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Friday, December 8 • 10:35am - 11:05am
Identifying Credible Threats of Targeted School Violence in School-Aged Children in the Emergency Setting

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In 2020, nearly 44,000 people died from gun related injuries. Of these, 164 deaths have been from 40 active shooting incidents. Fewer still are the casualties from violence targeted in schools. Recent high-profile cases of targeted school violence, especially those with firearms, have elevated fears of the next possible incidence. These factors have shifted the tolerance for speech or activities suspicious for violence in schools. And for the students who have endorsed homicidal ideations, their angry outburst may involve intervention with law enforcement, or in many cases involving school-aged children with behavioral problems, a visit to the emergency room. Parents, schools, primary and other community providers present to the emergency department (ED) seeking help, often insisting on immediate admission or solutions. Emergency departments are not structured to board such patients long term, nor is a several-day stay in inpatient psychiatric hospitals a guaranteed solution for such multifactorial problem. Many behavioral problems such as anger and homicidal ideations are not suitable for admission, and instead require coordinated care within the community, involving not only psychiatrists, but also school administration, parents, and even law enforcement. This session aims to share key findings from government publications regarding targeted school violence in order to educate the front-line workers about some of the key features that should raise alarm for serious threats of school violence. The data will demonstrate the importance of identifying leakages, as well as exhibit personal, family, academic, and social dynamics of individuals who pose a serious threat. data will also highlight the limitations and challenges of accurately identifying credible threats. Perspectives on implementing gun violence education and disseminating information within the ED will be shared, as well as perspectives from the point of learners when gun violence education becomes integrated into the part of their curricula. Finally, a closing discussion period will offer participants a chance to share their experiences of working within or without established protocol for identifying homicidal threats.

Learning Objectives:
  1. Provide overview of key targeted firearm violence in school’s epidemiologic data impacting U.S. children’s schools. 
  2. Highlight key features in identifying credible threats for school age children who endorse homicidal ideations. 
  3. Discuss opportunities for engagement within pediatric mental health management and threat assessment organizations.

avatar for Micah Park, MD

Micah Park, MD

Child and Adolescent Psychiatry Fellow, Children's National Hospital
Micah Park is a current child and adolescent psychiatry fellow at Children's National Hospital in Washington, DC. She completed her medical training at UT Health San Antonio Long School of Medicine and her general psychiatry residency at Texas Tech University Health Sciences Center... Read More →
avatar for Meghan Schott, DO, FAPA

Meghan Schott, DO, FAPA

Medical Director of Psychiatric Emergency Services, Children's National
Meghan Schott, DO, FAPA attended Oberlin College and University of North Texas-Health Science Center for medical school. She completed residency training at Allegheny General Hospital in Pittsburgh and Northwestern University/Lurie Children’s Hospital of Chicago for her child psychiatry... Read More →
avatar for Jordan Pizzarro, BS

Jordan Pizzarro, BS

Medical Student, George Washington University
Jordan Pizzarro is a fourth year medical student at George Washington University School of Medicine and Health Sciences. She is pursing a career in the field of pediatrics and ultimately plans to become a pediatric critical care physician. Passionate about child injury prevention... Read More →

Friday December 8, 2023 10:35am - 11:05am PST
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