Originally Posted by
Summit
I am a huge mental health advocate. It is under funded in our society. Improving this priority would reduce gun deaths significantly, but mostly in terms of suicidality. Mental health is horrifically misunderstood in terms of gun crime.
I don't think that mental health is the issue in this specific circumstance, but we don't know and may never know in this specific incident.
Medicalizing criminality is a horrific mistake.
There exists diagnostic boxes into which we can put the fractional (but socially significant) percentage of humanity that will be inevitably and incorrigibly violent, but it isn't because they are ill in the same way that someone with PTSD or depression or ADD or OCD are ill (and each of these is very different).
Stigma is a problem, because though certain affective (eg schizophrenia) and mood (eg bipolar) disorders seem to make up roughly 10% of murderers when looking at older datasets (a disproportionate amount vs the general population), actually very few people who have those disorders commit murder. This particular phenomenon of statistics is hard to parse for the public/policy makers and hard to address for clinicians. To say this differently, someone who is schizophrenic might have 20x the chance of being a murderer vs average, thus explaining overrepresentation among murderers, but the chance that someone with schizophrenia commits murder in their life is <0.1%!!!
When you are talking about diagnosis that actually do present a significant risk of murder, these people don't need to pop a pill. Substance abuse disorders correlate with crime, but that is a highly complex topic and is often comorbid with other issues. Other people have certain types of personality disorders such as antisocial or borderline often only recognized only after the fact, and the mechanisms vary too. The few who are violently psychotic or impassionately enraged tend to target those personally close to them (eg DV) and act on different impulses than someone who is amoral like an Antisocial. Antisocials are basically untreatable, amoral, and though there is a distinction between that personality disorder and psychopathy, the overlap is nearly complete. These people almost always end up in the criminal justice system and usually prison, but sometimes they kill (many) before landing there. Flagging them earlier is the only intervention I can think of, and fraught. Failure to intervene despite spotting the problem is another issue (eg the Aurora theater shooter).
"Support Mental Health" and "Mental Health Awareness" tropes, whether noble or as an excuse, probably have little overlap on functional interventions here.