooter cases between 2000 and 2013. It found that 62% of active shooters showed symptoms of mental health disorders, but those symptoms may have been "transient manifestations of behaviors and moods that would not be sufficient to warrant a formal diagnosis of mental illness" and that only one-fourth of active shooters surveyed had a formal diagnosis of any mental health disorder (and a psychotic disorder in only 3 cases). The survey concludes that given the high lifetime prevalence of the symptoms of mental illness among the U.S. population, "formally diagnosed mental illness is not a very specific predictor of violence of any type, let alone targeted violence." Psychiatrist Ronald W. Pies has suggested that
psychopathology Psychopathology is the study of mental illness. It includes the signs and symptoms of all mental disorders. The field includes Abnormal psychology, abnormal cognition, maladaptive behavior, and experiences which differ according to social norms ...
should be understood as a three-gradation continuum of mental, behavioral and emotional disturbance with most mass shooters falling into a middle category of "persistent emotional disturbance." In 2022, '' Psychology, Public Policy, and Law'' published a study by Jillian Peterson, James Densley, and others, assessing the life history variables of 172 mass shooters from 1966 to 2019. The researchers found that symptoms of psychosis played no role in 69% of mass shootings. In the October 2018 ''PLOS One'' study, the researchers studied whether state-level SMI rates predicted state-level mass shooting rates and found that state-level SMI rates did not predict state-level mass shooting rates. In 2004, the U.S. Secret Service and the
U.S. Department of Education The United States Department of Education is a United States Cabinet, cabinet-level department of the federal government of the United States, United States government, originating in 1980. The department began operating on May 4, 1980, havin ...
issued a report analyzing 41
school shooting A school shooting is an Gun violence, armed attack at an educational institution, such as a primary school, secondary school, high school or university, involving the use of a firearm. Many school shootings are also categorized as mass shooti ...
s in the United States that found that 78% of the shooters surveyed had histories of
suicidal ideation Suicidal ideation, or suicidal thoughts, is the thought process of having ideas or ruminations about the possibility of dying by suicide.World Health Organization, ''ICD-11 for Mortality and Morbidity Statistics'', ver. 09/2020MB26.A Suicidal i ...
or attempted suicide. In its 2014 active shooter incidents review, the FBI found that 96 of the 160 incidents (60%) ended before police arrived, and in 64 incidents (40%) the shooter committed suicide. In December 2021, the ''Journal of Threat Assessment and Management'' published a study comparing 171 public mass shooters and 63 active shooters in the United States from 1966 to 2019 (using cases compiled in The Violence Project's database) to the general population, homicide offenders, and people who die by suicide. In comparison to the general population, mass shooters were more likely to have a history of mental health issues, to have lifetime
thought disorder A thought disorder (TD) is a disturbance in cognition which affects language, thought and communication. Psychiatric and psychological glossaries in 2015 and 2017 identified thought disorders as encompassing poverty of ideas, paralogia (a reason ...
s, and greater lifetime suicidal ideation, while in comparison to general homicide offenders, mass shooters four times more frequently
premeditated Malice aforethought is the "premeditation" or "predetermination" (with malice) required as an element of some crimes in some jurisdictions and a unique element for first-degree or aggravated murder in a few. Insofar as the term is still in use, ...
their homicides, eight times more frequently killed strangers, and were more likely to experience suicidal ideation and commit suicide directly or by cop. In comparison to people who committed suicide, mass shooters were actually more likely to have histories of suicidal ideation and were slightly more likely to premeditate the act. However, like the APA, the researchers emphasized that having a formal mental health disorder diagnosis is more predictive of being a victim of violence rather than a perpetrator. In the 2021 RAND Corporation review, the researchers noted that while most research has concluded that persons with SMIs are statistically overrepresented among mass shooters, the research has not established that a
causal relationship Causality is an influence by which one event, process, state, or object (''a'' ''cause'') contributes to the production of another event, process, state, or object (an ''effect'') where the cause is at least partly responsible for the effect, ...
between SMIs and mass shootings exists, and that estimates of mental illness prevalence among mass shooters vary widely by the definition of mass shootings used and the methods for identifying mental illness among mass shooters. In October 2022, the ''Journal of Forensic Sciences'' published a subsequent review of 82 mass murders in the Columbia University database that at least partially occurred in academic settings that found that 68% of the mass murder perpetrators and 81% of the mass shooters did not have an SMI and that 46% of the mass shootings surveyed ended with the perpetrator committing suicide, leading the researchers to conclude that their findings "strongly suggest that focusing on mental illness, particularly psychotic illness, when talking about mass school shooting risks is missing other factors that contribute to the vast majority of cases". In the December 2013 ''Journal of Forensic Sciences'' lone-actor terrorists survey, lone-actor attacks were rarely sudden or impulsive and the researchers have subsequently noted that a sizable subset of their subjects took preparations to maximize their chances of death by cop or suicide. Based upon the similarities in premeditation and lifetime suicidal ideation, James Densley has argued, "Many of these mass shootings are angry suicides." A 2021
cross-sectional study In statistics and econometrics, cross-sectional data is a type of data collected by observing many subjects (such as individuals, firms, countries, or regions) at a single point or period of time. Analysis of cross-sectional data usually consists ...
published in ''
JAMA Network Open ''JAMA Network Open'' is a monthly open access medical journal published by the American Medical Association covering all aspects of the biomedical sciences. It was established in 2018 and the founding editor-in-chief was Fred Rivara (University ...
'' examining 170 perpetrators of mass public shootings from 1996 to 2019, found that 44% of mass shooters had leaked their plans prior to committing the act, and that "Leakage was associated with receiving counseling and suicidality, which suggests it may be best characterized as a cry for help from perpetrators prior to their act." "These findings suggest that leakage is a critical moment for mental health intervention to prevent gun violence."


Perpetrator life histories

Psychologist Jillian Peterson and James Densley co-founded The Violence Project, a
National Institute of Justice The National Institute of Justice (NIJ) is the research, development, and evaluation agency of the United States Department of Justice (DOJ). NIJ, along with the Bureau of Justice Statistics (BJS), Bureau of Justice Assistance (BJA), Offic ...
-funded project in which researchers studied every mass shooting since 1966, and approximately 150 mass shooters, and coded 50 life history variables for each. Their data suggest that almost all mass shooting perpetrators had four life history variables in common: they had (1) commonly experienced early childhood trauma and exposure to violence; (2) "reached an identifiable crisis point in the weeks or months leading up to the shooting," often linked to a specific grievance; (3) researched previous mass shootings, with many being radicalized through the internet; and (4) obtained the means (firearms) to carry out the plan, with perpetrators obtaining weapons from family members in 80% of school shootings, workplace shooters tending to use legally owned handguns, and other public shooters being more likely to acquire firearms illegally. A 2021 article in the journal ''Injury Epidemiology'' found that from 2014 to 2019, 59.1% of mass shootings in the United States were related to
domestic violence Domestic violence is violence that occurs in a domestic setting, such as in a marriage Marriage, also called matrimony or wedlock, is a culturally and often legally recognised union between people called spouses. It establishes r ...
, and the shooter either killed a family member or had a domestic violence history in 68.2% of mass shootings. In the December 2021 ''Journal of Threat Assessment and Management'' study, mass shooters were more likely to be unemployed and be unmarried in comparison to the general population, while in comparison to general homicide offenders, mass shooters were more likely to not be in an intimate relationship. In the December 2013 ''Journal of Forensic Sciences'' lone-actor terrorists survey, a wide range of activities and experiences preceded lone actors attacks, many but not all lone-actors were socially isolated, lone-actors regularly engaged in a detectable and observable range of activities with a wider pressure group, social movement, or terrorist organization, and a subset of 106 subjects for whom relationship data was available found that 68.9% had never married or were divorced or separated from their spouse and only 27.7% were reported to have children. However, in the 2021 RAND Corporation review, the researchers noted that due to mass shootings having low
base rate In probability and statistics, the base rate (also known as prior probabilities) is the class of probabilities unconditional on "featural evidence" ( likelihoods). It is the proportion of individuals in a population who have a certain characte ...
s, "policies targeting individuals based on risk factors would result in an extremely high rate of
false positives A false positive is an error in binary classification in which a test result incorrectly indicates the presence of a condition (such as a disease when the disease is not present), while a false negative is the opposite error, where the test res ...
" and that the probability of individuals identified by even the most predictive risk factors to commit a mass shooting is "on the order of one in a million." In a Gallup survey conducted in September and October 2020 of 1,035 randomly selected U.S. adults in all 50 states and the District of Columbia, 30% reported personally owning a firearm and 44% reported living in a household that owned at least one firearm, while the 2020 United States census enumerated the U.S. adult population to be approximately 258.3 million persons in 126.8 million households and the Gun Violence Archive recorded 610 mass shootings in the United States in the same year. The 2021 National Survey on Drug Use and Health conducted by the
Substance Abuse and Mental Health Services Administration The Substance Abuse and Mental Health Services Administration (SAMHSA; pronounced ) is a branch of the U.S. Department of Health and Human Services (HHS). SAMHSA is charged with improving the quality and availability of treatment and rehabilitati ...
estimated that 57.8 million U.S. adults had a mental illness and 14.1 million U.S. adults had an SMI, while the Gun Violence Archive recorded 690 mass shootings in the United States in the same year. In 2022, there were 49,449 suicides in the United States (a record high) and the suicide rate in 2022 reached its highest level since 1941 at 14.3 per 100,000 persons, while the Gun Violence Archive recorded 646 mass shootings in the United States in the same year. From 1960 to 2011, the percentage of all U.S. adults who were married declined from 72 percent to a record low of 51 percent and from 1990 to 2015 the gap in the U.S. marriage rate by educational attainment widened, while the percentage of U.S. adults over the age of 25 who had never married rose to a record high of one-fifth in 2014 (with the rate of growth in the category of never married U.S. adults over the age of 25 accelerating since 2000) and the percentage of U.S. adults living without spouses or partners rose to 42 percent by 2017. The divorce rate in the United States more than doubled from 2.2 per 1,000 people in 1960 to 5.3 per 1,000 people by 1981 and then saw a long-term decline to 2.9 per 1,000 people by 2018. The percentage of U.S. households with married couples and children declined from 40 percent in 1970 to 26 percent by 1997, which fell further to 18 percent by 2021. Also, the National Coalition Against Domestic Violence has estimated that more than 12 million Americans experience domestic violence in the U.S. each year.


Sociocultural factors

Psychiatrists James L. Knoll and George D. Annas also noted that considering that mass shootings committed by perpetrators with SMIs amount to less than 1% of all gun-related homicides (and that most gun deaths in the United States are suicides rather than homicides), the tendency of most media attention following mass shootings on mental health leads to sociocultural factors being comparatively overlooked. In the October 2022 ''Journal of Forensic Sciences'' review of the Columbia University database, the researchers also concluded that "To prevent future mass school shootings, we need to begin to focus on the cultural and social drivers of these types of events... rather than on individual predictors". British criminologist Peter Squires argued that mass shooters in Europe and the U.S. "tend to be loners with not much social support who strike out at their communities, schools and families", and noted that countries with high gun-ownership rates but greater
social capital Social capital is a concept used in sociology and economics to define networks of relationships which are productive towards advancing the goals of individuals and groups. It involves the effective functioning of social groups through interper ...
(such as
Norway Norway, officially the Kingdom of Norway, is a Nordic countries, Nordic country located on the Scandinavian Peninsula in Northern Europe. The remote Arctic island of Jan Mayen and the archipelago of Svalbard also form part of the Kingdom of ...
,
Finland Finland, officially the Republic of Finland, is a Nordic country in Northern Europe. It borders Sweden to the northwest, Norway to the north, and Russia to the east, with the Gulf of Bothnia to the west and the Gulf of Finland to the south, ...
,
Switzerland Switzerland, officially the Swiss Confederation, is a landlocked country located in west-central Europe. It is bordered by Italy to the south, France to the west, Germany to the north, and Austria and Liechtenstein to the east. Switzerland ...
, and
Israel Israel, officially the State of Israel, is a country in West Asia. It Borders of Israel, shares borders with Lebanon to the north, Syria to the north-east, Jordan to the east, Egypt to the south-west, and the Mediterranean Sea to the west. Isr ...
) have fewer mass killings. In its 2014 active shooter incidents review, the FBI found that 45.6% took place in a business or commercial setting, 16.9% occurred in schools, 7.5% in institutions of higher education, 9.4% in open spaces, 6.9% in (non-military) government properties, 3.1% in military sites, 4.4% in homes, 3.8% in places of worship, and 2.5% in healthcare settings. In 2019, the ''Journal of Crime & Justice'' published a study that found following the social disorganization theory in
criminology Criminology (from Latin , 'accusation', and Ancient Greek , ''-logia'', from λόγος ''logos'', 'word, reason') is the interdisciplinary study of crime and deviant behaviour. Criminology is a multidisciplinary field in both the behaviou ...
and research on declining social capital in the United States by political scientist
Robert D. Putnam Robert David Putnam (born January 9, 1941) is an American political scientist specializing in comparative politics. He is the Peter and Isabel Malkin Professor of Public Policy at the Harvard University John F. Kennedy School of Government. ...
that county-by-county residential instability associated with higher poverty rates and single-parent households and reduced civic engagement associated with younger populations and ethnic heterogeneity were both associated with greater mass shootings, and noted that the frequency of mass shootings in the United States had increased from 1970 to 2015 during a period Putnam identified with social capital decline in ''
Bowling Alone ''Bowling Alone: The Collapse and Revival of American Community'' is a 2000 nonfiction book by Robert D. Putnam. It was developed from his 1995 essay entitled "Bowling Alone: America's Declining Social Capital". Putnam surveys the decline of soc ...
'' (2000). A subsequent study published by the ''Journal of Crime & Justice'' in 2022 that also referenced Putnam's research on social capital found that counties in the
contiguous United States The contiguous United States, also known as the U.S. mainland, officially referred to as the conterminous United States, consists of the 48 adjoining U.S. states and the District of Columbia of the United States in central North America. The te ...
with a greater number of religious congregations per capita had lower probabilities and numbers of mass shootings. However, in the 2021 RAND Corporation review, the researchers noted that county-level characteristics that are associated with mass shootings are possibly confounded by most mass shootings occurring in urban areas. The 2023 ''JAMA'' report showed mass shootings from 2014 to 2022 and related to crime, social violence, and domestic violence occurred most frequently in the
Southeastern United States The Southeastern United States, also known as the American Southeast or simply the Southeast, is a geographical List of regions in the United States, region of the United States located in the eastern portion of the Southern United States and t ...
and Illinois. Mass shootings that did not fit any of these categories were geographically distributed more evenly across the country. The highest rate was found in the District of Columbia (10.4 shootings per one million people), followed by much lower rates in Louisiana (4.2 mass shootings per million) and Illinois (3.6 mass shootings per million). The 2019 ''Journal of Crime & Justice'' study found that a test of the Southern legacy of violence hypothesis found a robust negative association with mass shootings across two of four statistical models. Similarly, while Putnam did not discuss mass shootings in ''Bowling Alone'', after constructing a state-by-state social capital index, Putnam found that the higher statewide homicide rates in the
Southern United States The Southern United States (sometimes Dixie, also referred to as the Southern States, the American South, the Southland, Dixieland, or simply the South) is List of regions of the United States, census regions defined by the United States Cens ...
from 1980 to 1995 in comparison to the country as a whole was entirely explained by lower rates of social capital in the region rather than a Southern culture of honor, that differences in statewide homicides rates within the region and within the
Northern United States The Northern United States, commonly referred to as the American North, the Northern States, or simply the North, is a geographical and historical region of the United States. History Early history Before the 19th century westward expansion, the ...
were also entirely explained by differences in social capital, and that rural communities in the country had higher civic engagement and social capital than the cities and suburbs of major
metropolitan areas A metropolitan area or metro is a region consisting of a densely populated urban agglomeration and its surrounding territories which share industries, commercial areas, transport network, infrastructures and housing. A metropolitan area usually ...
. In the first edition of ''Bowling Alone'', Putnam found that social capital in the United States sharply declined beginning in the 1960s, and that this was caused primarily by the expansion of television ownership by U.S. households (which grew from an ownership rate of 1 percent in 1948 to 75 percent by 1955), the gradual replacement of the
Greatest Generation The Greatest Generation, also known as the G.I. Generation and the World War II Generation, is the demographic cohort following the Lost Generation and preceding the Silent Generation. This generation is generally defined as people born from ...
and Silent Generation birth year cohorts by the
Baby boomer Baby boomers, often shortened to boomers, are the demographic cohort preceded by the Silent Generation and followed by Generation X. The generation is often defined as people born from 1946 to 1964 during the mid-20th century baby boom that ...
and
Generation X Generation X (often shortened to Gen X) is the Demography, demographic Cohort (statistics), cohort following the Baby Boomers and preceding Millennials. Researchers and popular media often use the mid-1960s as its starting birth years and the ...
birth year cohorts, and the effect of the television ownership expansion on Baby boomers and Generation X. In the afterword to the second edition of ''Bowling Alone'' (2020), Putnam found that the expansion of
internet access Internet access is a facility or service that provides connectivity for a computer, a computer network, or other network device to the Internet, and for individuals or organizations to access or use applications such as email and the World Wide ...
,
social media Social media are interactive technologies that facilitate the Content creation, creation, information exchange, sharing and news aggregator, aggregation of Content (media), content (such as ideas, interests, and other forms of expression) amongs ...
,
social networking service A social networking service (SNS), or social networking site, is a type of online social media platform which people use to build social networks or social relationships with other people who share similar personal or career content, interest ...
s, online dating services, professional networking services, and
e-commerce E-commerce (electronic commerce) refers to commercial activities including the electronic buying or selling products and services which are conducted on online platforms or over the Internet. E-commerce draws on technologies such as mobile co ...
was probably accelerating the decline in social capital among the U.S. population, while mostly just reinforcing existing social connections rather than creating new ones (i.e. bonding social capital versus bridging social capital)—analogously to the effect that the expansion of
telephone A telephone, colloquially referred to as a phone, is a telecommunications device that enables two or more users to conduct a conversation when they are too far apart to be easily heard directly. A telephone converts sound, typically and most ...
ownership by U.S. households had (which grew from an ownership rate of 1 percent in 1890 to a majority by 1946 and to 75 percent by 1957). Mass shooting contagion (the " copycat phenomenon") has been studied. A study published in '' PLOS One'' in 2015 examined mass shootings in the U.S. from 2005 to 2013 (and school shootings in the U.S. from 1998 to 2013). The study authors found that "significant evidence that mass killings involving firearms are incentivized by similar events in the immediate past," concluding that: "On average, this temporary increase in probability lasts 13 days, and each incident incites at least 0.30 new incidents (p = 0.0015). We also find significant evidence of contagion in school shootings, for which an incident is contagious for an average of 13 days and incites an average of at least 0.22 new incidents (p = 0.0001)." The October 2018 ''PLOS One'' study found that state-level poverty rates and state-level population sizes did not predict state-level mass shooting rates, but did find that greater online media coverage and online search interest levels correlated with shorter intervals between any two consecutive incidents of mass shootings and the researchers concluded that their findings suggest that online media might correlate with an increasing incidence rate of mass shootings. The Violence Project's comprehensive mass shooting database has shown that mass shootings tend to occur in clusters, and that hate-motivated and fame-seeking mass shootings have increased since 2015. Steven Pinker has also noted that much of the news media in the United States has an editorial policy of "if it bleeds, it leads". Other posited factors contributing to the prevalence of mass shootings include perpetrators' desire to seek revenge for perceived
school A school is the educational institution (and, in the case of in-person learning, the Educational architecture, building) designed to provide learning environments for the teaching of students, usually under the direction of teachers. Most co ...
or
workplace bullying Workplace bullying is a persistent pattern of mistreatment from others in the workplace that causes physical and/or emotional harm. It includes verbal, nonverbal Nonverbal communication is the transmission of messages or signals through a non ...
, the widespread chronic gap between people's expectations for themselves and their actual achievement, perpetrators' desire for fame and notoriety,
toxic masculinity The concept of toxic masculinity is used in academic and media discussions to refer to those aspects of hegemonic masculinity that are socially destructive, such as misogyny, homophobia, and violent domination. These traits are considered "toxi ...
(mass shootings are perpetrated almost exclusively by men and boys), and a failure of government background checks due to incomplete databases and/or staff shortages. Feminist activist and psychotherapist Harriet Fraad and Marxian economist Richard D. Wolff contend that "American hyper-capitalism" fosters loneliness and social alienation among American men who become mass shooters. A 2019 analysis of mass shootings from 1990 to 2015 published in ''
BMC Public Health ''BMC Public Health'' is a peer-reviewed open-access scientific journal that covers epidemiology of disease and various aspects of public health. The journal was established in 2001 and is published by BioMed Central. Abstracting and indexing ...
'' found that communities with rising levels of
income inequality In economics, income distribution covers how a country's total GDP is distributed amongst its population. Economic theory and economic policy have long seen income and its distribution as a central concern. Unequal distribution of income causes ...
are at an increased risk of mass shootings.


Effects


Political

A '' British Journal of Political Science'' study first published in 2017 (and in print in 2019) found that increase in proximity to mass public shootings in the U.S. was associated with statistically significant and "substantively meaningful" increases in support for stricter gun control laws. The study also found that repeated events, magnitude, and recency of mass shootings play a role with "proximity to repeated events, more horrific events and more recent events" increasing "the salience of gun violence, and thus ... support for gun control." However, the study found that the "most powerful effects" in support or opposition to gun control "are driven by variables related to local culture, with pronounced but expected differences emerging between respondents in rural, conservative, and gun-heavy areas and those residing in urban, liberal areas with few firearm stores." A separate 2019 replication study, extending the earlier
panel analysis Panel (data) analysis is a statistical method, widely used in social science, epidemiology, and econometrics to analyze two-dimensional (typically cross sectional and longitudinal) panel data. The data are usually collected over time and over the s ...
, found no evidence that mass shootings caused a "significant or substantively meaningful main effect" on attitudes toward gun control. However, the study did find evidence that mass shootings "have polarizing effects conditional on partisanship": "That is, Democrats who live near a mass shooting even tend to become more supportive of gun control restrictions, while Republican attitudes shift in the opposite direction." The study authors concluded, "To the extent that mass shootings may affect public opinion, the result is polarizing rather than consensus building." Research suggests that there are few, if any, effects on electoral outcomes. A 2020 study published in the ''
American Political Science Review The ''American Political Science Review'' (''APSR'') is a quarterly peer-reviewed academic journal covering all areas of political science. It is an official journal of the American Political Science Association and is published on their behalf ...
'' using data on school shootings from 2006 to 2018 concluded the incidents had "little to no effect on electoral outcomes in the United States." Although a 2021 study in the same journal covering a broader time period (1980–2016) found that the vote share of the Democratic Party increased by an average of almost 5 percentage points in counties that had experienced a "rampage-style"
school shooting A school shooting is an Gun violence, armed attack at an educational institution, such as a primary school, secondary school, high school or university, involving the use of a firearm. Many school shootings are also categorized as mass shooti ...
, these findings appear to be spurious and merely the result of the fact that shootings tend to happen in areas that were already trending Democratic rather than a response to gun violence. Both studies found no increase in
voter turnout In political science, voter turnout is the participation rate (often defined as those who cast a ballot) of a given election. This is typically either the percentage of Voter registration, registered voters, Suffrage, eligible voters, or all Voti ...
. A 2021 study published in ''
Proceedings of the National Academy of Sciences of the United States of America ''Proceedings of the National Academy of Sciences of the United States of America'' (often abbreviated ''PNAS'' or ''PNAS USA'') is a peer-reviewed multidisciplinary scientific journal. It is the official journal of the National Academy of Scie ...
'' concluded that "mass shootings have a strong impact on the emotions of individuals, but the impact is politicized, limited to individuals living within the town or city where the incident occurs, and fades within a week of the incident." The study authors suggested that this phenomenon could help explain why mass shootings in the U.S. have not led to meaningful policy reform efforts.


Public health

A
review article A review article is an article (publishing), article that summarizes the current Status quaestionis, state of understanding on a topic within a certain discipline. A review article is generally considered a secondary source since it may analyze ...
first published online in 2015 and then printed in January 2017 in the journal '' Trauma, Violence, & Abuse'' concluded that "mass shootings are associated with a variety of adverse psychological outcomes in survivors and members of affected communities". It says that, while "the psychological effects of mass shootings on indirectly exposed populations" is less well-understood, "there is evidence that such events lead to at least short-term increases in fears and declines in perceived safety." Identified risk factors for adverse psychological outcomes have included, among others, demographics, greater proximity to the attack, acquaintance with victims, and less access to psychosocial resources. With the aftermath of the shooting being psychological, hospitals should acquire programs or help facilities for their patients. The most vulnerable patients are children and young adults due to the fact that their brains aren't fully developed. The likelihood of them developing PTSD, depression, anxiety, suicidal thoughts, and more, are extraordinarily high. Studies show that 12.4% of mass shooting patients were diagnosed with some form of mental illness, most common being PTSD. Men show lower rates of developing PTSD unlike women who show higher rates. Men and women who fit the criteria for PTSD also showed that they gained depression.


Deadliest mass shootings since 1949

The following mass shootings are the deadliest to have occurred in modern U.S. history. Only incidents with ten or more fatalities by gunshots, excluding those of the perpetrators, are included. This list starts in 1949, the year in which
Howard Unruh Howard Barton Unruh (January 21, 1921 – October 19, 2009) was an American mass murderer who shot and killed thirteen people during a twelve-minute walk through his neighborhood in Camden, New Jersey, on September 6, 1949 in an incident that be ...
committed his shooting, which was the first in modern U.S. history to incur ten or more fatalities. : Was previously the deadliest mass shooting


See also

* List of school massacres by death toll *
Gun laws in the United States In the United States, the right to keep and bear arms is modulated by a variety of state and federal statutes. These laws generally regulate the manufacture, trade, possession, transfer, record keeping, transport, and destruction of firearms, ...
*
Gun laws in the United States by state A gun is a device that Propulsion, propels a projectile using pressure or explosive force. The projectiles are typically solid, but can also be pressurized liquid (e.g. in water guns or water cannon, cannons), or gas (e.g. light-gas gun). So ...
*
Gun violence in the United States Gun violence is a term of political, economic and sociological interest referring to the tens of thousands of annual firearms-related deaths and injuries occurring in the United States. In 2016, a U.S. male aged 15–24 was 70 times more likely ...
* List of rampage killers in the United States *
School shootings in the United States A school shooting is an Gun violence, armed attack at an educational institution, such as a primary school, secondary school, high school or university, involving the use of a firearm. Many school shootings are also categorized as mass shooti ...
**
List of school shootings in the United States (before 2000) This chronological list of school shootings in the United States before the 21st century includes any School shootings in the United States, school shootings that occurred at a K–12, K-12 State school, public or Independent school, private scho ...
** List of school shootings in the United States (2000–present) *
Spree killer A spree killer is someone who commits a criminal act that involves two or more murders in a short time, often in multiple locations. There are different opinions about what durations of time a killing spree may take place in. The United States ...
* Public opinion on gun control in the United States *
List of mass shootings in the United States in 2025 This is a list of mass shootings that took place in the United States in 2025. Mass shootings are incidents in which several people are injured or killed due to firearm-related violence, specifically for the purposes of this article, a total of ...


Explanatory notes


References


Further reading

* Oreskes, Naomi, "Furious about
Firearm A firearm is any type of gun that uses an explosive charge and is designed to be readily carried and operated by an individual. The term is legally defined further in different countries (see legal definitions). The first firearms originate ...
s: Outrage, not hope, will move us to prevent
gun violence Gun-related violence is violence against a person committed with the use of a firearm to inflict a gunshot wound. Gun violence may or may not be considered criminal. Criminal violence includes homicide (except when and where ruled justifiable ...
", ''
Scientific American ''Scientific American'', informally abbreviated ''SciAm'' or sometimes ''SA'', is an American popular science magazine. Many scientists, including Albert Einstein and Nikola Tesla, have contributed articles to it, with more than 150 Nobel Pri ...
'', vol. 329, no. 1 (July/August 2023), p. 96.


External links

*
Most Comprehensive Mass Shooter Database
€”The Violence Project * {{Firearms Gun violence in the United States