Guns cause mass shootings, not psychiatric drugs

Las Vegas, Nevada – the latest of many places in America joined by the shared ignominy of senseless mass violence.

Each victim (and there are so many [1]) deserve respect – their lives, their stories, their memory, honoured. Their families should be allowed to mourn, their community given space to heal.

Their loss should not be used as an ideological segue to opportunistically push an unrelated viewpoint. To do so would be obnoxious, like someone attending a wake so they could try and sell life insurance to those who are grieving.

And yet, Dr Caroline Leaf has done just that, using the deaths of nearly five-dozen people as an opportunity to push the idea that psychiatric medications are somehow to blame for the actions of those who perpetrate mass murder (http://drleaf.com/blog/mental-health-news-october-2017/).

“One factor that is rarely discussed in both the mainstream media and among politicians is psychiatric drug-induced violence. It is too easy to label the perpetrator as an evil maniac with mental health problems without looking at the correlation between psychotropic drugs and violence.”

In my opinion, I think it’s abhorrent that Dr Leaf would be so callous as to use such an abject tragedy to push her ideological barrow, but sadder still that she is simply wrong.

The key factor in gun-related deaths isn’t psychiatric medications, but guns.

From 1996 to 2011, the use of any psychotropic medication in Australia roughly doubled (from about 55 to 130 ‘defined daily doses per 1000 population per day’ [2: p234, 3]). In the same period, Australia’s number of mass shootings fell to zero. Australia’s gun-related homicide and suicide rate also fell [4].

Why? Because after the tragedy of Port Arthur in 1996, the Australian government introduced gun law reform, drastically reducing the number of guns available within the general population. Admittedly, experts argue whether the gun law reform was a decisive factor or just one of many in the reduction of gun-related deaths in Australia [4].

But irrespective, the statistics decimate Dr Leaf’s irrational hypothesis on psychiatric medications. There is no link to psychiatric medications and mass murder. Indeed, those who suffer from mental illness are more likely to be the victims of violence, not the cause of it [5, 6].

Dr Leaf attempts to soften the blow at the end of her newsletter. “That is not to say everyone who takes these medications will become violent – we should not fear or isolate people that are suffering from mental health disorders”. But her repeated claim that these egregious acts of violence are caused by psychiatric medications makes her words ring hollow.

In publishing her latest blog, Dr Leaf’s motives may have been benevolent, but her actions have left much to be desired. She has dishonoured the victims of Vegas. She has targeted the wrong cause. Her actions have created many more victims of what is already a senseless tragedy.

References

[1] Berkowitz B, Gamio L, Lu D, Uhrmacher K, Lindeman T. The math of mass shootings. 2015 [cited 2017 October 12]; Available from: https://www.washingtonpost.com/graphics/national/mass-shootings-in-america/
[2] Australian Statistics on Medicines 1997. In: Commonwealth Department of Health and Family Services, editor. Canberra: Commwealth of Australia, 1998.
[3] Stephenson CP, Karanges E, McGregor IS. Trends in the utilisation of psychotropic medications in Australia from 2000 to 2011. Aust N Z J Psychiatry 2013 Jan;47(1):74-87.
[4] Fact check: Have firearm homicides and suicides dropped since Port Arthur as a result of John Howard’s reforms? RMIT ABC Fact Check 2016 [cited 2017 October 12]; Available from: http://www.abc.net.au/news/factcheck/2016-04-28/fact-check-gun-homicides-and-suicides-john-howard-port-arthur/7254880
[5] Mental Health Myths and Facts. 2017 [cited 2017 October 12]; Available from: https://www.mentalhealth.gov/basics/myths-facts/index.html
[6] Metzl JM, MacLeish KT. Mental illness, mass shootings, and the politics of American firearms. Am J Public Health 2015 Feb;105(2):240-9.

Post script: A picture says a thousand words:

http://www.canberratimes.com.au/world/heres-why-australia-will-never-understand-the-us-obsession-with-guns-20171003-gyt7ys.html

If you have been distressed by the Las Vegas shooting or you have concerns about your mental health, please talk to your general practitioner or psychologist.

If you need urgent assistance, please talk to someone straight away:
In Australia:
Lifeline ~ 13 11 14
BeyondBlue ~ 1300 22 4636 or https://www.beyondblue.org.au/about-us/contact-us
Suicide Callback Service ~ 1300 659 467 or https://www.suicidecallbackservice.org.au

USA:
National Suicide Prevention Lifeline ~ 1-800-273-TALK (8255)

New Zealand:
Lifeline Aotearoa 24/7 Helpline ~ 0800 543 354

UK:
Samaritans ~ 116 123

For other countries: Your Life Counts maintains a list of crisis services across a number of countries: http://www.yourlifecounts.org/need-help/crisis-lines.

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