Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Department of Global and Community Health, College of Health and Human Services, George Mason University, Fairfax, Virginia.
J Adolesc Health. 2019 Jun;64(6):797-799. doi: 10.1016/j.jadohealth.2018.12.006. Epub 2019 Mar 2.
The aim of the study was to determine whether characteristics related to the school, shooter, and guns used are associated with school shooting severity (casualty rates, fatality rates, and likelihood of fatality).
We analyzed associations between individual-, school-, gun-level factors and school shooting severity in the United States from April 1999 through May 2018.
Handguns were used in most school shootings (81%); however, substantially, more fatalities occurred when rifles (relative risk [RR] =14.74, 95% confidence interval [CI] [5.00, 43.41]) or shotguns (RR = 8.84, 95% CI [2.20, 35.54]) were used. Fatal shootings were more likely to happen in schools that were majority white, taught younger students, and were rural or suburban. When shooters were aged ≥20 years, shootings were more likely to be fatal (RR = 2.44, 95% CI [1.18, 5.07]), have more casualties (RR = 5.15, 95% CI [2.06, 12.90]), and more deaths (RR = 20.13, 95% CI [4.86, 83.28]). No significant differences were observed based on the presence of resource officers.
More severe shootings were associated with shooters who were older and therefore unlikely to be students, whereas the presence of a school resource officer was unassociated with any reduction in school shooting severity. Importantly, the type of gun used was strongly associated with casualties and fatalities. Study findings suggest a need for prevention efforts beyond those commonly used in schools, as well as the need for improved laws.
本研究旨在确定与学校、枪手和使用枪支相关的特征是否与校园枪击事件的严重程度(伤亡率、死亡率和致死可能性)有关。
我们分析了 1999 年 4 月至 2018 年 5 月美国校园枪击事件中个人、学校、枪支层面因素与校园枪击事件严重程度之间的关联。
手枪在大多数校园枪击事件中被使用(81%);然而,当使用步枪(相对风险 [RR] = 14.74,95%置信区间 [CI] [5.00, 43.41])或霰弹枪(RR = 8.84,95% CI [2.20, 35.54])时,会发生更多的死亡事件。发生致命枪击事件的学校白人学生比例更高、教授年龄更小、且地处农村或郊区的可能性更大。当枪手年龄≥20 岁时,枪击事件更有可能是致命的(RR = 2.44,95% CI [1.18, 5.07]),会有更多的伤亡(RR = 5.15,95% CI [2.06, 12.90])和死亡(RR = 20.13,95% CI [4.86, 83.28])。是否有学校资源官员的存在并无显著差异。
更严重的枪击事件与枪手年龄较大有关,因此不太可能是学生,而学校资源官员的存在与校园枪击事件严重程度的降低无关。重要的是,所使用枪支的类型与伤亡和死亡人数密切相关。研究结果表明,需要采取超出学校通常采用的预防措施,还需要改进法律。