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attention deficit hyperactivity disorder - nimh

Helping Children and Adolescents
Cope with Violence and Disasters

Child and Adolescent Violence Research at the NIMH

Helping Children and Adolescents Cope with Violence and Disasters

Thinking About Violence in Our Schools

The National Institute of Mental Health has joined with other Federal agencies* to address the issue of reducing school violence and assisting children who have been victims of or witnesses to violent events. Recent nationally reported school shootings such as those that occurred in Bethel, Alaska; Pearl, Mississippi; West Paducah, Kentucky; Jonesboro, Arkansas; Edinboro, Pennsylvania; Springfield, Oregon; and Littleton, Colorado have shocked the country. Many questions are being asked about how these tragedies could have been prevented, how those directly involved can be helped, and how we can avoid such events in the future.

School violence is not a simple issue, however, nor is the aftermath of violence predictable. Research has shown that both adults and children who experience catastrophic events show a wide range of reactions. Some suffer only worries and bad memories that fade with emotional support and the passage of time. Others are more deeply affected and exper-ience long-term problems. Research on post-traumatic stress disorder (PTSD) shows that some soldiers, survivors of torture and other violence, and survivors of natural catastrophes suffer long-term effects from their experiences. Children who have witnessed violence in their families, schools, or communities are also vulnerable to serious long-term problems. Their emotional reactions, including fear, depression, withdrawal or anger, can occur imme-diately or some time after the tragic event. Youngsters who have experienced a catastrophic event often need support from parents and teachers to avoid long-term emotional harm. Most will recover in a short time, but the minority who develop PTSD or other persistent problems need treatment.

The school shootings caught the Nation's attention, but these events are only a small fraction of the many tragic episodes that affect children's lives. Each year many children and adolescents sustain injuries from violence, lose friends or family members, or are adversely affected by witnessing a violent or catastrophic event. Each situation is unique, whether it centers upon a plane crash where many people are killed; automobile accidents involving friends or family members; or natural disasters such as Hurricane Andrew, where deaths occur and homes are lost--but these events have similarities as well, and cause similar reactions in children. Helping young people avoid or overcome emotional problems in the wake of violence or disaster is one of the most important challenges a parent, teacher, or mental health professional can face. The purpose of this fact sheet is to tell what is known about the impact of violence and disasters on children and suggest steps to minimize long-term emotional harm.

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